SGN2008-00089 •
pp CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00089
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/7/2008
PARCEL: 2S 110AB - 00200
BUSINESS NAME: FOXY'S ZONE: C -
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: FOXY'S
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS: 1 BUNDLE
TOTAL SIGN AREA: 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) bundle of balloons. Valid 5/7/08 to 5/17/08 Sign #1
MATERIALS: BALLOON
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: ' 1 / 3611-,e—
SCA) tit PERMITTEE SIGNATURE:
DATE: 5/7/2008
SIGN PERMIT APPLICATION
City of TizvtiPemzt Center 13125 SW Hal I Mil, Tigint OR 9722.3
Phone' 503.639.4171 Fax: 503.598.1960
•
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 5 a lc v
Address/ Street Address `l \ Permit No.: G' v � �
Location �y�0 S S 1►. � � C. Expiration Date: •
Suite /Bldg. # City/State Zip 7
N1 `�•zKatR. O ._c`laal Receipt # : a� tS 33
Name Approved By
Property 1 Ac,k_ exuo -‘ 1 (V1 ki cs-WA %Ai. Date: 'I (0 V
Owner Mailing Address Suite Map /TL#/ : As t (0 1 -try )-t�
S a V2- Zoning: CCe
Gty/State Zip Phone
Tenant or Name Electrical Pemut_Required? ❑ Yes ErNo
Business r yl - 's Building Permit Required? ❑ Yes ❑Tlo
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
copyofall 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
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)
(pCheckall that ❑ Other ❑ Billboard Balloon size requirement: 8 x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
_ 111 $40.00 Fee (Permanent sign, any size)
Sign D Total Wall Area (sq. ft.)
Si
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
•
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: . • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
•
I hereby acknowledge that I have read this application, that the information given is correct, that I am
Y g pP g
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
rr CITY OF TIGARD 5/7/2008
1312; SW Hall BINd. =1:07: 30PM
"Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000001533
Date: 05/07/2008
line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2008-00089 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN200$ -00059 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item "Tot $19.00
Payments:
Method Payer User 1D Acct. /Check No Approval No. How Received Amount Paid
Cash 1 =OXY'S ST In Person 20.00
Change COT ST In Person (1.00)
Payment Total: $19.00
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c!<eccipt.rpt P tgc 1 01.