SGN2006-00221 A
II CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00221
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/12/2006
PARCEL: 2S 112AC - 02100
BUSINESS NAME: CRYSTAL CAVERN ZONE: I -L
SIGN LOCATION: 14915 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT: CRYSTAL CAVERN
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 36" X 72"
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of one (1) permanent free standing sign 36" X 72"
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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:
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PERMITTEE SIGNATURE: (A.4 Us-
DATE: 12/12/2006
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SIGN PERMIT APPLICATION
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City of Tigard Permit Center 13125 SW Hall Blul, Tigard OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION n 00? i r O'ill7 7ci
Name of Development/ oject 9 .1
,,,, nn /7 S° FOR STAFF USE ONLY
Site 01 , /6 a �v`( ��.•ii
Address/ Street Address "
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Location 7 9( 5 7 toe.
Suite /Bldg. # City/State Zip E xpiration Date:
CZ) _ l` .,1 ae 9f0/ Receipt #: (9-0) 77b'
Name Approved By: S -TILE I
Property jd /t ea u I/ [) Date:
Owner Mailing Address Suite Map /T11: 9-S i 1 A C: e),1,1( C''
p �� )))r Zoning: 1 --
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City/State ._ ' Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ 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 will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) El Completed Application Form
Proposed ❑ Permanent Ei 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 /z" 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)
X 70l " size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
i8 5& ki . ❑ $39.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $ 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://k: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: El 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 si n 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 /� day of / ��,���r��7 20
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Y
i
Signature of Owne :ent
_1,0 '41a? Q///(1 ,5/6
Contact Person N Phone No.
CITY OF TIGARD 12/12/2006
IN 1 q 13125 SW Hall Blvd. 11 :38:20AM ti
Tigard, OR 97223 503.639.4171
TIGARD e
Receipt #: 27200600000000005778
Date: 12/12/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00221 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006- 00221 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $39.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CRYSTAL CAVERN ST 5546 In Person 39.00
Payment Total: $39.00
cReceipt.rpt Page 1 of 1
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