SGN2006-10026 . a CITY OF e I G RD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -10026
TLG.4 p 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/21/2006
PARCEL: 2S 103 D D - 00800
BUSINESS NAME: ANDREWS AGENCY ZONE: C -
SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 2
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (A- Frame) sign 3 X 2 Valid 3/22/06 - 4/22/06 Sign
#1 Place on private property, not in public ROW
MATERIALS: WOOD
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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. � , ,�f
APPROVED BY: 4 ' , / lY�G-i/o
PERMITTEE SIGNATURE:" I 34661"---1
DATE: 3/21/2006
CITY OF TIGARD SIGN PERMIT
E DEVELOPMENT SERVICES
• 13125 SW Hall Blvd., Tigard, OR 97223
TIGARD 503- 639 -4171 www.tigard- or.gov PERMIT #: SGN2006 -10026
DATE ISSUED: 3/21/06
BUSINESS NAME: Andrews Agency PARCEL #: 2S103DD -00800
SIGN LOCATION: 13815 SW Pacific Highway # 60, Tigard, OR 97223 ZONING: CG
APPLICANT NAME: Andrews Agency JURISDICTION: TIG
This is an interim permit issued during computer system maintenance.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
PERMANENT: FREESTANDING: X FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 2
TOTAL 6 Sq. ft.
WALL AREA nn ,, �� /� A
WALL FACE (DIRECTION): C� n �u e nn e /� 1 C� I `�
SIGN HEIGHT: 2' IU I (� 1 ' 1 � 'L( (�
PROJECTION FROM WALL: /
ILLUMINATION: No (� A Ll
�L 2/j `' ��6 ' "//
DESCRIPTION OF SIGN: 'F/��� /�
c5(
MATERIALS: Wood
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: No
BUILDING PERMIT REQUIRED: No
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $18.00
ACKNOWLEDGEMENT:
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.
Issued By: ,- L. JtO •
Permittee Signature:J' ° �� — •� "`
I: \Building \Manual Permit System \ManualSGNpennit.doc 03/14/06
..1
4 ,-tI� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION 3 /3-a 147 12
Name of Development/Project .
Site FOR STAFF USE ONLY
Address/ Street Address ;4)?(.)--00 -/�
Permit No.: '�
Location 1310'15' 5%-,t— Padre v
Suite /Bldg. # City /State ±ip Expiration Date:
•
d / /5 4 -- 2 z _& Receipt #:
Name Approved By: .. - TQ0 -(
Property 7-1-1-e- � iea, -.S Date: /�t/Db
Owner Mailing Address Suite Map/TL #: 2 -S/ 0 3 b 1' - Z7j .10')
Al.c- cCA.z,l-o -..,. � Zoning: C, &
City /State Zip Phone
Tenant or Name Electrical Permit Required? El Yes ❑ No
Business 4 •.S / e-3,,, Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 is \curpin \masters\revised \sign permit app.doc
Sign
Contractor Mailing Address suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
•
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding Ill Freeway 1 " 11" 17"
• Sign 1C Temporary ❑ wall size requirement: 8 /z x 11", or 11 x 17
(Check all that ❑ E lectronic
apply) ❑ Other ❑ Billboard ❑ Balloon El
copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
3 -', 2. ❑ $38.00 Fee . (Permanent sign, any size)
Total Sign Area (sq. ft.): •
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) ❑ City El Urb
Jurisdiction:
(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): ,2 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
* Will • Freestanding signs over 6 ft. required a
sign have illumination? ❑ Yes ❑ building permit.
N • If work authorized under a sign permit has not
Type: ❑ Internal 2" External been completed within ninety (90) days after
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes g No ,
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 .21 day of / ��L 20 c' '
Signature of Owner /Agent
/zc N'h- �oe EzJr 3 - ‘-8y -f rv,�
Contact Person Name Phone No.
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• CITY OF TIGARD RECEIPT
„ DEVELOPMENT SERVICES RECEIPT DATE: 3/21/06
13125 SW Hall Blvd., Tigard, OR 97223 JURISDICTION.: TIG
TIGARD 503- 639 -4171 www.tigard- or.gov CASHIER DATE:
CASHIER RECEIPT # :
LINE ITEMS:
Case No. Fee Description Revenue Acct. No. Amount Due
SGN2006 -10026 [SIGN] Temp. Sign Permit 100- 0000 - 437000 16.00
[LRPF] LR Ping. Surcharge 100 - 0000 - 438050 2.00
Total Due: $ 18.00
SEE ATTACHED FEE SCHEDULE.
PAYMENTS:
Payer. Andrews Agency, LLC
Method Initials Check No. Confirm No. Amount Paid
Check ST 1207 18.00
Total Paid: $ 18.00
I: \Building \Manual Permit System \ManualReceipt.doc 03/14/06
Pri CITY OF TIGARD 4/5/2006
" 13125 SW Hall Blvd. 7:15:12AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000001299
Date: 04/05/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -10026 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -10026 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check ANDREWS AGENCY LLC ST /DLH 1207 In Person 18.00
Payment Total: $18.00
•
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