SGN2004-00054 C ITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00054
cell 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/23/04
PARCEL: 1 S135CA -00700
BUSINESS NAME: KAB SPECIALIZED REPAIR ZONE: I -P
SIGN LOCATION: 11225 SW GREENBURG RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6' X 7'
TOTAL SIGN AREA: 84 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 17 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install new freestanding sign. 6' x 7'
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
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: A ' ••
PERMITTEE SIGNATURE: 1i►. /!��� j / "
DATE: 3/23/04
I . A o SIGN PERMIT APPLICATION
•
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION ( A∎fe0e
Name of Development/Project 4.
1y9 FOR STAFF USE ONLY
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Site 6- fie /'?iil Ripi,/1
Address! Street Address G l - Permit No.:
�f�
Location lj� �f��� •
�� Su lui ittee/Bldg. # City /State Zip Expiration Date:
'f7ff/V:7 /4 9'71g--? Receipt #:
Name Approved By:
Property Date:
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
Tenant or Name
Electrical Permit Required? El Yes ❑ No
Business
g e - „2C/akzeo 2 Building Permit Required? ❑ Yes ❑ No
, �� ;�/�
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign 0(l igi!/id i C 9*S
Contractor Mailing Address n / / � / � uite R
J Suite SUBMITTAL ELEMENTS
(Prior to permit ? f&� ' bit NQt2/41 'SGT (Note: applications will not be accepted
issuance, a with the required submittal elements)
copy of all City / fate Zip Phone q
licenses are
required if 11 ���� ///
4c 4 1141-' & f270 M i7/9&/; g Completed Application Form
expired in the Oregon Const. Cont. B and Exp. Date
City of Tigard's License #/ 2 e l ❑ 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 • Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard El Balloon ❑ 2 copies of elevations, drawn to scal
apply) (3 copies, if a building permit is required)
❑ New sign? X Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: / 1
)� 7 ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq, ft.): y a. p ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft
g Jurisdiction: City ❑ Urb
(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,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy:/ - -j3 �� /l / r /r7 r/4.- • Wall signs do not require site /plot plans.
Materials: 5l7j14 vx# • Freestanding signs over 6 ft. required a
Will sign have ill mination?'Yes ❑ No building permit.
Type: ! Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestan•in• or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
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.
DATED this '- - pri day of , 20 0 7
40°
• gnature of owner/ i gee"
4 -�-1 / /// e
Contact Perssn Name Phone No.
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Specialized
Repair Center
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SPECIFICATIONS:
� t M ANUFACTURE AND INSTALL APP rOVed APPro Ved.• d Willrar CondltlonalkY rsVr as describe
C ABINET: F only t he 4 ..... L
9216 5W RCM RD IMAM OR 977070 PERMIT Np ----------------------------------------- .t 1 pc]
\ TEL 503.570.6137 FAX 503.570.6138 FACES: Leh"- e t • F °ll °W
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Address: �_.� COPY: G',,J �ob .
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DRAWN BY:
REVISIW:
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CITY OF TIGARD 3/23/2004
13125 SW Hall Blvd. 10:53:11AM
6. ihro t/11,;1\ Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000001138
Date: 03/23/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00054 [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
Check LUMINITE SIGNS CAC 1880 In Person 31.00
Payment Total: $31.00