SGN2004-00130 ti
CITY OF TIGARD SIGN PERMIT
klk DEVELOPMENT SERVICES PERMIT #: SGN2004 -00130
ll DATE ISSUED: 6/9/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AD -02200
BUSINESS NAME: BURNHAM BUSINESS & STORAGE ZONE: CBD
SIGN LOCATION: 08900 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 8'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: IND
DESCRIPTION OF SIGN: Placement of one permanent freestanding sign. (4' x 8') Original sign to be
removed. (Revised 6/14/04, see case notes).
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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: 6a4-z -,��
PERMITTEE SIGNATURE:
DATE: 6/9/2004
C ITY OF TIGARD SIGN PERMIT
ik DEVELOPMENT SERVICES PERMIT #: SGN2004 -00130
VIII DATE ISSUED: 6/9/2004
13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AD -02200
BUSINESS NAME: BURNHAM BUSINESS & STORAGE ZONE: CBD
SIGN LOCATION: 08900 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 6
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: IND
DESCRIPTION OF SIGN: Placement of one permanent freestanding sign. (4' x 6') Original sign to be
removed.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N _ S
ADMINISTRATIVE EXCEPTIONS: /
TOTAL PERMIT FEES: $ 0.00 lJ
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 da from validity date.
APPROVED BY
PERMITTEE SIGNATURE: . Ab
DATE: 6/9/2004
04/8/2004 09:40 FAX 5035981960 -- CITY OF TIGARD U1002 02
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"74 0 SIGN PERMIT APPLICATION
CITY OF T1GARD 13125 STY Hall Blvd„ Tigard, OR 97223 (5O3) 639 -4171 FAX. (503) 684 -7297
GENERAL INFORMATION
Name ofof D ment/Proiect FOR TAFF US ONLY
Site �VIY\ '1
11' tlul'IIV1 /IU11 Permit S AN aoo�l x0130
Address/ /1r t de • • \nI i �v 1 / � 1 � t /,, Pew
Location \ OU V V % V 1 D 1 I "' Expiration Date: _ —
sun' Q11
Ite/Bldg. ity�s (}� VI ' _ ' 1117 Receipt #: ‹=.0f; -°? 4 S
Na - — r " Approved By: C. t r c t/Yr 4
�(� �/► (� ) I K-�� I Date: lv _ ? - o `�
Property iJ I t — site Map/TL #: �2 S ■ /0 , - A P — O 00
Owner �,,
I r�11 Zoning; (1
City /State Zip �1 `( Phone
N \(U 1 I 1 13 Electrical Permit Required? ❑ Yes ❑ No
Tenant or N Building Permit Required? ❑ Yes ❑ No
Business —
Rev, 8!712043 'Att.' InlmastersUevis t gign p8r ntit 8 AOc
Name •
\r \O\C i V 4 t I I I
Sign Suite REQUIRED SUBM ELEMENTS
(P
Ming Address (Prior perm it Y {- Contractor � m y 1- \ 1 V, c i J I ( Note: a pp lications will not be accepted
(Prior to perm
issuance, a — without the required submittal elements)
cony of an laty /She a
qui red If are
required Ok Mi 1 ie1 (P P • CL0 ❑ Completed Application Form
r
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database (3 copies, if a building permit is required)
Proposed Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign [ i Temporary 0 wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that 0 Other ❑ B illboard [ ] Balloon
apply) — _ — (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: � � _ �`� ( ) $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data Jurisdiction; 0 City c3 Urb
(Complete all Direction Wall Faces (circle one):
NOTES:
in this
section) N $ E W NE SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (fe {--�� • but must include dimensions of wall face and
Projection From Wall (inclfes): . sign placement.
Copy: • Wail signs do not require site /plat plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: e: ❑ internal E] Extemal • If work authorized under a sign permit has not
been completed within ninety (90) days after
Are t" hi any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wail signs that overlap a tenant space? BECOME NULL AND VOID.
0 Yes ri No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. (OVER FOR SIGNATURES)
•
04/28/2004 09:41 FAX 5035931960 CITY OF TIGARD X003
1 hereby acknowledge that 1 have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this 1 day of V " Mb , 20 a
lifil / i _ ...
Si."±X of Ow /Agent
di 90(illi 7
Contact Person Name Phone No.
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CITY OF TIGARD 6/9/2004
2:56:19PM
13125 SW Hall Blvd.
i �r Tigard, Oregon 97223
6 '� (503) 63 9-4 17 1
Receipt #: 27200400000000002455
Date: 06/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00130 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash BURNHAM BUSINESS & CAC In Person 40.00
STORAGEA
Change CITY OF TIGARD CAC In Person (9.00)
Payment Total: $31.00
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Page 1 of 1 cReceipt.rpt