SGN2004-00306 A, CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00306
�i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/2004
PARCEL: 2S 110AA -01600
BUSINESS NAME: CANTERBURY ANIMAL HOSPITAL ZONE: C -G
SIGN LOCATION: 14350 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: FRIENDS OF SUZANNE GALLAGHER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32" X 48"
TOTAL SIGN AREA: 11 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, freestanding sign. (32" x 48 ") Sign #1. Valid from
10/21/04 through 11/21/04. Must be placed outside of right -of -way. Election sign
for Suzanne Gallagher.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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: e "' " `� ( �`" ( " ti--0---1
PERMITTEE SIGNATURE: " ,mac ey
D ATE: 10/25/2004
k t
Oct 18 04 04:11p Suzanne Gallagher ((503)431 p.2
FAX 5035981960 CITY OF TIGARD
41 SIGN PERMIT APPLICATION
CITY Of TIGARD 13115 SWHa11 blvd, Tigard, OR 97223 (503) 639-4171 FAX: (303) 684 -7297
GENERAL INFORMATION _� _
nerneorDevenpmniMmiect FOR STAFF USE ONLY
Sits a.t+k, i 3.�,M tJ0ce SGN ,2(.)C) 9
Address! Straa IAddtssa Permit No.:
Location (t(3 V3 S � 4-.e- t4. ; E xpiration Date: 1 1 A ° - o
sunda:i®.« CiyiStnta DP g ao04 — 5 d
- 7'j - • • Receipt*.
Name Approved By: C • e a.".,- v-,...)
Property CO k Date: / - .. , 1 °
J f r r u /4 n r ° 4
Owner Mailing Address suite MaplTL# (4? S 11 b fl-il — b 1(v 007
It{' s Pa. c 1 - — zoning: C -G
-1 = — Zip Pram
Tigae.:. Gt (oaf -13 00
r�t � Electrical Permit Required? ❑ Yes JO No
or Budding Permit Required? ❑ Yes q-No
Business Rev. en12009 kkurpNlmesterstrelisecAsipn perTmapp•
Warne /
Sign _ 1 K /
Contractor FACirm0Address Sine I REQUIRED SUBMITTAL ELEMENTS
(Priorm pe (Note: applications will not be accepted
I ssuance , a el Phone - without the required submittal elements) -
copy of a8
licensee °'0
required B ❑ Completed Application Form
expired in we Oregon Carat. Gant board Exp. Data
City of TIga,ya License ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
catabase) (3 copies, if a building permit is required)
proposed Permaneryt ❑ Fraesionding ❑ Freeway . size requirement 8'.& x 11 °, or 11 x 17'
' Sign Temporary ❑ Wan ❑ Electronic
IChedr we ace Otter ❑ emooard ❑ Beacon ❑ 2 oopies of elevations, drawn to scale
12ph0 (3• copies, if a building permit is required)
0 New sign? ❑ Alter to existing sign? size requirement 8' /2 x 11 °, to 24" x 36
Sign Dimensions: 32 X 461/ -❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /0.6 5 F pi 515.00 Fee (Temporary sign, any type) .
Sign Data Total WaJI Area (sq. ft.) , d • Jurisdiction: e2 City ❑ Urb
tcomprer° an Direction Wall Faces (circle one): 1,}071`5:
dams in this
Section) N g E W NE NW SE SW
Height to top of sign (feet): G F'T o Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wed (inches k -- sign placemenL
Copy: 0 Wall signs do not require site/plot plans.
Materials: o Freestanding signs over 6 ft. required a
Will sign have illumination? El External ❑ Yes
xt ernal building permit.
T ❑ Int No • if work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance a the permit, THE (90) days
WILL
location, including wall signs.thal overlpp a tenant space BECOME NIJLL AND VOID.
❑ Yes _No
If "yes " , e list or diagram of all sign dimensions and
s quare footage must also be submitted. •
(OVER FOR SIGNATURES)
•
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Oct 18 04 04:11p Suzanne Gallagher
DATED this
Signature of OwnerlAgerrt
E •d
FA% 5035981980 CITY OF TIGARD
(503) 431 -2742 p.3
1 hereby acknowledge that 1 have road this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
f C �y
kA-1, day of Y c-6
Contact Person Name Phone No.
,200
5100 —l30
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First American Title Insurance Company of Oregon
An assumed business name of TITLE INSURANCE COMPANY OF OREGON
1700 SW Fourth Avenue Portland, OR 97201-5512
, Phone: (503) 222-3651
This map is provided as a convenience in locating property
First American Title Insurance Company assumes no liability for any variations as may be disclosed by an actual survey
Reference Parcel Number 2 S 110AA 01600
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C.oh.na:y Approved [ 1
Fc N-.I.,, the work as described in:
il':. RiVil I NO. — S&AJ duo <4 - 0030G
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options for the 48" x 32" lawn sign
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FOR STATE REPRESENTATIVE
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CITY OF TIGARD 10/25/2004 -
13 125 SW Hall Blvd. 1:03:56PM
Aultrt Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000004660
Date: 10/25/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00306 [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
Check DANIELLE COX CAC 2275 In Person 15.00
Payment Total: $15.00
cReceipt.rpt Page 1 of 1