SGN2009-00113 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00113
COMMUNITY DEVELOPMENT Date Issued: 05/08/2009
IIGARD 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 5/8/09 - 6/8/09 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: 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: AfLA-a-4 -4 QUI�e
Permittee Signature:
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'4 41 SIGN PERMIT APPLICATION
City of Tigard Permit Centel 13123 Slh Hall Blvd., Tigard, Of �
ArtlkutAil Phone: 503.639.4171 Fax: 303.398.1960
.
MAY ®7 2009 D
a
GENERAL INFORMATION PLANA,! O Tv. vA RD
Clry
Name of "Development /Project
Site IQ UV V-U 6 9 FO � FOR STAFF USE ONLY
P erm it No.:
Address / Street Address �N arD { F (Tali 3
Location + 1 7 '!V 12 N p A'
Expiration Date:
Suite /Bldg # City/State . 3 °2
O1,, 9 9 72lt4 Receipt # ( J
�rI � � I`'9) r'
Name Approved By: � -7r
Property Date: 5 1O/ 01
Owner lvlailing Address Suite /�^y Map /TL #: z--3 /id- be- 0 . 7u t
1 9 i5t 'AN ��� ��[[ V0 - 3C0 Zoning:
Cm' /State Z i Phone
1' tvP 1 1/211 �c3 '�( 00
Tenant or
Name �P� Electrical Perrnit Required? ❑ Yes El No
Business I V JJ 1 66 Building Permit Required? ❑ Yes ❑ No
Name Rcv. 7/1 /07
I \cunpin \masters \land use applications \sign peanut app.doc
Sign
Contractor T\ tailing Address Suite
_ .
(Prior to pet mit
issuance, a
cope of all Cm- /State Z,ip Phone REQUIRED SUBMITTAL ELEMENTS
1 ccnsc.a are - (Note: applications will not be accepted
reunited if without the required submittal elements)
expired in the Otcgon Corse. Cont. timid License # Esp. Date
City of Tigar
database) kr Completed _Application Form
Proposed ❑ Permanent , ❑ Pteestanding ❑ Ftecwal 0 2 Copies of Site /Plot Plan, Drawn to Scale
Sign fcmpora ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Odull ❑ Billboard ❑ Balloon ' '
apply) size requirement: S /2 ' x 11", or 11" x 17"
...New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: . j
1 �i f /� •,1// (3 copies, if a building permit is required)
( � size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ,,tt� �,{'�� �`-�
Vii' N 1 1 - ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data NIA $1 9.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
seem") N S E W NE NW SE SW
Height to top of sign (feet): - z ; s FT • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): L ' must include dimensions of wall face and sign
i ► placement.
Copy: �tr�.. o Wall signs do not require site /plot plans.
Materials': 7- , i1E1 �M
win
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ** 121„ 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 No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVE R FOR SIGNATURES)
513 /0i - g/I' 413/ A - 10 Mq - V4v11
.
I hereby acknowledge that I have read this application, that the information given is correct, that I ani
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
DaIMIA V
Signature of Owner /Agent 1
P0 5 0-3 s 3 I - cb 2 4;
Contract: Person Name Phone No.
11111 CITY OF TIGARD RECEIPT
4
h 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TmARD
Receipt Number: 173483 - 05/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00113 Temp Sign Perm 100- 0000 - 438050 $17.00
SGN2009 -00113 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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