SGN2009-00097 ■
CITY OF TIGARD SIGN PERMIT
. + (,.. Permit #: SGN2009 -00097
COMMUNITY DEVELOPMENT Date Issued: 05/07/2009
T,TG'A 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 3' X 8'
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 3' X 8'
Total Sign Area: 24
Wall Area: 1120
Wall Face (Direction): South
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: Lt4i3i J4
Permittee Signature:
1
al
Ir: SIGN PERMIT APPLICA I ON
City of Tigard Permit Center 13125 SW Hall BIuL, Tig 7 O' * e 'z
Phone. 503.639.4171 Fax: 503.598.1960 M / VFD
AY 052009
• GENERAL INFORMATION PLAN G 0F TIGARD
Name of Development/Project II vcLri ik.7
FOR STAFF USE ONLY
Site ia, 4 dm4eK :off L, 0 coLn mercoy , �!
S treet Address �P/v a>�q _ o cv 9 l
Address/ P ermit No.:
Location / 200 OS tJ 6 ( 71' 1h)(i Expiration Date:
Suite /Bldg. # City/State Zip
T 6-4 ea_ R ?223 Receipt # : I'l3`f
Name Approved By s •
Property S n-m E Date: SI Lo(U 9
Owner Mailing Address Suite Map /TL# :c3 S / DI 194-- at °
Zoning:
Gry /State Zip Phone
Tenant or Name Electrical Permit Required? el Yes ❑ No
Business Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign 6 $(&A)
Contractor Mailing Address Suite
(Prior to permit . p /3 Li /0
issuance, of all nce, a
cop REQUIRED SUBMITTAL ELEMENTS
y City/State Zip Phone
licenses are r�Q7r o2 g7o/g 6b3 7SD ggsZ (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Gonst. Cont. Board License # Exp. Date
City of Tigard's ` �
database) �o `9 7 �{ t 1 ❑ Completed Application Form
Proposed N....Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
( all that ❑ Other ❑ Billboard 111 Balloon size requirement: 8 x 11 ", or 11" x 17"
[a New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 1 `` g i (3 copies, if a building permit is required)
]� size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
2 4- ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft ' 110 ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 0 E 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.
Copy r- U OU A
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? [Yes ❑ No permit.
Type: pi 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
❑ Yes Q' 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
Signaft•f Owner /Agent
Contact Person Name Phone No.
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Dealer Code# Dealership Name: File Name:
_ F74022 Landmark Landmark Elev. F74022 R2 pgs.1-3 Approved by: Name
Mill
City, State: Scale: Elevation: N/A Date
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CITY OF TIGARD RECEIPT
:17 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173450 - 05/07/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00097 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00097 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 036600 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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ark
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Dealer Code# F74022
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