SGN2008-00057 pp CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00057
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/21/2008
PARCEL: 2S1 02AA - 00490
BUSINESS NAME: MADDY'S ZONE: CBD
SIGN LOCATION: 12085 SW HALL BLVD 130 JURISDICTION: TIG
APPLICANT /AGENT: MADDY'S
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X2' -
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) 12 sq. ft. temporary A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
3/21/08- 4/21/08. Sign #1
MATERIALS: WOOD
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:
PERMITTEE SIGNATURE:
DATE: 3/21/2008
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. .. SIGN PERMIT APPLICATION El A
• , . City of Tigard Permit Center 13125 SW Hall Blzd, Tigzrc4 OR 97223 • M
l R o ® ' Phone. 503.639.4171 Fax: 503.598.1960
It "qt. GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site ` � ,�
Address/
Street Adds •S 1 2 � Pernut No.: , S G A) ZOO r '- v ° $ 7
Location )5t U �
1 �% � Expiration Date: /be ' 44 " -
Suite /Bldg. # City/State Zip
i a t^d 0 r. q 7.9-a3 Receipt #: Z -4) NNs ' V2—
Name Approved By /G
Property Date: 3 /LI 0 ?
Owner Mailing Address Suite Map /TL# :
Zoning: C--0
Oty/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes EI—No
Bus iness � 5 Building Permit Required? 111 Yes [ '\To
Name J Rev. 7/1/07
ii \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit ,_
issuance, a
copy of all City/State Z 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
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
appl}) ill Other ❑ Billboard III Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign ` n Dimensions: `, i i (3 copies, if a building permit is required)
L i k a g size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
Qt A St-P-4 - ❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 00 E W NE NW SE SW
Height to top of sign (feet): ,-} c_-‘-- ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
C°pY: ♦ Wall signs do not require site /plot plans.
Materials: (A oQo(, ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes -'No permit.
Type: ❑ Internal j�]- Extemal ♦ 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 jNo NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
f t .
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 day of (AA. a3 , 20 0 B
I Li J ! ,;
S' ;nature of Owner/Age
g ud..A.) ./
ct Person Name $ Phone No.
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'�:a� � 3/21/2008
13125 SW Hall l ;i�d. 12:59:54PV1
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Tigard, OR 97223 5113.639.4171
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Receipt #: 27200800000000000932
Date: 03/21/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paicl
SGN2008 -00057 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00057 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Iten, Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid
Check CO - ZACK VENTURES LTD K.IP 10640 In Person 19.
Payment Total: $19.00
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