SGN2007-00118 i
M I CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00118
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/22/2007
PARCEL: 2S 111 AD - 17600
BUSINESS NAME: ZONE: R - 4.5
SIGN LOCATION: 08735 SW REILING ST JURISDICTION: TIG
APPLICANT /AGENT: LEON CAPSOUTO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24" X 24"
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: 100 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 24" X 24" Place on private property,
not in public right of way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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. �i} /
APPROVED BY: S // `. "�"" - "
PERMITTEE SIGNATURE: '
DATE: 6/22/2007
11 q SIGN PERMIT APPLICATION
City GI Permit Center 13125 SW Hall Bled, Tigarg OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name f Development/Project
Site � QA/ (J �'4 C t 1 O • FOR STAFF USE ONLY
E
Address/ Street Address p Permit No.: %l it) a o - 1— 6 O u ( S
Location f 2 34" z, it), /1e ('( /'u
S 4;—, Expiration Date:
Suite /Bldg. # Qty/State / Zip aov 9 o s�
/ i f et q el . e ' 9721AZ Receipt #
N _ Approved By. S - T7 - f
am a /o ki CJ 4 1`" d C !� / Dat e: 6 'r. a' /e 7
Property
Owner g Address Suite Map /TL# : 2S 111 R A 171
es / ,p)C 0 3 Z ?Sr Zoning: g-tF.
City /State Zip Phone
T - .4+eb- 0,'97281 Jo3 -3 /4
Tenant or Name Electrical Permit Required? El Yes a'No
Business A //" Building Permit Required? ❑ Yes [
Name Rev. 7/5/06
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Sign 1I 2 2 G2 Ai / / C '
Contractor Mailing Address Suite
(Prior to permit Q • J t vI / rem-if-Ai
issuance, oyofall it 7 d ,
copy of all City/ tate� Zip Phone
24/
h REQUIRED SUBMITTAL ELEMENTS
licenses are � one Q
required if i 0 t P G w 0( e/2 97N ,/ 4 Pig J.
(Note: applications will not be accepted
without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed [r Permanent ❑ Freestanding El Freeway Ili 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Er Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard E] Balloon 1
apply d size requirement: 8 h" x 11 ", or 11" x 17"
[]' New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions x y i/ (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):1" 4.
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) / 6 0
❑ $19.00 Fee (Temporary sign, any type)
(CompleCe all Direction Wall Faces (circle one):
items in this NOTES:
section) N S �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 Materials: e � o c ♦ Wall signs do not require site /plot plans.
• tj ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes [No permit.
Type: ❑ 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 2/'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 ) '� �' j ` day of / , 20 6 7 .
ignature of Came /Agent
Atelfe
Contact Person Name Phone No.
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CITY OF TIGARD 6/22/2007
13125 SW Hall Blvd. 3:07:15PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000002905
Date: 06/22/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00 1 1 8 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -001 18 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $39.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash LEON CAPSOUTO ST In Person 40.00
Change COT ST In Person (1.00)
Payment Total: $39.00
��- cReceipt.rpt Page 1 of 1