SGN2004-00317 CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00317
4441 DATE DATE ISSUED: 10/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S103DD -00600
BUSINESS NAME: TRI SQUARE DANCE CLUB ZONE: C -G
SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X 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: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner sign. 3' x 6' Valid from 11/27/04 through
12/27/04.
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. ,t
•
APPROVED BY: C ' J
PERMITTEE SIGNATURE: 1,1) °�� �
DATE: 10/27/2004
4
� � ''I 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 /I9ord 6
Address/ Stree Address Permit No.: ,5 G N a o o Li - pc.) 3 ( - 1
Location /3 7 76 1I /--) c i ft /I
Suite /Bldg. # City /State Zip 7 Expiration Date: l a -0?"7 - v
77/4 d Receipt #:_ a o oh - y v
Name Approved By: C . Cc-4 �.�
Property �, r �ri � u h € / 7 Date: IU � a.1- o �{
Owner Mai ling Address 4 Suite Map/TL #: a Si 0 3 b D— 00(0 U°
P ( 6eic :) _.?() ;Ls-a- Zoning: C - G
City /State Zip Phone
v
Tenant or
I ai q 'J 7.7 ,2_ I Sea S 1 6 �S7 Electrical Permit Required? ❑ Yes No
I h Building Permit Required? ❑ Yes X No
Business
h, t- - S _,
4 Qr 5 dg c �u h
Name / Rev. 7/1/04 ncurpin \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
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. 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 Freestandin
❑ Permanent ❑ 1
Freestanding ❑ Freeway s ize requirement: 8 /2" x 11", or 11" x 17"
Sign
® T emporary RI Wall ❑ Electronic
((Chi ck all that ❑ Other ❑ Billboard ❑ Balloon 11 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: / - X ;,e I ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 5 ,"` ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City ❑ Urb
) 3 ' . ' c "
(Complete all Direction Wall Faces (circle 4 ,--
NOTES:
items in this
section) N S E t �' 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
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials:, , • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 3 No building permit.
_ Type: ❑ Internal ❑ Externar • 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 7 day of & c , 20 C �{
}7/7
Signature of Owner /Agent
Contact Person Name Phone No.