SGN2004-00344 C ITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00344
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/2004
PARCEL: 1S136DB-00201
BUSINESS NAME: BIG TOWN HERO ZONE: C -G
SIGN LOCATION: 11571 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) 14 sq. ft temporary banner. Valid 11/22/04 thru 12/22/04. Sign
#2
MATERIALS: BANNER
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 om alidity date.
APPROVED BY: .
PERMITTEE SIGNATURE: Y. P.Pti
DATE: 11/22/2004
4 l�' SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site C 7 v
•
Address/ StreeY Address
��, ., [� �-}� P ermit No.: `j N Y — a a 1
Location tlK-4 I <AW P(�Q�Y l l' ""- y
Expiration Date: j f (7 z. / p _ L / Z.�,
Suite /Bldg. # City /State Zip
II (�, f
1 I�l.kfrf � `l �Z Z-11 Receipt #: -v‹ ) ,-,.5 - 7
Name Approved By: /.-
Property r )V Date: 11 I a ,-'
Owner Mailing Address Suite Map/TL#:
Zoning: ( C7
City/State Zip Phone
Electrical Permit Required? ❑ Yes J' No
Tenant or Name � `'
Business
Building Permit Required? ❑ Yes o
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 City /State Zip Phone
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 I Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign C emporary ❑ Wall
(Check all that 11 Electronic 111 2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard 111 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 Dimensions:�j ��
� - I`■ �: f-
I CI $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft ❑ $15.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City III Urb
9
(Complete all tion 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,
tght to top of sign (feet): 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 "- No 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
El 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 L._ day of 20
CA • +`
S ignature of Owner /Agent
VnNi e
Contact Person Name Phone No.
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