SGN2005-00372 r
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00372
.60- I II DATE ISSUED: 12/5/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102AC -00500
BUSINESS NAME: TIGARD LIQUOR STORE ZONE: CBD
SIGN LOCATION: 12490 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 36"
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 18 "x 36" sign. Sign must be placedon private
property and not in the public right -of -way or visual clearance area. Valid
1/6/06 - 2/6/06. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 o validity date.
APPROVED BY:
PERMITTEE SIGNATURE: � 7c-7'41 �. .1 �..,
DATE: 12/5/2005
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
•
Name of Development/Project
>,' FOR STAFF USE ONLY
Site /2 r f 7 S�5 "lid: 141
Address/ Street Address Permit No.: SGNti S _
2o - 00 3 77
Location
Suite /Bldg. # City /State zip Expiration Date: lA,07) 6 - 7� Aa k ,
Receipt #: ,2-_,_3° 5' - 4.. / ( S
Name / Approved By: /�
Property C /> �. � Date: i' f c r
Owner . Mailing Address Suite Map/TL #:
Zoning: C L7 p
City /State Zip Phone
Tenant or Name / Electrical Permit Required? 111 Yes [cj. -No
Business — 7/ -' y 4 , / - d L , '
(...4-----t_.; Building Permit Required? ❑ Yes [)-No
Name / Rev. 7/1/05 is \curpin\masters \revised\sign permit app.doc
Sign •
Contractor Mailing Address Suite
(Prior to permit • REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are •
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
❑ 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:
/S k 74 1 ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N ' S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • 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 ; ,g day of V � , 20
Signature of Owner /Agent
3 fi r•/
Contact Person Name Phone No.
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Approv:,
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Condttionally Approved
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For only the work as described in:
PERMIT NO. A iv 21S-:-O-- _
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