SGN2008-00102 Ir CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00102
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/22/2008
PARCEL: 1 S136CD -01600
BUSINESS NAME: STANDARD TV AND APPLIANCE ZONE: C -G
SIGN LOCATION: 11674 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: STANDARD TV AND APPLIANCE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS: ONE CLUSTER
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 temporary balloon. Must be on private property, not in public
right -of -way. Valid 5/23/08 - 6/3/08 Sign #1 Good for 10 days only
MATERIALS: LATEX
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: ' / / /
PERMITTEE SIGNATURE:
DATE: 5/22/2008
SIGN PERMIT APPLICATION
City o . Tigard Perna Center 13125 SW Hall Blul, Ti gzn54 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
� . Jy f / FOR STAFF USE ONLY
Site
Address/ Street Address n PermitNo.: 5614 a iry k-61
Location / 1117 Ci (A' I"/ _ L ( -' `(
Suite /Bldg. # City /Sta ZZi Expiration Date:
IT vv �`�` '72-23 �7 Receipt # : j"CO $ / -1 g
Name Approved By s - "
Property � '
f t g c* Perot. p��� Date: 5 /aa-1 o z'
Owner Mailing Address Suite Map /TL# : 1 5 i 361 66- 0 Co
Zoning: C Co
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ErNo
Business 5 4 Building Permit Required? ❑ Yes L:0No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Malang Address, Suite
(Prior to permit
issuance, oof all a REQUIRED SUBMITTAL ELEMENTS
copy of 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 171 Temporary ❑ Wall El Electronic (3 copies, if a building permit is required)
(Check all that
El Other ❑ Billboard g Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) ze re �l
El 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: 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):
stems 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? El 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)
S/ o - cP 1 /2
w
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 t cet/ of , 20 0 2S
A
igna e of er /Agent
f2-6" 741+7(37/te- 7- W C
Contact Person Name Phone No.
III CITY OF TIGARD 5/22/22008
13125 SW Hall Blvd. 11:30:3 9AM
Tigard, OR 97223 5113.639.4171
TIGARD
Receipt #: 27200800000000001748
Date: 05/22/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN200S - 00102 [SIGN] Temp Sign Perni 100 0000 - 437000 17.00
SGN200S - 00 1 02 [LRPF] LR Planning= Surcharge 100- 0000 - 438050 2.00
Line Item Total: S19.00
Payments:
Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard GREG MALONE ST 004179 In Person 19.00
Payment Total: $19.00
cReceipi.rpt P Ele 1 of I