SGN2004-00007 •
CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00007
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/14/04
PARCEL: 1 S 136DD -02600
BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY INC ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 41" X 28"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Valid 1/14/04
thru 2/14/04. Sign #1
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 validity date.
APPROVED BY: _. ��
PERMITTEE SIGNATURE:
DATE: 1/14/04
V
�i'i_, SIGN PERMIT APPLICATION
CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
, ENERAL INFORMATION
Name of DevelopmenuProject
Site M oc. -n. n ti Z.- " -w� FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5 y i 2 OL)' — Uv O �
1! 7 o S 5 (g r 14- A v c.-n, r
Expiration Date: I / /
Suite /Bldg. # City/State Zip `� /o Y — Y �o
"r5 o R 972 3 Receipt #: �� — �o 3'
Name Approved By: f
Property , S, 41 Date: 1 // / ' V 0 3
Owner Mailing Address Suite Map/TL#: (
p / 3 C , n.D_p 2- bc5 -0
i (70 c sw 6g%t fk,5- Zoning:
City/State Zip Phone
I i 4 0'2 9 7 7 Z3 _St)) &3i S Electrical Permit Required? ❑Yes
tenant or Na e - 0
3usiness of a : , ii z M� c k, rtesr— Building Permit Required? ❑Yes j No
Name 1 Rev. 8/7/2003 iacurpin\mastersVevisedlsign permit app.doc
'Sign
:Ontractor Mailing Address Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
;seance, a (Note: applications will not be accepted
opy of all City/State Zip Phone without the required submittal elements)
censes are
squired if
xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
;ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'ro posed (3 copies, if a building permit is required)
p ❑ Permanent ❑ -freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Ch k all that Temporary ❑ Wall ❑ Electronic
hec ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 2 v r x q I ,r
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
iign Data Total Wall Area (sq. ft. Jurisdiction: p City ❑ Urb
Complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) N S E W NE NW SE SW
Height to top of sign (feet): .1/ ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): AI A but must include dimensions of wall face and
Copy: 6,--e_ A 77 sign placement.
• Wall signs do not require site /plot plans.
Materials: L c r d • 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
kre there any existing freestanding or wall signs at this been completed within ninety (90) days after
pcation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
f "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. 1
(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 i' day of «, , 20 e L(
L
• - _ • is t. r /Agent
Ch:, 1 ; L, -, s 3 3 R - 7 6 3 5
Contact Person Name Phone No.
CTTY OF TIGARD 1/14/2004
13125 SW Ha11 Blvd. 11:05:21AM
ii,,.., •I�I�� Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200400000000000093
Date: 01/14/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00007 [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 MOUNTAIN PACIFIC KJP 8213 In Person 15.00
MACHINERY INC
Payment Total: $15.00
Approvad CITY OF TIGARD
. • ' •
Conditionally Approved E)(
Por only the work as described in:
PERMIT NO. SC7 no y - 0, 0o7
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