SGN2007-00187 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00187
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/2007
PARCEL: 2S 102AD -03450
BUSINESS NAME: COT LEAF DROP /FOOD DRIVE ZONE: CBD
SIGN LOCATION: 08777 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT: CITY OF TIGARD
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign 4' X 3'. Place on private property,
not in public right of way. Valid 10/16/07 - 11/16/07 Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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.
APPROVED BY: 2 it' (4r &-
PERMITTEE SIGNATURE: ��� -
DATE: 10/16/2007
r
117! SIGN PERMIT APPLICAT N
City qcTigxrrl Permit Center 13125 SW Hall Bluff, Tigzrch OR
Phi 503.639.4171 Fax: 503.598.1960.
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GENERAL INFORMATION p4 A M n or- r /r 07 •
• Name of Development/Project / n FOR STAFF USE ONLY " '!1/0
Site /ea./ 1/ n iof/ IL el 00A lie
Address/ Street Address Q `` Permit No.: 5t2 a AO 11- (
Location 3 >7? s, 4, 8 W M NM&.,, 1.
Suite /Bldg. # ay/State Zip Expiration Date:
7' gqNerd 9 7 Receipt # : a�1 30
Name Approved By. — - T '
Property (� . t y v T 7. Q r d Date: /0// (407
Owner Mang Address Suite Map /TL# : D. s c o d 4b )350
/3/ ZS; S,+. i 4/.//N Zoning: cob
City/State Zip Phone
/,d al? q??23 503- 6394/7/ Electrical Permit Required? El Yes ❑ No
Tenant or Name
Business K? a Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \ =pin \ =stets Lind use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit --_
copy of all Qty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are — (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(deck all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
apply)
ew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
X. c bk ss idee( size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): _
/z ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete 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 • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes Z 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
El Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
, footage must also be submitted.
CON' l� 11 (OVER FOR SIGNATURES)
A
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.
DA1ED this J Z.-. day of 1 L , 20 0'
yyz
Signature of Owner /Agent
ZVadr c.).3- 7 /?- ZAo 7
Contact Person Name Phone No.
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OF litiGARE,
3 r‘ Approved
:le work as described in:
;- Nia -0/,2 /S7
.-c - i.• r to: Follow
Attach „
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CITY OT TIGARD 10/16/2007 .
13125 SW Hall Blvd. 8.59:OOAIM
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000004630
Date: 10/16/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00157 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2007 -00187 [LRPF] ER Planning Surcharge 100-0000-438050 2.00
Line 1ten, Total: 519.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ROBERT I3LOCK ST 022541 In Person 19.00
Payment Total: $19.00
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