SGN2004-00010 f
CITY T I G A R D SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00010
= --' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 1/16/04
PARCEL: 2S102DD - 00300
BUSINESS NAME: FANNO POINTE LLC ZONE: R -
SIGN LOCATION: 13710 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary, A - frame sign. (3' x 3')
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 f date.
APPROVED BY: Mal) C ��
PERMITTEE SIGNATURE:
DATE: 1/16/04
r
A
i � I SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417/ FAX: (503) 684 -7297
, ENERAL INFORMATION
Name of Development/Project
Site f-A. J1 y7 PO /1 -76- C0/41.49 O 5 FOR STAFF USE ONLY
Address/ Street Address Permit No.: SC. Iv op 4 - (7o a 1 o
Location it 31/0 Sw H4LL- /3/ OP
Suite /Bldg. # City /State Zip Expiration Date: r k - I (� o
Tl6/1-►2_1> Receipt #: aou-t — o )y D,
Name
Approved By: C C ..u.A,yw1.)
Property IOL `1'GD A/A. , Date: - 1 to -c-.4-
Owner Mailing Address Suite Map/TL #: c2S i (DA D P --
Vo3v '
1 E/ 7 ' ' Zoning: :L- la
City /State Zip Phone
V411 t- 15660 503- 22/ - /9 zz
tenant or Name Electrical Permit Required? ❑Yes No
3usiness Building Permit Required? ❑ Yes No
Name Rev. 8/7/2003 i \curpin\rnastersVrevised■.sign permit app doc
iign SAW- E
:ontractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS I
Prior to permit
:nuance, a (Note: applications will not be accepted
opy of all City /State Zip Phone without the required submittal elements)
censes are
squired if
xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
:ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'ro osed (3 copies, if a building permit is required)
p ❑ Permanent ..Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
iign ❑ Temporary ❑ Wall 0 Electronic
Check all that ❑ Othe
p ol y ) ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑Alter to existing sign?
size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: A _ FIZAwt E
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
b ❑ $15.00 Fee (Temporary sign, any type)
>ign Data Total Wall Area (sq. ft.)
Jurisdiction: ❑ City ❑ Urb
Complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) N S E W NE NW SE SW
Height to top of sign (feet): 3 • 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: • Wall signs do not require site /plot plans.
/�7YMQ • 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
Ire there any existing freestanding or wall signs at this been completed within ninety (90) days after
)cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes - No BECOME NULL AND VOID.
f "yes ", a list or diagram of all sign dimensions and
,quare 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 day of afr'iq. , 20 v
Signature of Owner /Agent
/2J6. HA - 2D /Trig Afi 4 "3 > -7
Contact Person Name Phone No.
- 1
01/16/04 09:3 FAX FP SALES 2003
CITY OF TIGARD
Approved .................................................
...................... .
Approved ........................
Conditionally APP uno , o
For only the work as
PERMIT NO. [
See Letter to:
Attach .-- �---- - ----°
37►
Job Address: )3_
�v:
CITY OF TIGARD 1/16/2004 ~
13125 SW Hall Blvd. 9:08:59AM
Tigard, Oregon 97223
61. (503) 63 9-4 17 1
Receipt #: 27200400000000000142
Date: 01/16/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00010 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard RICHARD A WHITEMAN cac 029156 In Person 15.00
Payment Total: $15.00
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