SGN2009-00011 CITY OF TIGARD
SIGN PERMIT
°.° DEVELOPMENT SERVICES
PERMIT #: SGN2009 -00011
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 1/13/2009
PARCEL: 2 S 102 B D -02600
BUSINESS NAME: CRICKET WIRELESS ZONE: C -G
SIGN LOCATION: 12977 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'6 "X11"
TOTAL SIGN AREA: 38 sq. ft.
WALL AREA: 251 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installlation of (1) one 38.5 s.f permanent wall sign.
MATERIALS: PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: — ��
•
DATE: 1/13/2009
' s . 7!..'...:;.,!. r SIGN PERMIT APPLICATION
j IN
s . `, CO of Tigard Petwit Center 13125 SW Hall Bird, Tigard, OR 97223
GARD Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Prniect
Oa /o CottMO ,t‘ica TivNS, tit'_ FOR STAFF USE ONLY
Site � 7 c e� w// ' f
Addiess/ Street A ��� Permit No.: —5 y k) z<oO —00 0 1 I
Location
1agl-V S w PaVic, kwy
Expiration Date:
Suite /Bldg. # City /State Zip o9 _ ov^1 9 /
1 i p ayed oe_ e? 7J.,?.� Receipt #: //�� `J
Name Approved By:_ /.- c 1 P -
(�e..tvrv 1- _i n^ cc. &d /Day to in
Property Date: I // o Y
3
Owner Mailing Address Suite Map /TL #:
X 60x ,:2/0e 3
Zoning LCD
g:
City/State , Phone
PcellaA. k iz 97,4;450VG4 -7 - 1A01-
Tenant or Name Electrical Permit Required ?f El No
Business i.. -!- 0 CO rl w1 vt ii f Cca t i IA. S Building Permit Required? ❑ Yes o
Nance Rev. 7/1 /07
f , is \curpht \ masters \land use applications \sign permit app.doc
Sign � � � VI I l � (// 1 TO V
Contractor Mailing Address Suite
(Prior to permit Po 0 0 x 23 6H
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will flat be accepted
required if - r iq fret , 0 1 77 2-)CY ll -d .)'0 ° (P)4)s without the required submittal elements)
expired in the Or gon Coust. Cont. Board license # Exp. Date
City of Ti ard's p p
database) d 4 1 I I 1, '--0/C ❑ 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 ❑ B t
app l y .) si ze requirement: 8 / " x 11 ", or 11" x 17" I
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 , / I' x f I / (3 copies, if a building permit is required)
h size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
3Y, 5^ 57.ft ❑ S40.00 Fee (Permanent sign, any size)
Total Wall Area (sq ft
Sign C
gn D ata 2 J ❑ S19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N E W NE N \\% SE SW
Height to top of sign (feet): a Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: p lacement.
o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? 'Yes ❑ No permit.
Type: ❑ Internal ❑ External o 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 eNo
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 :. �.,: 4 , ; 20.r.
Signature of Owner /Agent
K bot4 1 . ( - ar 07, - b>6 6 q)-
Contact Person Name. Phone No.
..;.
`. .J-{j 'P� .r.. ...x .5.5!
• s INQUIRE WITHIN I
503- 684 -5401
1
PACIFIC HWY. ELEVATION PHOTO NOT TO AN EXACT MEASURABLE SCALE
PHOTO SHOWS INSTALLATION SURFACE REPAINTED
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INSTALL EXISTING ILLUMINATED WALL SIGN:
- "CRICKET" IS INDIVIDUAL PLEX -FACED LETTERS ON AN EXPOSED 8" RACEWAY.
- CONFIRM CONDITION OF SURFACE FOR INSTALLATION.
SC4L6 %2
OF T CARD
Approved f
tne.: work,as described in.
ivilT NO. , uZ9- Ot�ii
De: e Letter to: Follow [ _
Attach _
Z
_s,�: µ �n CITY OF TIGARD 1/13/2009
eu 0
Aj t � � �
131 shy than lid d. I I:16: 31AM
` "I bard. ()tt 97223 503.639.4171
T I TAR EIJ
Receipt #: 27200900000000000091
Date: 01/13/2009
Line Items:
Case No "Ilan Code Description Revenue Account No Amount Paid
SGN2009 -0001 I [SIGN] Sign Permit 100 -0000- 437000 3.00
SG N2009-0001 I [LR LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $40.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SIGN N PRINT KJP 10893 In Person 40.00
Payment Total: $40.00
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