SGN2006-00078 �.� CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00078
TIGARD - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/10/2006
PARCEL: 1 S136DD - 02600
BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 41" X 28"
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign A -Frame Valid 5/10/06- 6/10/06 Place on
private property, not in public ROW Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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: u' -4
PERMITTEE SIGNATURE: - ?�
J -
DATE: 51- 10/2006
SIGN PERMIT APPLICAT • - VE
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 6844097 0 2006
GENERAL INFORMATION R at- Qe RD
-
Name of Development/ Project " x Pa;it \ilKi^(_-i1eti'4'FER
FOR STAFF USE ONLY
Site I fil 16e /A4C4 )4�
Address/ Street Address Permit No.: Sa 9-0140— auD7S
Location 11 qric S W✓ (O g 4,
Suite /Bldg. # C�it /State Zip Expiration Date:
11(1 PeeM 1 De` q 1 7,/3 Receipt #: - OZ (v a�-( fn
Name , / Approved By: 5 T/ 2- ") -1--
4
Property r4 g/14 i -n-- Date: 51(
Owner Mailing Address Suite Map /TL #: ( 3(e 6b ' D .)-(o Up
101)5 SW & — Zoning: PlUL
City /State DR Zip Phone
k& '1174r; 505 �C(
f`r j
Tenant or Name Electrical Permit Required? ❑ Yes [No
Business 1 JAN - 1 , 1'0( f/ tl-C (► %ic., /A - ( t _ Building Permit Required? ID Yes [,No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City /State Zip Phone q elements)
licenses are
required if ) Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # NI' 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 M Temporary ❑ Wall ❑ Electronic
(Check all that ❑ ❑ 2 copies of elevations, drawn to scale
apply) . Other Billboard Balloon
(3 copies, if a building permit is required)
[]kPlew sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: q1 it 1 .4
`1 / n 2S ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft):
re�
- l f— ,Et $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft 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): 3 F-& • 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: • Wall signs do not require site /plot plans.
Materials: WOOD • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes N No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding 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 E. No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
4 0 — i 0
•
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 , 20 t?(,
Signature of Owner/ gent
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Contact Person Name Phone No.
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CITY OF TIGARD 5/10/2006
71 w 13125 SW Hall Blvd. 1 1:57:5OAM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000002136
Date: 05/10/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00078 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00078 [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
Check MOOUNTAIN PACIFIC ST 10658 In Person 18.00
MACHINERY, INC
Payment Total: $18.00
cReceipt.tpt Page 1 of 1
CITY OF TIGARD 5/10/2006
III - '' 13125 SW Hall Blvd. 1 1:57:50AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000002136
Date: 05/10/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00078 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00078 [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
Check MOOUNTAIN PACIFIC ST 10658 In Person 18.00
MACHINERY, INC
Payment Total: $18.00
cReceipt. Page 1 of 1