SGN2009-00110 ;► - 4.
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00110
COMMUNITY DEVELOPMENT Date Issued: 05/07/2009
T1 3AR1 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101AA00101
Jurisdiction: Tigard
Name of Business: Landmark Ford Lincoln Mercury
Business Address: 12000 SW 66TH AVE
Applicant/Agent: Landmark Ford Lincoln Mercury,
Work Description: Installation of one (1) permanent wall sign 7 5/8" X 6' 5 3/8"
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 7 5/8" X 6' 5 7/8"
Total Sign Area: 44
Wall Area: 2160
Wall Face (Direction): East
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $40,00
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:
Permittee Signature: i91` &kW GCr`U
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* City of Tigarzf Pernt Center 13125 SW Hall Bled, Tigar OR 9,, l
Phone: 503.639.4171 Fax: 503.598.1960 L,,��
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GENERIC INFORMATION ply C /y.�, X 009
Name of Development /Project '
FOR STAFF USE ON C�,
Site Lc ni cf/t1C'1 a2K , 4- 9L . ryCoL inere. "uy' (y
Address/ Street Address Permit No.: S ')j 0-O' °.° "4)
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Location / 200 03 w 6, 6 . 71t ilje
Suite /Bldg. ,11 Cicy /State Zip Expiration Date:
Receipt # : f
Name Approved By. S- 1
Property 5 Th'vt - Dace: .she, f 61
Owner Mailing Address Suite Map /TLS' : 25(D I AA- CO(
Zoning:
City/Scare Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes 1 o
Business Building Permit Required? ❑ Yes Er
Narne Rev 7/1/07
i. \curpin \ masters \land use applications \sign permit app.doc
Sign J 6 ri 5l (sil.)
Contractor' Mailing Address Suite
(Prior so permit po 13 Li /0
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are 0012&17r n (�� 5R) '. S�' a (Note: applications will not be accepted
required if �, ? / 9 �Z
without the required submittal elements)
expired in she Oregon Const. Cont Board License e Exp. Date
Otyof Tigard's
database) 6'4374 c 11 ❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary K' L Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that oaralloon 1
aPpl)
El Other ❑ Billboard ❑ B size requirement: 8 h" x 11", or 11" x 17"
a New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: 4.1 X 3' to'/2 " . (3 copies, if a building permit is required)
— 767,r X Lv' j /9. " size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
1 1 $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) /
Sign Data Z / (D ® $19.00 Fee (Temporary sign, any type)
(Complere all Direction Wall Faces (circle one):
items in this NOTES:
section) N S \X/ NE NW SE SW
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
COPY:Li0`l eO A &c e. ci- ng4_41 placement.
o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes RrSlo 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 pennit, 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.
(OVER FOR SIGNATURES)
a- •
I hereby acknowledge that 1 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.
DA 1 E D this day of , 20
SignatZ�r� Owner /Agent
Contact Person Name Phone No.
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FLM Logo Set with 21 sf oval
Dealer Code# Dealership Name: File Name:
F74022 Landmark Landmark Elev. F74022 R2 pgs.1-3 Approved by: Name
XI ' II
City, State: Scale: Elevation: N/A Date
Tigard, OR Signs: 1/4=1' Architectural Graphics, Inc,
Date: Drawn by Sheet No
NCOLN - '-' MERCURY
14 Nov. 2008 M.McCaslin Rev 1:12/18/2008 Rev 2: 2/19/09-MM Rev 3:00/00/00 Rev 4:00/00/00 2
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173465 - 05/07/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00110 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00110 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 081498 STREAT 05/07/2009 $40.00
Payor: James Q Martin
Total Payments: $40.00
Balance Due: $0.00
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