SGN2009-00058 P7';',.1-ii SIGN PERMIT
CITY OF TIGARD
R Permit #: SGN2009 -00058
e .1 % ,.. ;, } COMMUNITY DEVELOPMENT Date Issued: 03/06/2009
(71G'ARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136DD02600
Jurisdiction: Tigard
Name of Business:
Business Address: 11705 SW 68TH AVE
Applicant/Agent: Mountain Pacific Machinery,
Work Description: Placement of one (1) temporary sign (A- Frame) 41" X 28" Valid 3/6/09 - 4/6/09 Sign #1
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: A- Board: Yes
Sign Dimensions: 41" X 28"
Total Sign Area: 8
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination:
Materials: Wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: ,l--til. t,/ tky
Permittee Signature: �--/ 0�`
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u SIGN PERMIT APPLICATION
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®" "'' City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
``'' Phone: 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION
Name of Development /Project
Ai, uN rrM N Pac t F 1 C. p c4N FOR STAFF USE ONLY
Site t �•
Address/ Street Address Permit No.: -(' airOq UD 4)(4
Location 1 t -o5 S W (A
Suite /Bldg. # Qty /State Zip Expiration Date:
e> LA10i Ca 1 724-3 Receipt #: 9 — eV SS a
Name Approved By: S - T`e
Property • ► EA1 e J M1TN Date: 3/6(o
Owner Mailing Address Suite Map /TL #: 1 S 1 3 C."'' 61 \ b`"o (--b
1171,5 5 W 64 v'• zoning: U 6
City/State Zip Phone
P IA44 b i og. 91-223 Rt 03.6. 4•43S
Tenant or Name Electrical Permit Required? 11 Yes ❑ No
Business Mot&NTik1 ea, el, (_M U,EI'N Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sibm 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. I3oard License # Exp. Date
City of Tigard's
database) WCompleted Application Form
Proposed ❑ Permanent hrccstandin ❑ g El Freeway y 2 Copies of Site /Plot Plan, Drawn to Scale
Sign RTemporar ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon
apply) size requirement: 81/2" x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: , i I Xt (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.
ri— ❑ $40.00 Fee (Permanent sign, any size)
Da Total Wall Area (s ft
Sign p $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): p-L o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): l ' must include dimensions of wall face and sign
placement.
Copy: a Wall signs do not require site /plot plans.
Materials: pp o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes O'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
El Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
_, _ Q
q / (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 /1/tae-K \ , 20 O 9
Sign. I e of Owner /Agent
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Contact Person Name Phone No.
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r „ CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
. 503.639.4171
��IGARD
Receipt Number: 2009 -00552 - 03/06/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00058 Temp Sign Perm 100 - 0000 - 438050 517.00
SGN2009 -00058 Temp Sign Perm - LRP 100- 0000 - 438050 52.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 13410 STREAT 03/06/2009 S19.00
Payor: Mountain Pacific Machinery
Total Payments: S19.00
Balance Due: 80.00