SGN2008-00226 CITY OF TIGARD
SIGN PERMIT
° DEVELOPMENT SERVICES PERMIT #: SGN2008 -00226
T
• c n tz 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11/25/2008
PARCEL: 2S112DB - 00300
BUSINESS NAME: SEARS ZONE: I -
SIGN LOCATION: 07233 SW KABLE LN 500 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 37" X 24.5'
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (A- frame) sign. 37" X 24.5" Please place on
private property, not in public right -of -way. Valid11 /26/08 - 12/26/08 Sign #3
MATERIALS: METAL
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 tempor- i n shall ex•ire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
i
APPROVED BY:
PERMITTEE SIGNATURE: - � � � � %
DATE: 11/25/2008 /
;11.? SIGN PERMIT APPLICATION
Cit Tigani Permit Center 13125 SW Hall Blvd, Tigant OR 97223
Phase 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
Site 5enk5 FOR STAFF USE ONLY
Address/ Street Address ) Permit No.: /) VR — U 0 Location V 00 C Expiration Date: / / / g" l Z '" / o
Suite/Bldg. # Gty/State Zip
b- -( / ! �E Ud../ 7A,,/ Receipt # : ..1-430 7.
Name Approved By
Property
Date: 11 I L c D E
Owner Mailing Address swte Map /TL# : .2-4_5" / L 7 ) - 00 3 / ✓�
Zoning: L
City/State Zip Phone
Tenant or Electrical Permit Required? ❑ Yes F No
Business Na �`1-e- C- Irs Building Permit Required? ❑ Yes .5/ No
Name Rev. 7/1/07 J �
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
Qtyof Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 'R Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) q
❑ New sign? ❑ Alter to existing sign? U 2 copies of elevations, drawn to scale
Sign Dimensions: /i // (3 copies, if a building permit is required)
37 Y 2 4 / Z size requirement: 81/2" 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.
Co py' • 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 ❑ Ext rnal • 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.
DAZED this / - day f /I
y � ,20 ,
Signature of Owner /Age
1/
Contact Person Name / 1(A.
Phone No.
�4, �' 11/25/2008
1 " A' CITY OF TIGARD
11 13125 SW Hall (I. 1 1:50:04AM
"figard. 97223 503.639.4171
`,T
Receipt #: 27200800000000003957
Date: 11/25/2008
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2008 -00j26 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00226 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2 .00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. [low Received Amount Paid
Cash SEARS KJP In Person 20.00
Change C.O.T. KJP In Person ( 1.00)
Payment Total: $19.00
•
r•
2Rc eipn.i f i Page 1 of 1