SGN2007-00201 I I CITY OF T I GA R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00201
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/2/2007
PARCEL: 2S 102AB -03100
BUSINESS NAME: SHERRIE'S JEWELRY BOX ZONE: CBD
SIGN LOCATION: 12425 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: SHERRIE'S JEWELRY BOX
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a cluster of balloons
MATERIALS: BALLOON
EXISTING SIGNS:
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.
lJ'� r
APPROVED BY: .,
PERMITTEE SIGNATURE:
DATE: 11/2/2007
1
MI SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tiganni OR 9722.3
Phone' 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site t
Address/ Stree dress Permit No.: SaU 9014 00 ?-01
Location tai a,g 75LW 1 l 4 ,, 1 )1
I
Suite /Bldg. # ' Qty/State Zip Expiration Date:
1 V ett() Ce— 9 741s ^�2 J Receipt # : x '1`l 0
Name Approved By C•-11261".. Property 514,e1 J it_ i1/j 4c.IA i l i 4v Date: c ((a-(0 7
Owner Mailing Address Suite Map /TL# : 2 a- +416 — 0 34 0
Zoning: clop
Gty /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes [ STo
Business Building Permit Required? ❑ Yes ra
Name Rev. 7 /1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractot Mailing Address Suite
(Prior to permit
c opy of all
issuance, all ay/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
co
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
ay 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)
(Check all that ❑ Other ❑ Billboard Balloon size requirement: 8 /" x 11 ", or 11" x 17"
apply) ` \ q
❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $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 ❑ 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.
(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.
DA'1ED this day of , 20
Signature of Owner /Agent
Contact Person Naive Phone No.
" ~' 1 1/_/_007
r C11 Y. ®N ` IGARD
, r
�i 13125 S W Hall Blvd. 12:3 1:45PM
A Tigard,
9A OR 97773 503.639.4171
t DI
Receipt #: 27200700000000004902
Date: 11/02/2007
Line Items:
Case No - Fran Code Description Revenue Account No Amount Paid
SGN2007 -00201 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2007 -00201 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $ 19.00
Payments:
Method Paver User 11D Acct./Check No. Approval No. Flow Received Amount Paid
CreditCard SHERRIE'S JEWELRY BOX ST 454521 I n Person 19.00
Payment Total: $19.00
cReccipLqu Page 1 01 1