SGN2008-00145 •
•
IT ! CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00145
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/2/2008
PARCEL: 1S135DD-04400
BUSINESS NAME: SW FAMILY PHYSICIANS1 ZONE: C -P
SIGN LOCATION: 11900 SW GREENBURG RD BLDG 1 JURISDICTION: TIG
APPLICANT /AGENT: SW FAMILY PHYSICIANS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y 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 (1) temporary sign (Banner) 8' X 3' Valid 7/9/08 - 8/9/08
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MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: ,,v2 4.Aid ,
PERMITTEE SIGNATURE: ° ry
DATE: 7/2/2008
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blzd, Tigard O' &i
Phone 503.639.4171 Fax: 503.598.1960
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GENER INFORMATION p C /Ty, 2 1008
N of Development /Project � � 7/.1 / � "0 - 1 • ij
Site Sw -Fay(( Phys FOR STAFF USE C� r 9 �� 'a
Address/ Street Address / Permit No.: See u a°14— (7E9 t 4 C
Location D° S lA) Glreen.bc,o kJ.
Suite/Bldg. # City/State I Zip Expiration Date:
N ( �l G arcl O p Z23 Receipt #: ,'0" ?
Name J Approved By: S • ' '��N •
Property C y4 I Y t t a (u 1 6 ck- a 1 Date: '11 >/b Y
Owner Maili g Address s . Suite , I l Map /TL# : ! S 1 1' b. - D 0-0 11 00 Ski e&ib 1v/ Zoning:
City /State Zip J Phone
TI Ckarci 1 U q7 3 -I �
D- S4 Electrical Permit Required? ❑ Yes 'No
Tenant or Nam
Business 1/\1) l' Y Ph /s /c/a/is Building Permit Required? ❑ Yes 2"
Rev. 7/1/07
Sign
C Lass 't L Signs is \curpin \masters \land use applications \sign permit app.doc
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are CO3— (o39 —SIPS-40 (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign fig Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon i
apply) size requirement: 8 /z" x 11 ", or 11" x 17"
1 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: $r X �+ (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.)4 ' ` Z.
`� 2J 4 ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data n /f i� ❑ $19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
13Y: • Wall signs do not require site /plot plans.
Materials: • • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ,►; o permit.
Type: ❑ Internal Exte : • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs t this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(a ��g
(OVER FOR SIGNATURES)
1
•
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 - 2-0g day of , 20
•
Signature a Owner/ ent
U L ssa 3 —o ZC - S T
Contact Person Name Phone No.
NC w LA J T T - E -
NI6Hrs vD
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CITY OF TIGARD 7/2/2008
1 13125 SW Hall Blvd. 12:50:43PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000002355
Date: 07/02/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00145 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00145 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard DEE HEANEY ST 002520 In Person 19.00
Payment Total: $19.00
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