SGN2008-00232 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00232
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 12/4/2008
PARCEL: 2S1 10AA -01000
BUSINESS NAME: THE GARDNERS CHOICE INC ZONE: C -G
SIGN LOCATION: 14220 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft. •
WALL FACE (DIRECTION): NW
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 s.f. temporary banner. Valid 12/04/08 01/04/09 Sign #1
MATERIALS: VINYL
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 to • • •rary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: � ' 441 / � �'`
DATE: 12/4/2008
SIGN PERMIT APPLICATION
•
•
City of Tigard Permit Center 13125 SW Hal1 Blzd, Tigurc4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
/ D �a FOR STAFF USE ONLY
Site 77t- C�/2 [ f�! `C� Fk._
Address/ Street Address '� �/ Permit No --- 0 a 2 3 2 _
Location / P y p2 2'C� 5(4) ei,9E'll�J t / lGtl y/ Expiration Date: " - Nog — 1 / W/ . 0 ,
Suite Bldg. # City /State /J Zip
% /1`iC /?225( Receipt #l: O713
Name Approved By J
Property C./ n /' /eg 6 kpifew 16/9-r Date: i 2. /y/7
Owner Mailing Address Suite Map /TL## :
/6/430 V:at) Zoning:
City/State Zip Phone
`T; 9 9 5-0 Electrical Permit Required? 1:1 Yes �No
Tenant or Name Building Permit Required? Yes n �
Business / /it Z� Izee vl1 Di `C.4 ---41 C, i � q ❑ `�"
Name / Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, of REQUIRED SUBMITTAL ELEMENTS
of all City/State Zip Phone
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
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 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 ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
appl� Ol
4.1! New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
/Sign Dimensions: G (3 copies, if a building permit is required)
x o size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft):
.2 t_' ( ❑ $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 S.
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 Frere/I Xr/sroykt9 71 re • Wall signs do not require site /plot plans.
Materials: P/ pc_— • 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
Yes ❑ No NULL AND VOID.
If "yes ", a list or dia ram 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.
�h f
DATED this �t day of «- `J�- , 20 g
Signature f Owner /Agent
einT eo&.6
3 X32 .57
Contact i Name Phone No.
OP
Fri-711
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'MEW CI'T'Y OF PICARD
13125 S'sy Hall Blvd. 3:1 3:13PM
aster ti l;ard,OR 97223 5113.639.4171
Receipt #: 27200800000000004024
Date: 12/04/2008
Line Items:
Case No "Gan Code Description Revenue Account No Amount Paid
SG N2008-00231 [SIGN] Temp Sign Perm 100 - 0000 - 437000 1 7.00
SGN2008 -00231 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2008 -002 32 [SIGN] Tenip Sign Perm 100 -0000- 437000 17.00
SGN2008 -00232 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard STEPHEN C. BATES /GARDNERS K.1P 745912 In Person 38.00
CHOICE INC
Payment Total: $38.00
cRcccip1.rpn Ptii e 1 01' I