SGN2009-00103 • 4
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00103
COMMUNITY DEVELOPMENT Date Issued: 05/07/2009
TIGARD 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 8' X 3' 4 7/8"
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 8 X 3' 4 7/8"
Total Sign Area: 24
WaII Area: 1740
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90
days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign
shall expire 10 days from validity date.
Approved By: Z.1.11 d ij Q T
Permittee Signature:
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a `�, 3 � 2 . _;a, SIGN PE IT PLICA� ' f e) ,,,,,,41=54 r City of Tigalti.Pernit Center 13125 S W Hall BI -xl , Tigarc4 OR 97Z2' `..i n,e
Phone 503.639.4171 Fax: 503.598.1960 I
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GENERAL INFORMATION � �Aill' (;%` iVGI ;`,
;�rE
Name of Development /Project .
r FOR STAFF USE ONLY
Site / 61 )1 cjrtc12 S,- -.!W Li ri CO r 1 /7/crony (� s� J
Address / Street Address Permit No.: ', d — 1 3
Location ( 20CI 0 S tJ 6 6 11, i$-)c'
Expiration Date:
Suite /Bldg. N, City /State Zip
T! � Ln ea- 6'72 Receipt; : 11 3454
Name Approved By S :Tit
Property S T Date: 5/6(0g
Owner Mailing Address Suite Map /TL# : d-5( 0( 41°1 -000 (
Zoning:
Guy/State Zip Phone
Tenant or Name Electrical Permit Required? Er Yes El No
Business Building Permit Required? ❑ Yes [?r No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign ✓TG! ri 5(&AJ
Contractor Mailing Address Suite
(Pr or to permit
P013 K /0
issua a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are /� /� n �y /� L � - � 5 v '� -�' (Note: applications will not be accepted
required if e --r c a 1 701 - / J
without the required submittal elements)
expired in the Oregon Consc. Cont. Board License k Exp. Date
Gtyof Tigard's
database) 6 0 t 1 ❑ Completed Application Form
Proposed ❑ g ❑ Freeway I I 2 Copies of Site /Plot Plan, Drawn to Scale
p Permanent F reestandin Freewa
Sign Temporary K[ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that O her Billboard Balloon " 11"
apply) Ell ❑ ❑ size requirement 8 h x 11 ", or 11 x 17"
[2 New sign? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dimensions: j 7/- 3 ,, 91/e ,/, (3 copies, if a building permit is required)
O size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
Z I 1 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) n (Temporary ry y type)
0 819.00 Fee Tem ora sign, an e
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NXX/ SE SW
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
J Projection From Wall (inches): must include dimensions of wall face and sign
U > Copy .2‘2,0 D o � � placement.
v i o Wall signs do not require site /plot plans.
Materials:
') . o Freestanding signs over 6 ft. required a building
v Will sign have illumination? Yes ❑ No pennit.
Type: [i 'Intema1 ❑ External o it ws;,rk 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 sp -e? 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.
(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.
DA'lLD this day of , 20
Signat re f Owner, / Agent
42 7 z 2---
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
Cg
I I I II
C •, 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173458 - 05/07/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00103 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00103 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
Page 1 of 1
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. NCOLN MERCURICA8
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FLM Logo Set with 21sf oval
Dealer Code# Dealership Name: File Name:
F74022 Landmark Landmark Elev. F74022 R2 pgs.1-3 Approved by: Name
XIII
City, State: Scale: Elevation: N/A Date
Tigard, OR Signs: 1/4=1' Architectural Graphics, Inc.
' R Date: Drawn by: Sheet No
r INC OLN NE CURT 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
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