SGN2009-00114 Ill 1 " CITY OF TIGARD SIGN PERMIT
P ermit #: S GN2009 -00114
COMMUNITY DEVELOPMENT Date Issued: 05/08/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: NW Rugs
Business Address: 15957 SW 72ND AVE
Applicant/Agent: NW Rugs,
Work Description: Placement of one (1) temporary sign (A- Frame) 24" X 32" Valid 6/9/09 - 7/9/09 Sign #2
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: 24" X 32"
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No 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: ki l,(.l LI dAtai
Permittee Signature: tr1A— 2 / -1-e SYL-}
•
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t1 `;
a ` ; ,, �� SIGN PERMIT APPLICATION
itt Ci yy of Tgard Permit Center 13125 SW .Flall.Blvd , Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /
Site 3) U��
N�{{ 1 - 2 - � FOR STAFF USE ONLY
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Address/ Street Address S gC -UQ (I
f �p Permit No.:
Location 156 ttW 1 Z N 2/ \°'✓
uite /131dg. # (:; y/S sate I Lip . Expiration Date: �
i`I 6 AP) O I /nut Receipt 14: l
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Name Approved By: ' -1-12-4.1-
Property Date: 4:100
Owner flailing Address Suite flap /TL##: d S11°) 6G (YV l U )
I 95 i 'M q(NO Lik 3C0
Zoning:
Clry /State %i Phone
170 R P g1Z2y X03 t °O
Tenant or Name Is ij c � � �(��
Electrical Pm er t Required? El Yes E{No
Business iQ66 Building Permit Required? ❑ Yes [] No
Name Rev. 7/1/07
i \ cumin \ masters \land use applications \sign permit app. doc
Sign
Contractor flailing Address Suite
(Pnor 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)
cNpired in the Ore Const. Cont. Board License # Exp. Date
City of l gard's / I'
database) 4 12 Completed _Application Form
Proposed ❑ Permanent , ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot. Plan, Drawn to Scale .
Sign '.` empora r ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Chec4: all that ❑ Othet ❑ B ❑ Balloon t
app si ze requirement: 8 /z' x 11", or 11" x 17"
, ....New sign? ❑ Alter to existing sign? 0 2 copies of elevations, drawn to scale
Sign Dimensions: , /! X , . (3 copies, if a building permit is required)
I l� size regturement: 31/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): t) ��� C
�`) 1 T - ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) �+
Sign Data NA' 7 $19.00 Fee (Temporary sign, any type)
(Complete all Direction Fall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): j `j ET o Wall signs do not need to he drawn to scale, but
Projection From Wall (inches): L t must include dimensions of wall face and sign
Copy: �i
�l�I irt ., r ; placement.
: � �l�
Materials: 7a,, f:�i • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes N g, 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
NULL AND VOID.
❑ Yes (No
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
I IGU1,''' /1 5 (
Signature of Owner /Agent
i I 03 53`x tb2u3
Contact Person Name Phone No.
.
Er CITY OF TIGARD RECEIPT
1 3125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173484 - 05/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00114 Temp Sign Perm 100- 0000 - 438050 $17.00
SGN2009 -00114 Temp Sign Perm - LRP 100- 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 03508D STREAT 05/08/2009 $19.00
Payor: Mychelle Ashlock
Total Payments: $19.00
Balance Due: $0.00
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