SGN2005-00032 CITY OF TI GARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00032
�j DATE ISSUED: 2/14/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD
BUSINESS NAME: AMERICAN BOOT CO ZONE: C -
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: \ WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8' X 3'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (8' x 3') Valid from 2/15/05 through 3/17/05.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 0.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from
approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: v ` C
PERMITTEE SIGNATURE:
2/14/2005
I'
A.
_.4,51,1, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: •GIVa vo5 - Oona
Location 11(x- S(,() pa Gr p K W/
Suite /Bldg. # City /Sta e p Expiration Date: 3 ► 1 s
t #: a o0 s - 050
°T3Gr Ot ��??:? Receipt
Name Approved By: e , e_ ccz,
Property 1 \ 1 , M Z p r o p e A , ' - 2 LL_ C. Date: 9 - I s
Owner Mailing Address Suite Map /TL #: / 5/3(7 C 0 - O1 0 /
d -�SvS7 Cep rti .)--)' L Zoning: C - G
City /State Zip Phone
! 01- 0R- a '(° °- Electrical Permit Required?
Tenant or Name q ❑ Yes ❑ No
Business AmeYi Gam- t 5 cm — cj Building Permit Required? ❑ Yes ❑ No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign - I
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a
(Note: applications will not be accepted
copy of all City /State Zi. Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon . st. Cont. Board Exp. Date
City of
database Tigard's Lice. e # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ P ermanent ❑ F reestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign - Er ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
EL X 3 ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
G.24 ❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S 6 NE NW SE SW
Height to top of sign (feet): �- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): J2 0 but must include dimensions of wall face and
Copy: sign placement.
Materials: ay, )7 viii • Wall signs do not require site /plot plans.
♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No ♦ If work authorized under a sign permit has not
Type: ❑ Internal (External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes No ,
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that I am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this t 1 day of Fe 19 , 20 0 S�
4 . 1 ri
Sign. u' -,- Owner /Agent
5Gyl cl r ?01yb 6 (,10 --22,U
Contact Person Name Phone No.
CITY OF TIGARD tkl _
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Site Address: 11652 SW Pacific HWY
Tenant/Business Name: American Boot CO.
Sign Compa s:-... Scope
Hwy
Tigard, OR 97223
CITY OF TIGARD 2/14/2005
13 12 5 SW Hall Blvd. 9:38:41AM
•
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,,K „ �, � ;�v Tigard, Oregon 97223
'� (503) 63 9-417 1
Receipt #: 27200500000000000596
Date: 02/14/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00032 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2005 -00032 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check AMERICAN BOOT CO CAC 4512 In Person 17.00
Payment Total: $17.00
cReceipt.rpt Page 1 of 1