SGN2005-00063 CITY TIGARD SIGN PERMIT
D EVELOPMENT SERVICES P ERMIT #: S GN2005 -00063
Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 3/17/2005
PARCEL: 1 S 136C D -01401
BUSINESS NAME: AMERICAN BOOT CO ZONE: C -G
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X 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 3/18//05 through 4/18/05.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE: t,,
DATE: 3/17/2005
1
aivir SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
•
GENERAL INFORMATION
• Name of Development/Project
Site
FOR STAFF USE ONLY
Address/ Street Address Permit No.:
Location � � � ' ,r,-t SW paG�i L (�Wy s'E,tJ�odS auot� -.3
Suite /Bldg. # City /State Zip I Expiration Date: Li - is -as
— 77,1 rd 0 K g72Z3 Receipt #:_ a oo S -111,5
Name Approved By: C • 0 6.-Z.
Property IJ H 3 prop erf ieS 1-1-C Date: 3 -17 -Ds
Owner Mailing Address Suite MapITL #: 1 sI34oC - 0 Igo /
v 0,5Gt.7 C - f'fi !,S '*- ...1 1 2 Zoning: C -6
City /State Zip Phone
go-f- a K. qjo 05 Electrical Permit Required?
Tenant or Name q ❑ Yes j No
Business All CY i (AAA, - bap - - CO Building Permit Required? ❑ Yes VI No
Name Rev. 1/3/05 is \curpin\masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date E] Completed Application Form
City of Tigard's License #
database) Ell 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
(Check all that gi Temporary El Wall El Electronic
apply)
El copies of elevations, drawn to scale
❑ Other ❑ Billboard ❑ Balloon
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: g •x 3 i
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
�c.14 , i ($17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 1 Jurisdiction: 111 City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this
I NOTES:
section) N S V , W NE NW SE SW
Height to top of sign (feet): .•2.S ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): D 0 but must include dimensions of wall face and
sign placement. II
Copy: ♦ Wall signs do not require site /plot plans.
Materials: ,Bq) y) 'ey ♦ 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 X 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 day of , 20
Signature of Owner /Agent
5a r riks (503) -0/..6
Contact Person Name Phone No.
Approved CITY OF TIGARD
Conditionally Approved .........._ ........
For only the work as described in:
PFRMIITNO.
� - nvO 2
See Letter to: Follow i
ttach
Job Address: SA 5t.) P t
Date: . i 4—
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WORK Boars
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TORE
CLOS I 111
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Site Address: 11652 SW Pacific HWY . .
Tenant/Business Name: American Boot CO
Sign Company: Sign Scope
13185 SW Pacific Hwy
Tigard, OR 97223
CITY OF TIGARD 3/17/2005
13125 SW Ha11 Blvd. 10:21:34AM
o ; ,� ; ,i, Tigard, Oregon 97223
I�,1 (503) 63 9-417 1
Receipt #: 27200500000000001165
Date: 03/17/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00063 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00063 [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 4530 In Person 17.00
Payment Total: $17.00
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