SGN2009-00015 4 CITY OF TIGARD SIGN PERMIT
° l DEVELOPMENT SERVICES PERMIT #: SGN2009 -00015
T.PGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/16/2009
PARCEL: 2 S 112 D B -00200
BUSINESS NAME: DARLING DEDUCTIONS ZONE: I -P
SIGN LOCATION: 15255 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 3'x4' temporary A -frame sign. Valid 1/16/09- 2/16/09. Sign
#1 Sign must be placed on private property and not in the visual clearance area or
public right of way.
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:
I
PERMITTEE SIGNATURE: >C , i '
DATE: 1/16/20►
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
•
e " " lir Phone: 503.639.4171 Fax: 503.598.1960 •
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GENERAL INFORMATION
Development / o' t , , ` f kj i I I ,
Site a/ r e(k, v I , FOR STAFF USE ONLY
Address/ Pi
t Address an 1j//�( `-� Permit No.: 50 � q ---L.)•-DO ---L.)•-DO ( S
`
Location 1% DYO Expiration Date: - O f / /,. f ' �/' /V
Suite/Bldg. # /st{�t� I.;p / J D
i1 (ip G �� Receipt #: 2/
Name nn� ( VVV, 1 r�( V �/ " �'� Cb‘006 U'� 1 Approved By:
Property t I 4- g1 / 1 Via Date: 1 // i° if
f
ailing Address Suite Map/TL#: TL #: 1,5i/2-D/3 — v ai -')
Owner ()13 5\ MAN( p/
ning:
1 /St t � j� ( 'lip Ph c'n
I "' 1 ("V `� "' lio. Electrical Permit Required? ❑ Yes [v]
Tenant or
Business Namc 11 p Building Permit Required? ❑ Yes No
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
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
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 t '
apply) size requirement: 8 /2 ' 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'/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ' Sign Data $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 IZ( 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
1 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.
DATED this day of 0,1 U , 20 07
e
Signature of Owner /Agent
!,( z� . t,»3( tok 9233
Contact Person Name Phone No.
CITY OF TIGARD
6/2o09
I . 13125 S W Hall HMI. 11:141 ()A iM
fir s • fi "ard, OR 97223 5(13.639.4171
PGARD:
Receipt #: 27200900000000000122
Date: O1/16/2009
Line Items:
Case No Tran Code Description Revenue Accounl No Am Paid
SGN2009 -00015 [SIGN] Temp Sid) fermi 100-0000-437001) 17.00
SG N2009-00015 [LRPI ] LR Planning Surd 100-0000-438050 2.00
Line Item "Total: 519.00
Payments:
Method Paver User II) Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ENJOY AUDIO /VIDEO LISA kjp 104 337 In Person 19.00
GONZALEZ COX
Payment Total: 519.00
cRc.cri )i.rpi 1'aOC 1 n1 .