SGN2005-00290 f , 3
CITY TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT SGN2005 -00290
_.� I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/12/2005
PARCEL: 2S 102AC - 00200
BUSINESS NAME: STEVENS MARINE ZONE: CBD
SIGN LOCATION: 09180 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT: STEVENS MARINE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8' X 2'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one temporary banner. Valid from 10/12/05 through 11/12/05. Sign #1.
MATERIALS: VINYL
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
from validity date.
APPROVED BY: i 0 ' J
PERMITTEE SIGNATURE: C� °-'—
DATE: 10/12/2002
to -05
Ai
14,• 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
FOR STAFF USE ONLY
Site v re / c.) > s1'7 a ar,n.e,
Address/ Street Address // Permit No.: SGI� 0 °S - 00 . ° ) a
Location 9/f s,,u �� 14 t�-,sd r Expiration Date: It - ta" b5
Suite /Bldg. # City /State Zip
7, 0 072-z Receipt #: a o o 5 - S l ko 4
Name Approved By: C • Cca.i i-vg--..
/'C1 S f-e f/iyS' Date: )d - la -os
Property
Owner Mailing Suite Map/TL #: c2S / A 4c — 0 c oa
9,' il, ! Zoning: C a D
City /State Zip Phone
7/i� 0✓ 9721 4 7Da 3 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes ❑ No
Business 57 e i S /e
Rev. 7/1/05 hcurpin \masters \revised \sign permit app.doc
Name
Sign AJ 49-
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
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) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
❑ Other ❑ Billboard 1:1 Balloon ❑ 2 copies of elevations, drawn to scale
(Check all that
apply) (3 copies, if a building permit is required)
532 New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dirrlensio �s: III $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 44 ', $18.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: El C ity Ill Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) S E W NE NW SE SW
Wall signs do not need to be drawn to scale,
Height to top of sign (feet): q/ but must include dimensions of wall face and
Projection From Wall (inches): 0' sign placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: 1/Lt ...... . • Freestanding signs over 6 ft. required a
Will sign have illumination? 1:1 Yes g' No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes g No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
\ i
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 ) _j day of k , 20 5`
Signal e of Owner /Agent
Contact Person Name Phone No.
ez ea,eamee_
A a �� ; ,„; r
CITY OF TIGARD 10/12/2005
13125 SW Ha11 Blvd. 2:38:11PM
( Tigard, Oregon 97223
' � (503) 63 9-4 17 1
Receipt #: 27200500000000005164
Date: 10/12/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00290 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 - 00290 [LRPF] LR Planning Surcharge 100 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
Check STEVENS MARINE CAC 09292 In Person 18.00
Payment Total: $18.00
cReceipt.rpt Page 1 of 1