SGN2008-00222 C ITY OF. TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00222
TrGARV . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 11/18/2008
PARCEL: 2S 110AB -00200
BUSINESS NAME: ANTIQUES & COLLECTABLES ZONE: C -G
SIGN LOCATION: 14365 SW PACIFIC HWY: JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X3'
TOTAL SIGN AREA: 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 2'x3' A -frame sign. Valid 11/21/08- 12/21/08.
Sign #1 Sign must be placed on private property and not in the public right -of -way
or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
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:
PERMITTEE SIGNATURE:
DATE: 11/18/2008 7/M , CA/ 0 h
.. /n6 J
SIGN PERMIT APPLICATION
City of Tigz d Pernit Center 13125 SW Hall Blzri, Tigare4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
•
GENERAL INFORMATION
Name of Development/Project
/ 6/4:- tl / /� FOR STAFF USE ONLY
� Site / j /ve, c, / C
Address/ Street Ass /I. Permit No.: „k , 01- , ,log "� Z ?L.
Location L�
Suite/Bldg. / � # Gt�state i /4/, Expiration Date: / ! /Li ) t '2? -- /a 1 2 -4 `tea'
• i e / o L i 7 722/ R eceipt # : �cfi - 3 8 r�1.
Na V l Approved By: �'
Property -' e b Z v � Date: ( /// 8J
Owner g Address L/ c Suite Map /TL#/ :
/ ef(I
.2 Zoning: 64
city/state / Zip Phone a.5 Q3
J 9722, G 2,0 -8.0ce 7 Electrical Permit Required? ❑ Yes 11
Tenant or
Business r i ) /0177 2e12,10.47 Building Permit Required? ❑ Yes [ t
Name Rev. 7/1/07
is \curpin \ masters land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Proposed Permanent ❑ Freestanding El Freeway fj 2 Copies of Site /Plot Plan, Drawn to Scale
` Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard El Balloon size requirement: 8 x 11 ", or 11" x 17"
PP )
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: /Z X3 (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $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.
CopY • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at 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
El Yes ❑ No NULL AND VOID.
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.
DA FED this J day of NO / , 20 6
_ A e"
Signature of Own re /Agent
Contact Person Name Phone No.
/vat, .1
1-
3
" '�� I I; 18/2008
,�' CITY OF TIGAR®
13121 SW Hall Bhd. 1 1 : 07:13AM b
. 11;`-;=.4 'iga 97223 503.639.4171
T. IG'ARDi
Receipt #: 27200800000000003892
Date: 11/18/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00222 [SIGN] Temp Sign Perm 100 -0000 - 437000 17.00
SGN2008 -00222 _ [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item Total: $19.00
Payments:
Method Paver User ID Acct. /Check No. Approval No. HO Received Amount Paid
Check PAM BENSON KJP 5998 In Person 19.00
Payment Total: $19.00
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