SGN2006-00064 rp il CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006-00064
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/14/2006
PARCEL: 2S 102BD - 01900
BUSINESS NAME: HUDSON PLAZA ZONE: C -
SIGN LOCATION: 12900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (banner) 4' X 6' Valid 4/15/06 - 5/15/06 Place
on private property, not in public ROW Sign #1
MATERIALS: VINYL
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE:
DATE: 4/14/200. /
•
h • . I PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Na e of DevelopmentlProject .
Site (�Q„ q . A FOR STAFF USE ONLY
S treet A
Address/ ddress .( . 2o)6 b � 6 7
2900 L RtC-, i j _ Permit No.: •IV
Location ! � , r
Suite /Bldg. # City /State Zip Expiration Date:
•
6P OF, 5.3023 Receipt #:
Name ., By: --112-6-14-1 Property f �((
... 0- g !t.._� Date:
Owner . M ailing Address Suite Map/TL#: i •iOc 1) ( " CI)
I i jS . 0 - . 2 ' Zoning: e_(,—
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes Er No
� (�
Business LCt.L Building Permit Required? ❑ Yes Z( No
Name Rev. 7 /1/05 i:\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)
• p ❑ Permanent ,Freest ❑ Si Freeway , 17"
Sign .2� size requirement: 81/2" x 11", or 11' x 17
g Temporary ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard El Balloon E . 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
ew sign? ❑ Alter to existing sign? size requirement: 8 /z" x 11", to 24" x 36"
Sign Dimensions: 43(b/
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
4 n $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) .
g Jurisdiction: ' ❑ City . ❑ Urb I
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N • S E W NE 4110 SE SW
Height to top of sign (feet : / o 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: o Wall signs do not require site /plot plans.
o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X building permit.
No . If work authorized under a sign permit has not
Type: ❑ Internal 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 '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.
g 1
DATED this / 0 day of , 20 �,�
A.40
Si. - a - re of Ow 'er Agent
PAA -)4. C btiC -2377
Contact Person Name Phone No.
3207- a(s-
CITY OF TIGARD 4/18/2006
il m 1 13125 SW Hall Blvd. 9:28:14AM
Tigard, Oregon 97223
TIGARD. (503) 639 -4171
Receipt #: 27200600000000001733
Date: 04/18/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00061 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00061 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00062 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00062 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00063 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00063 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00064 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00064 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $72.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MARLAND H. HENDERSON ST 2132 In Person 72.00
Payment Total: $72.00
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