SGN2009-00055 r
: '. CITY OF TIGARD SIGN PERMIT
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7 , Permit #: SGN2009 -00055
:, ; COMMUNITY DEVELOPMENT Date Issued: 03/05/2009
:T :TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
�„�:�::< g Parcel: 1S136DA01000
Jurisdiction: Tigard
Name of Business:
Business Address: 11564 SW PACIFIC HWY
Applicant /Agent: KAADY APPLIANCES. INC.,
Work Description: Installation of (1) one 24 s.f. permanent sign. Framed vinyl sign.
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 4' X 6'
Total Sign Area: 24
Wall Area: 1000
Wall Face (Direction): North
Sign Height: 8 ft.
Projection From Wall: in.
Illumination: NON
Materials: VINYL /WOOD FRAME
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: 540.00
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.
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Approved By:
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ai Permittee Signature: _ r ■,■._
' SIGN PERMIT APPLICATION
°
° City cf Tigard Pert Center 13125 SW Hall BM, Tigan:4 OR 97223
Phone 503.639.4171 Fax, 503.598.1960
GENERAL INFORMATION
Name of Develo ent/Project
FOR STAFF USE ONLY
Site c'
Address / StreetAddres P v Permit No.: S Al tb o f- o 4 V sr
Location / il617 , �pn C i / T §a". Expiration Date: '"°'
Suite /Bldg.. # City/State [ Zip
e l ∎ Oie ∎ l7� ;, Receipt#: 2 o'N. 0 0 *, „.
Name Approved By. / e z) P
Property Date: .3 /S /b 9
Owner Mailing Address Suite M /TL## :
P0‘074/ ion Zoning: C 6
Cit /State Zip Phone
//kgel f/ / gr Electncal Permit Required? ❑ Yes tit No
Tenant or Name
Business (reM- p R Building Permit Required? ❑Yes ° No
Name C Rev. 7/1/07
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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 N Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway 111 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 1 " " " "
apply) ❑ ❑ ❑ s ize r equirement: 8 h x 11 , or 11 x 17
X New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1.7 14 (3 copies, if a building permit is required)
size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 9
❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) , / .
Sign Data . V 54 ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circ one):
items in this NOTES:
section) CPSE 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.
Co py' • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes J( 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.
(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 , 20��
Signature of t ��' •
Contact Person Name Phone Nu.
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CITY OF TIGARD RECEIPT
ijth 1 r- ; ;: 13125 SW Hall Blvd., Tigard OR 97223
, 503.639.4171 •
Receipt Number: 2009 -00535 - 03/05/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 - 00055 Sign Permit 100 0000 - 437000 $35.00
SGN2009 -00055 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 005239 KPEERMAN 03/05/2009 $40.00
Payori Kaddy Appliance Inc
Total Payments: $40.00
Balance Due: $0.00