SGN2004-00327 CITY OF TIGARD SIGN PERMIT
' VII DEVELOPMENT SERVICES PERMIT #: SGN2004 -00327
e DATE ISSUED: 11/9/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AA -00490
BUSINESS NAME: MADDY'S ZONE: CBD
SIGN LOCATION: 12085 SW HALL BLVD 130 JURISDICTION: TIG
APPLICANT /AGENT: MADDY'S
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 2' 8"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -board sign. Not to be placed in visual clearance
area or public right -of -way. Valid 11/10/04 through 12/10/04. Sign #1
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.
APPROVED BY: �'� e
PERMITTEE SIGNATURE: J �, r J,)
DATE: 11/9/2004
i
1 1/08/?034 12 : 4 5032'44 1� -:∎ Pr: ADD °r'� SP AG , �LRE E I PAGE X11
a I A TION
CITY chi" J;IC A D 131 ` ,1 SPI"ila '.111vd., Tigard, OR 97223 (503) 09 -4171 FA • (503)684-7
GENERAL. INFORMATIONv
I NI31118 of pevelopment;Projet
Site 1( Nil?
FOR STAFF USE ONL
Address! Scree Address
P S CoT�1aoo�( - Oil3�
Suitel8idg. # Gity°1State Zip
Exriratian No.: Dot &: I� — 11' d `{
70 t iC f • , Receipt #: a oo { -- 4 g s `4 —
Name T Approv ,ed By: C . Cam.
Property
t y j i le 2 -1". -� ,e d Dat4: 1 I 29 - o 4 Owner Mailing Addre S' it:. � � Map /TL- #: c 6 ( Oa A A — o0 4 q 0
/ ) ' .A, Q i ' , ° rc I Z on i ng: C3 p -,
c -., ;tats Zip Phone
L ufn) 1 lip 0 ' 1 Electrical Permit Required? ❑ Yes L i� 4
Tenant or Name
1 Building Permit Required? ❑ Yes , No
}?uslness : /.�A
Name Rev. 7/1h)4 iii :urpin'a'n;aeteeslrevisedtsign permit pp.doc
Sign 1 A.---..
Contractor tviallingAddress ,., t�r�a�" - RECZL�iRE S�1gMITTAL. ELEM irS
(Prior to permit
1' ! Note: applications
issuance, a ( will not be accepted
copy' of all Clty;statE� Zip Phone ' without the required submittal elements)
kenaes are i
required if I
Cana _ ( 0 Completed Application For
expired In the Orag Con rout, Board ! rr.; _ pate
:Ai of Tigard's License #
! I
I
f I L! 2 Copies of Site/Plot Flan, Drawn to Scab:
oatabe a __
' (3 Copies, if a building permit is required)
Proposed ❑ Permanent iM Freestanding ❑ Freewey I size requirement: 81/2" x 11 ", or 11" x 17"
em
Sign D Temporar ❑ Wall Q Electronic t ;f
(Cheek all m Other at f� ❑ 2 copies-of of elevations, drawn to scale
❑ Cl Billboard (3 copies, if a building perrr7it is required') l i
� 1 ICJ Balloon
New sign? Q Alter to ex sign? size requirement: 81'° x 11 ", to 24' x 36"
'+ Sign birnanslons; 4 i ' ,r t
❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / ` ,� _ X $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) / › Jurisdicticr,. 0 City E Uri
(ComP?ete all Direction Wail Faces (circle one): NOTES
items in this
semen' N & E W NE. NW SE SW
• Wall signs c o not need to be drawn to scale,
Height to top of sign (feet): 'g
l but must Include dimensions of wail face and
Projection From Wall (incnes): sign placement,
Copy: • Wall signs do not ragjuiire site:plot pions.
Materials r • Freestanding Signs over 6 ft. required a il
Will sigh have illumination? ❑ Yes X No building permit,
Type:
_ ! al !1 • if work authorized under a sign permit has not
.g. Intern � External it g. p
Are there any existing freestanding or %,ve I � ;signs at this been completed within ninety (90) days after
location, including wall signs thiat overlap a tenant space? the issuance of the permit, THE PERMIT W;LL
❑ Yes kr No i BECOME NULL AND VOID.
If "yes ", a list or diagrams of all sign dimensions and
mare footage rnust also be subry tted,
OVER FOR SIGNATURES)
11/' 12:44 E ?2442194 MADDY`= '2PAG ;LRE4:4DI PAGE 11/01
i hereby acknowledge that I have read this application, that the Information given
correct, that 6 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
677. r
DATED this day of , 20 ?7
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Signa ur- At {rier /Agee
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2 4 117-roft.-- griis -c9V
Contact Person Name Phone No
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Dift
MADD S
co\i ‘otA
NI A R LB 1Z.0
A
CITY OF TIGARD
Approved. . VC]
Conditionally Approved-- [ I
For only the work as described in:
PERMIT NO. S N ac)
See Letter to: Follow I
Attach
Job Address: 5 sscA)
e o-r-.e -0 -13
CITY OF TIGARD 11/9/2004
13 125 SW Hall Blvd. 2:46:10PM
Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200400000000004884
Date: 11/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00327 [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 MADDY'S CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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