SGN2007-00198 1
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00198
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/31/2007
PARCEL: 1S134BC-00300
BUSINESS NAME: BARTELS ZONE: C -
SIGN LOCATION: 12286 SW SCHOLLS FERRY RD JURISDICTION: TIG
APPLICANT /AGENT: GREGORY BARTELS
BUSINESS TAX NO:
SIGN
' PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1'X12'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placment of (1) one permanent 12 s.f. wall sign.
MATERIALS: VINYL /WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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:
PERMITTEE SIGNATURE:
DATE: 10/31/2007
k I SIGN PERMIT APPLICATION -
C
` " '' City of Tigard Peenit Center 13125 SW Hall Blzd, Tigarc4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORIVLkTION
Name of Development /Project
Site 1 co_g6 11 3 s C.ItOO ( II
S r FOR STAFF USE ONLY
Address/ Street Address
Pe
Location T (G-?Q Q Permit No.: S �-I 2 -0 5 7 Ue
Suite /Bldg. # City/State Zip Expiration Date:
6 t 7223 Receipt #: X3 "( b'S`(
Name / Approved By:
� Property sL. A - C v 4-f Date: 10/3, /0
Owner Mailing Address Suite
Map /TL#
Zoning: C 6 P>
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes f No
Business I ( G- 5 -rG14 Th p Building Permit Required? ❑ Yes [g No
Name Rev. 7/5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
(Note: applications lications will not be accepted
required if
expired in the Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
City of Tigard's
database)
❑ Completed Application Form
Freest
® Permanent Freestanding Proposed ❑ g Li Freeway O. 2 Copies of Site /Plot Plan, Drawn to Scale
P
Sign ❑ Temporary N . W ❑ Electronic p '
(check all that ( copies, if a building permit is required)
appl ❑ Other ❑ Billboard . ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: + r' (3 copies, if a building permit is required)
X 1 2 - size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
n $39.00 Fee (Permanent sign, any size)
•
Si n Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Terriporary sign, any type)
(Complete all Direction Wall Faces (circle one): •
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): $ o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy placement.
o Wall signs do not require site /plot plans.
Materials: t, n e „— •- �- ■F
♦ 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 ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(fVFR crR cTr^'7 t TT mrc\
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 t'ED this W1 day of 0 CT , 20 6
tr--
Signature of Owner /Agent
�� Ca re SD3 d7 6 MS
Contact Person Name Phone No.
( C VW -EFS
CITY ®F TIGARD 10/31/2007
rti Ip
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1312 SW Flail lticd. I2:39:24PM
. ' ^ Tigard, OR 97223 503.639.4171
,TAI GARD
Receipt #: 27200700000000004854
Date: 10/31/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
TUP2007 -00009 [LANDUS] Temp Use Dir Decisn 100- 0000 - 438000 262.00
TUP2007 -00009 [LRPF] LR Planning Surcharge 100- 0000 - 438050 39.00
TUP2007 -00010 [ LANDUS] Temp Use Dir Decisn 100- 0000 - 438000 262.00
TUP2007 -00010 [LRPF] LR Planning Surcharge 100- 0000 - 438050 39.00
SGN2007 -00195 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2007 -00195 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SG N2007-00196 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00196 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2007 -00198 [SIGN] Sign Permit 100 - 0000 - 437000 35.00
SGN2007 -00198 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00199 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00199 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $720.00
Payments:
\Iethod Payer User II) Acct. /Check No. Approval No. How Received Amount Paid
Check GREGORY 13ARTELS K.IP 2236 In Person 720.00
Payment Total: $720.00
t,.-
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