SGN2004-00045 P w,
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00045
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/5/04
PARCEL: 2 S 103 D D -00800
BUSINESS NAME: PETAL PATCH FLOWERS ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one A -frame sign. Valid from 3/6/04 through 4/6/04. Must be placed
outside of right of way.
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 from validity date.
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APPROVED BY: ° a &A •
PERMITTEE SIGNATUR •
DATE: 3/5/04
A .
A
i'�t° SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
, ENERAL INFORMATION
Name of Development/Project
Site ,,,,tYii1.t Qai-c FOR STAFF USE ONLY
Address/ treet Address ,
Permit No.:
1 �t aOD4 - 0OQ .4S
Location �'� � J c ,,� uit /Bld . # City/State ip Expiration Date: �o/ 0
L Q6 t r6 Id e3- Receipt #: oZ 00 L - O e - 1 j
Name
Approved By: Ccwr.e -,—)
Property � � Date: 3 - S- o`
DWner Mailing Address � � trice
Map/T_#: as lo 3 DD — D G caDo
Zoning: C - C.,
City /State Zip Phone
tenant or N a
Electrical Permit Required? ❑ Yes [ c. No
3usiness i p A m( .� ^ n , / Building Permit Required? ❑Yes No - P V Name 'W rV' ' `Y�Y �� Rev. 8/7 /2003 i:\curpIMmasters\revi
sedlsign permit app doc
Sign
.ontractor Mailing Address Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
isuance, 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
pro posed (3 copies, if a building permit is required)
p ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign e Temporary ❑ Wall El Electronic
Check all that �J Other ❑ Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
❑ 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:
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 3 A L
❑ $15.00 Fee (Temporary sign, any type)
Sign 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): • 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.
,�� • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes Li'A!o 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 r—PlQ 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 _, may , 201L4
n n _
Sign of Ow er /Agen
Contact ' -rson Name Phone No.
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CITY OF TIGARD
i-.r [ )]
cm1.0;t.;!y Approved [
r onl thf: work as described in: ,
P E i-1 INA 1 T NO. 6(2 N aoog - 0009
Letter to: Follow [ [
Attach Li E . 1
Job A dregs: Ia . E) ( 5 64:j Poe - 1414)y -H
t':),./: , • Date' 3. - 5 - 5( 1
1
CITY OF TIGARD 3/5/2004
13125 SW Hall Blvd. 3:20:37PM
Tigard, Oregon 97223
dant' a' (503) 639 -4171
Receipt #: 27200400000000000873
Date: 03/05/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00045 [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
Cash PETAL PATCH FLOWERS CAC In Person 15.00
Payment Total: $15.00
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