SGN2004-00368 CITY OF TIGARD
SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00368
ll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/7/2004
PARCEL: 1 S126CA -00300
BUSINESS NAME: BILLARDS & MORE ZONE: C -G
SIGN LOCATION: 09385 SW GREENBURG RD 100 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 10'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Alteration to existing sign. Adding 20 sq ft. Total sign square footage is 67.25 sq
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 • • ity date.
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APPROVED BY: , . e
PERMITTEE SIGNATURE: 7 /frz
DATE: 12/7/2004
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SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd, Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Q 1
Site P- �l.0 -ks g AA d ✓G FOR STAFF USE ONLY
Address/ Street Address ` S E � / �� c/_ 0 J 3 6 y
Location Permit No.: `
8355 S b✓ G✓ �f5 Q Expiration Date:
Suite /Bldg. # City/State Zip
IOU T ;14.4 O2 ° I? Z Z 3 Receipt #: ��� �/' ' D—
Name Approved By: /
L S 6 z� �o
Property e > .'A �' re > Date: 7 V
Owner Mailing Address Suite Map/TL #:
g385 Sw 6ree4„) 10 Zoning:
Ci /State Zip Phone
y., 4 pQ g72 Electrical Permit Required? ❑ Yes [ Imo
Tenant or Name
Business ,11.., (? s Z �lA b e
Building Permit Required? { es" 111 No
Name Rev. 7/1/04 is \curpin \masters\revised\sign permit app.doc
Sign CA.-1 ;O" S.9N S
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
{Prior to permit c x 52} (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are D •
required if J c' cQ 012 - ` 01)1 5V-332
❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building ( p� g permit is required)
Proposed 11 Permanent igl Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ 2 copies of elevations, drawn to scale
apply) ❑ Balloon (3 copies, if a building permit is required)
❑ New sign? G Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 2, x )0' ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): Z 5t+ ❑ $15.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft Jurisdiction: ❑ Cit ❑ Urb 1
9
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) & ) E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 20' but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: g:11,. -da5 g M TLS y z,.,c roo. -. s -;-,..� • Wall signs do not require site /plot plans.
Materials: . A /ur;„ P Lei e,1 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes fa' 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
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
1
t A
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 — 74( day of 1)-e , 20 a
Signature ofpner/Agent
se LL/J S -Zyc Zlov
Contact Person Name Phone No.
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CITY OF TIGARD 12/7/2004
13 12 5 SW Hall Blvd. 9:24:46AM
i447,p ,;i Tigard, Oregon 9 72 23
a � � :_.. (50 3) 639 -
Receipt #: 27200400000000005262
Date: 12/06/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00368 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
Line Item Total: $32.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash BILLARDS & MORE KJP In Person 32.00
Payment Total: $32.00
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cReceipt.rpt Page 1 .of 1 .
15' -0"
-11 "- 4' -2" 9' -11"
_ Ti 5.51 ft
N T res ES SCHWAS 47.25 s
BILLIARDS & MORE
The Game Room Store
18"
Steel Collar
10 "SCH40
STEEL PIPE
O New 2' x 10' Non - Illuminated Black Aluminum Panel
wtih 1/4" Thick Stud Mounted Aluminum Letters
to Read `Billiards & More"
HP White Vinyl Letters to 1Zead
- WELD "The Game Room Store"
HP' Copper Vinyl Stripes
24"
Steel
- Collar
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48" Approved (V
SQUARE Conditionally Approved .... ..._ _..._. 1 j
Fo- only the work as described in:
PERM ?T NO. -2 V a� 3 >? 1
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`v: -e--a A ,, P _ Date: _ / �'/
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Ida P.O. Box 524 File Name:Billiards &More IMPORTANT NOTICE
mum Bend, Oregon 97709 Client:Casey Leabold This design is the exclusive
Scale:1 /4" = 1' property of Carlson Sign Co.
( 541 382-2182
Dwg By: Darryl Cox Approves color, design, Date Others using this design
FAX (541) 382 -2196 Date:11 /10/04 size, and spelling will be subject to prosecution.
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