SGN2007-00091 rr i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00091
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/2007
PARCEL: 2S 110AB - 00200
BUSINESS NAME: FOXY'S ZONE: C -
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: 13 sq. ft.
WALL AREA: 760 sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Illuminated Wall Sign
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED:
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.
APPROVED BY: J ))/-) ,
_01.■
PERMITTEE SIGNATURE:
DATE: 5/18/2007
1
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigarc4 OR 97223
Phone- 503.639.4171 Fax: 503.598.1960 ; ' , - 6 ` f i
GENERAL INFORMATION
Name of Development /Project
e pt-0---Lqa-233(2_1/41 G FOR STAFF USE ONLY
Site Address / Street Address Permit No.: S6 NI .Q Owl - c009 O' 1
Location i a ? lC � N Expiration Date: Oy►�
Suite /Bldg. # ' Qty /State Zip
l TIAIZD g7ZZ LL 2 'L Receipt # : 2
Name \ Approved By:
Property GC .,0t --/ Date: Rf (g Z- X 7
Owner Mailing Address Suite Map /TL# : o� S ( 1 Q / ° &V )-0-0 I - Pk5q 5� PO44 - Zoning: d 6
it C i /State Zip Phone
6 1722\ 5n36208:87 Electrical Permit Required? %Yes ❑ No
Tenant or N ame
Business r OxLA S Building Permit Required? ❑ Yes NNo
Name Rev. 7/5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign 6 C l oc/L -
Contractor Mailing Address Suite
(Prior pemut ((,� ^'�(! s• ,p
issuance , a `( �`� W
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses afe 'Tia a-t2.D Q ?z 5 /2 ry 9 (Note: applications will not be accepted
required if `-( "L�bhZ[,�J 7 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ›G Completed Application Form
Proposed ❑ g ❑ Freeway 2 Copies of Site /Plot Plan, Drawn to Scale Wil
Permanent Freestandin Freewa
Sign Temporary ❑ Wall El Electronic (3 copies, if a building permit is required)
(rlk all that El Other El Billboard El Balloon size requirement: 81/2" x 11 ", or 11" x 17"
New sign? ❑ Aker to existing sign? NI 2 copies of elevations, drawn to scale
Sign Dimensions: G y t C � t (3 copies, if a building permit is required)
1 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 13 'EL $39.00 Fee (Permanent sign, any size)
Si Total Wall Area (sq. ft.)
Sign Data 760
❑ $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 O S SW
Height to top of sign (feet): le‘ f • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): i must include dimensions of wall face and sign
apy e 7t\) I LIG` (Gt\-- placement.
Materials: Lv 0.0 Nuys \.. • Wall signs do not require site /plot plans.
♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? .0 - Yes ❑ No permit.
Type: gLjntemal ❑ 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 ELNo NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
c ,
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.
DATMD this 7 - day f MA 20
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Signa .. of Owner /Agent I
A -L1A-L) 1A0pLIS G63 SCE37
Contact Person Name Phone No.
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CITY OF TIGARD 5/18/2007
: 13125 SW Hall Blvd. 11:10:1 1AM .
Tigard, OR 97223 503.639.4171 •
TIGARD
Receipt #: 27200700000000002215
Date: 05/18/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00092 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2007 -00092 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00091 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -00091 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $78.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CANTERBURY SQUARE EAE 8319 In Person 78.00
Payment Total: $78.00
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