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SGN2004-00257
C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004- 00257" ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/23/2004 PARCEL: 2S115AA-01400 BUSINESS NAME: BRETTON WOODS ZONE: R -4.5 SIGN LOCATION: 16455 SW 108TH AVE JURISDICTION: TIG APPLICANT /AGENT: BUZWHITE SCREEN PRINT, INC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 6' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one freestanding sign. (sales information sign) Must be placed outside of right -of -way. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: • BUILDING PERMIT REQUIRED: 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 temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY f// PERMITTEE SIGNATURE: /<_/ G DATE: 9/23/2004 w w � lls SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Nam f Development/Project 1 / FOR STAFF USE ONLY Site YP ©� Pa Address/ Street Address Permit No.: $G )J , oO'} -Do-A 5'7 Location �� , (� oL1 ( ) �j� Expiration Date: Suite /B dg. # City /St to Zip /797 ' Receipt #: ,9 0 — 4a / S Name` / Approved By: e - ( Property 4 e- C K!//o/di9C1.-- Date: 9 -,?3 - 0 V Owner Mailingg dress Suite Map /TL #: 5 LISA A - 01--1 O0 l ie - ec,SQ/ Zoning: Li . S" City /State Zip Phone %! fir„J p 97�z,j SD.• 6.-3c /31/5 Electrical Permit Required? ❑ Yes No Tenant or N e / Building Permit Required? ❑ Yes No Business e, Business / Name Rev. 7 /1/04 iAcurpin\ masters \revised \sign permit app.doc Sign et.in 4t.,4 rr('yo e �, Y��4 H e REQUIRED SUBMITTAL ELEMENTS Contractor Mails Address Suite QUIR SUB AL (Prior to permit (Note: applications will not be accepted issuance, a /� n( 0-4-/,o without the required submittal elements) copy of all City/ ate ZiO Phone licenses are required if e>r' p.J 9,/9 ..5 '=Y ill Completed Application Form expired in the regon onst�. Cont. Board / Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed El ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign El Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other 111 2 copies of elevations, drawn to scale apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) [New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimens os: / ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (s . ft.): 4� ❑ $15.00 Fee (Temporary sign, any type) ot 2 7 f Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): (p but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 12ZNo 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 111 Yes RtVNo 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 Signature of Owner /Agent Contact Person Name Phone No. • ■III 4 6134611411 4000dS / . , ,_.: 1;ron, i Bart Hatch • 503-789-9298 Salm LSoeir FINAL NSTATE IC0444-7113S 1 emllynall et , N4 : II 0 con.—Y-G.,...... Al."....Thl is'i • . 00.0000 1814111-1243 iIIMININM. 11.11. ° 3 1 v RECORDED AS DOCUMENT NO. 4c q '- BROOK- FARM ", ' 2 SOUTH, RANGE 1 WEST, JNTY, OREGON / \\ SEE DETAIL "A" /` 60 / 21 \ 22 �� �` E / \ / / N00'11'57 'W N PER REBECCA PARK / / / 1.5 666.51' \ � ONLINE // 1 OECD N8 ' 02 ' W GRID ONLINE o t 2 .00' I © N 640633.6687 98.61' 85 `� \ \\ < '''4,, f E 7614531.3554 C 44 39.75' o 81.4 C3 55. N89'45'38 'W,' 46.8 G 71 T N30'14'25 "E 39.85' X9.00' p ` / ET C2 50 41, 51 ' 6.93' t ° N89'45'38 "W \' 14.97' ' iv N87'52'05"18 5 �. S. 21.51 (;P °/ 30.00' 30.00' 42.50 50 g �— I =1" 3 -- l 50.00 '; W C. i , L3 C • ‘ �' ° a o o0 10.00 2.34 M W.C. W co 0 0 1 1,, to P.U.E. r � ° 0 ( Z M 1p3 5.00' N N 'r 5 1 98 PUBLIC PUBLIC Q o o Iv SIDEWALK SIDEWALK 3 . z� O o . N87' 'W o EASEMENT EASEMENT (; N. N IX 0 42.50' - AND P.U.E. `n I 00 2 0 1 to TRACT "A" 0 b z 5,500 N 0 5,460 WQ�OPEN S PACE z d I o SF o SF o 10,689 SF Z Z 20.00' up - 9.00' WIDE- - RIGHT -OF -WAY 50.00' 50.00' ® 90.00' DEDICATION k. S.W. KENT STREET f i l 9.00