SGN2009-00156 4 1
CITY OF TIGARD SIGN PERMIT
a Permit #: SGN2009 -00156
COMMUNITY DEVELOPMENT Date Issued: 06/26/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AC01100
Jurisdiction: Tigard
Name of Business:
Business Address: 12568 SW MAIN ST
Applicant/Agent: Cleaning Green,
Work Description: Placement of one (1) temporary sign (Balloon) Valid 6/27/09 - 7/6/09
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: Yes
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: ALLeby d
Permittee Signature: ' # G i
Ju 26 09 10:01a FOREST CLEANING INC 503-624-1425 p.1
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•
• RI SIGN PERMIT APPLICATION
G of Tigard Permit Center 13125 SW' Hal 1.Blvd., Ziiard, OR 97223
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Phone: 503.639.4/71 Fax: 503.598.1,960
GENERAL INFORMATION
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Site
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Approved By:
Property Date: Gila-40(01
Owner Maihr g Ad dress Suite A.4ap /TT.#: 615103_111., 0 t
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Zoning:
City /State Zip Phone
Tenant or ;dam Electrical Permit Required? ❑ Ycs �No
Business : i/ k 1. '1 '� ^� (/. ti ' ; 1: Building Permit Required? ❑ Yes )J ilcIo
Nagle
Rev. 7 11/(17
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Sign
Contractor laihng \ddress Suite
(Prior to petrlit
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REQUIRED SUBMITTAL ELEMENTS
tlCe'n$CS arc
n:yuircd if (Note: applications will not be accepted
expired in the oregr�n t:,n.c. Goa[. Hoard License rt ,ap- Hate without the required submittal elements)
•
City of'figard's
database.) ❑ Completed _Application Form
Proposed ❑ Pemclnent ❑ Freestanding ❑
Sig,,, Freeway III Copies of Site/Plot Plan, Drawn to Scale
Temporary ❑ Fall Llev.mnic
(check :IL that (3 copies, if a building permit is required)
apply' ❑ Other ❑ Billboard Balloon size requirement: 8Y-2" x 11", or 11" x 17"
❑ New sign? ❑ 2 to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is requited)
Total Sign Area (sq. ft.):
size requirement: 81/2" x 11 ", to 24" x 36"
❑ $40.00 Fee Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
, .-2( ,.i 9.00 Fee (Fetnpora-ry sign, any type)
(Completc all Direction Wall Faces circle one):
items in thi.,
section) N S E W NE NW SE SW NOTES:
- Height to top of sign (feet): : • Wall signs do not need to be drawn to scale, but
Projection From Wail (inches): I must include dimensions of wall face and sign
Copy: placement.
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: ❑ Internal U External • If work authorized under a sign permit has not been
Are these 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 subtttitted.
(OVER FOR SIGNATURES)
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JP� 26 09 10:01a FOREST CLEANING INC 503 -624 -1425 p2
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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 \ (i___
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Signature of Owner /Agent '
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Contact Person Name i Phone No.
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CITY OF TIGARD RECEIPT
1
13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
TIGARD
Receipt Number: 174159 - 06/26/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00156 Temp Sign Perm 100- 0000 - 438050 $17.00
SGN2009 -00156 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 009762 STREAT 06/26/2009 $19.00
Payor: Moira Smith
Total Payments: $19.00
Balance Due: $0.00
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