SGN2006-00139 i; + i r ;ta.
F; kr
2,k, U h SIGN PERMIT APPLICATION mi
`' {" Y '' City of Tigard Permit Center 13125 SW Hall Bled Ti
garc4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site FOR STAFF USE ONLY
Address/ Street Address Permit No.: P/Li >ZX( i 3 t l
Location 49-0 J HA- fit:/
Suite /Bldg. # City /State Zip Expiration Date:
I t 6:144S ( 0)2 0 1? c)- ' Receipt # : :- 01)( 6) (1
Name Approved By:, - - I'Y
Property Date:' 1 �(�
Owner Mailing Address Suite
Map /TL #: c:;2.-Sr0 --A--(-)- - OZ) 1 f'? 0
Zoning: GAL
City /State Zip • Phone
Tenant or Name Electrical Permit Required? ❑ Yes Er-No
Business g &Gf S Building Permit Required? ❑ Yes El.-'No
Name Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if (Note: applications will not be accepted
expired in the Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
City of Tigard's
database)
❑ Completed Application Form
Proposed
. Sign ❑ Permanent Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
g Temporary ❑ Wall ❑ Electronic
(Check all that Other (3 copies, if a building permit is required)
apply) ❑ ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale •
Sign Dimensions:
3 , (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): size requirement: 81/2" x 11 ", to 24" x 36"
1 ❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
—El $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy. placement.
•
Materials: c. „0
trolb o Wall signs do not require site /plot plans.
� o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes LJ No permit.
Type: ❑ Internal ❑ External o If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATT 7RF.S1
Iii . _ SIGN PERMIT APPLICATION
• City of Tigard Permit Center 13125 SW Hall BIuL, Tigarg OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site
FOR STAFF USE ONLY
Address/ Street Address �P/4 - 6-6 9
Permit No.: °'r'
Location 69-06 u-- 81-a.ti
Suite /Bldg. # Gty/State Zip Expiration Date:
i_ 1 6 Ol- q 7d- Receipt # : 9-61)(P1-041 �?
Name Approved By. -1-12-67)4-1---.
-6 1
Property Date: $' 1 0 0 6
Owner Mailing Address Suite Map /TL# : ,9_S t 0 .-- to - OV' ( 0
Zoning: Cat
City/State Zip Phone
Tenant or Nye Electrical Permit Required? E] I Yes No
Bus iness 4(G(S Building Permit Required? ❑ Yes [-No
Name Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Gty of Tigard's
database)
❑ Completed Application Form
❑ Permanent �reestandin Freevra
Proposed g ❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 2 ❑ Wall
(Check all that ❑ Electronic (3 copies, if a building permit is required)
apply) ❑ Other El Billboard El Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
3 ) size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
1
❑ $39.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data RI $ 19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy placement.
Materials: dipt • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes Er No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes El No NULL AND VOID.
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 &O day of , 20 (V
OR ■ i _a_■_,A, L . r
A /
,ii/c)
S: 8 . e of Owner/ en'
_/ i _ .6196 .-01Z7 Or act Person Name / Phone No.
/6/144.) PI-4r
CITY OF TIGARD 8/15/2006
' 13125 SW Hall Blvd. 12:41:49PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004099
Date: 08/15/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00139 [SIGN] Temp Sign Perni 100 - 0000 - 437000 17.00
SGN2006 -00139 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CO -ZACK VENTURES, LTD ST 8953 In Person 18.00
Check CO -ZACK VENTURES, LTD ST 9002 In Person 1.00
Payment Total: $19.00
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