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SGN2004-00233
CITY TIGARD SIGN PERMIT - ^ I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00233 E- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/2004 PARCEL: 1 S 136CD -01401 BUSINESS NAME: AMERICAN BOOT CO. ZONE: C -G SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: AMERICAN BOOT CO BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 8' 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 temporary banner. (8' x 3') Sign #3. Valid from 11/15/04 through 12/15/04. MATERIALS: VINYL 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. APPROVED BY: �©� �'LG✓ PERMITTEE SIGNATURE: DATE: 9/10/2004 ,:1 • . .. ... .....• ;; ill' 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 FOR STAFF USE ONLY Site Address/ Street Address Permit No.: SGW a 1 -DO33 Location (I 652.s(,) nACt4 c. RW T 7 Expiration Date: IA D{ Suite /Bldg. # City /State Zip — (i�Ard 0 it gr(zz3 Receipt #: a0o(1 — Name Approved By: C , C.c l / Property N H q Pro f7EA4i eS /...1....c. Date: - /0 — C4- , Owner Mailing Address Suite Map/TL #: ) S/3(pCO - 0 #1 0 0 :,SI)$) ce 84 rff 1 (S 4-.-I z Zoning: G g: C - City/State Zip Phone 6✓fi - oR, qtf005 Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business ,4)lJe r . Cqy) Boot C Building Permit Required? ❑ Yes El No Name Rev. 7/1/04 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 without the required submittal elements) copy of all C tate Zip Phone licenses are required if ❑ Completed Application Form expire. ' the Oregon Const. Cont. Board Exp. Date C' of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale .atabase) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign n Temporary ❑ Wall ❑ Electronic (Check all that ❑ 2 copies of elevations, drawn to scale apply) Other ❑ Billboard El Balloon (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" A Sign Dimensions: g , f X 3 ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): „24 ' ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S 0 W NE NW SE SW • o Wall signs do not need to be drawn to scale, Height to top of sign (feet): but but must include dimensions of wall face and Projection From Wall (inches): .5-00 sign placement. Copy: • Wall signs do not require site /plot plans. Materials: B p ytetr •• Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ No building permit. Type: ❑ Internal Al 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) 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 b 4 Signatur f Owner /Ag ;I t sgndra- {poirK5 Cp) --2z6 Contact Person Name Phone No. 8' a Boots Saie 3' Everything Must Go Site Address: 11652 SW Pacific HWY Tenant/Business Name: American Boot CO. Sign Company: Sign Scope 13185 SW Pacific Hwy Tigard, OR °TIGARD .. hpn "o'�c a • i3Ocoved ...- : - .. . • ..... �_ ..� ' � Cr i r ,c tlariab \ J; 01 acs (1 1 . .a r ��. 0 ,.., v1 t . .... 1 C Date' s