SGN2006-00072 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00072
TIG ARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/2/2006
PARCEL: 2 S 10 3 B B - 06900
BUSINESS NAME: ANA LIQUID ZONE: R - 4.5
SIGN LOCATION: 12435 SW 121ST AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 7 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) temporary 24 sq. ft. banner. Valid 5 - 2 - 06 thru 6 - 2 - 06. Sign #1
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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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 temp ry sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
Alat" ---
PERMITTEE SIGNATUR
DATE: 5/ 10 •
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L.4.1k
SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project .
FOR STAFF USE ONLY
Site
ANA\ L, epi, A Address/ Street Address Permit No.:
J q/J 2-c tt 4 , - Ou o -7 2—
Location j 14 35' 5c0 2( Expiration Date: — .z
Suite /Bldg. # City /State Zip h (o
6+426 Ok, � 1I2l-3 Receipt #: 71 - g9)
Name K ��
Approved By:
P •Ak.� 41/4 A, (0001_ Date: 6- N0 ,
Owner Mailing Address Suite
Map/TL #:
Zoning: K V- j
City /State ' Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes [}-Ro
Business Building Permit Required? ❑ Yes (3"o
Name Rev. 7/1/05 Elcurpinlmasterslrevisedlsign permit app.doc
Sign $ IMAJ kt-i0 41/4— -
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a 11}406-90, (ni" -M (Note: applications will not be accepted
copy of all City/ fate Zip Phone without the required submittal elements) •
licenses are /� QR �f
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required if ( 1' 0 pi. 9 4.12.3 sib -2_54 7
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) 'p'L &.6- ac_7 z-->i! ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed ❑ (3 copies, if a building permit is required)
❑ .P ermanent Freestanding ❑ Freeway „ „ 17"
Sign size requirement: 8 x 11 , or 11" x 17
.� Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Bi llboard ❑ . 2 copies of elevations, drawn to scale •
apply)
❑ Balloon
12 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: 4
`TJ�1 ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):'
4 ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction:
El City ❑Urb
(Complete all Directio Wall Faces (circle one):
items in this NOTES:
section) N • S E W NE NW SE SW
Height to top of sign (feet):. P • 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: �iL • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes N building permit.
• 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.
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❑ Yes No
No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
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 2 ' day of ittlY , 20
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Signat ' e • Owner /Agent
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YVA/2-(A- tcsugc • S C��'' s
Contact Person Name • Phone No.
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CITY OF TIGARD 5/2/2006
'1 13125 SW Hall Blvd. 8:29:22AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
y ,,
Receipt #: 27200600000000001993
Date: 05/02/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00072 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00072 [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
Cash MARLAND HENDERSON KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (2.00)
Payment Total: $18.00
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