SGN2010-00007 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2010 -00007
COMMUNITY DEVELOPMENT Date Issued: 01/19/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S115AB01900
Jurisdiction: Tigard
Name of Business:
Business Address: 16200 SW PACIFIC HWY E
Applicant/Agent: Beeler, Cassie
Work Description: Temporary banner (3' x 8') to be placed on face of building. Valid from 1/19/10 -
2/18/10. Sign permit #1.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' x 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: Vinyl Banner
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $ I oo
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: 0 • C �t�
Permittee Signature: Pte-)
i
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
—a . ; ` Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site Cr, /� C` t
Address/ Street Address Permit No.: 5 j h of O — OO O0 7
Location (0 zoo W OcAct c;c_ Expiration Date: a ^ I8 -,2o/ O
Suite /Bldg. # City/ate Zip
50..�.e F T tcl,t rd ck on. ZZ ` Receipt #:
Name Approved By: 0 . C 0, - '-"./ -1
Property Date: / _ /`1 -/0
x Owner Mailing Address Suite Map /TL #: c 2S /15 4(3 - 0/900
Zoning: C G
City/State Zip Phone
Electrical Permit Required? ❑ Yes 01 No
Tenant or Name
A Business C-Nrk.ukA `-^ j p ' , LA 5 Building Permit Required? El Yes ® No
Name Rev. 7 /1/09
is \curpin \ masters \land use applications \ sign permit app.doc
Sign 5 Ni pn per-:i ej Par-IvNe,sh;,4
Contractor Mailing Address L Suite
issuance, permit 1 142' l� t� S 141-104 .sT
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if T 1141 A d O IZ 97.10 S without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City t Tigazd's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17"
apply)
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
)( Sign Dimensions: 3, X 2) , (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
k Total Sign Area (sq. ft.):
-24 ,- t7 _ -r4 . 111 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy:
• Wall signs do not require site /plot plans.
Materials: U �( pit_(\(\Q,r ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes 1=1 No 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 l , 20 1.
______s_a_Ut_ Alli _ 11111 i i ,• if
Signa Owner /Agent
iril[33) (13.59.--QS)--- ()3 1 3 3q- 9
Contact Person Name Phone No.
t 1 0 ajj-5
e:A=J , 019 .
CITY OF TIGARD RECEIPT
11
3 g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 176618 - 01/19/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00007 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00007 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 197 DADAMSKI 01/19/2010 $19.00
Payor: Casandra L Beeler
Total Payments: $19.00
Balance Due: $0.00
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