SGN1999-00137 C ITY OF TIGARD SIGN PERMIT
A; 4`` ra t , DEVELOPMENT SERVICES PERMIT #: SGN1999 -00137
AU .,��i 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/1999
EXPIRATION DATE:
BUSINESS NAME: BENNETT PORTER PARCEL: 2S101AA -09101
SIGN LOCATION: 12559 SW 69TH AVE "`
APPLICANT /AGENT: BRIAN KEICHER ZONE: MUE
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Installing a permanent 21 sq. ft. freestanding sign.
MATERIALS: MASONRY /STEE
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval data
APPROVED BY: ` ' V\ / 1 " --.
MITTEE SIGNATURE: r' (c ( (n� A1J
PER le
DATE: 11/22/1999
0 'm^ s • %ITY OF TIGARD Sign Permit Application Recd By Date Rec'd / - 15 -- 99
k 13125 SW HALL BLVD. Permanent or Temporary Permit No. C o N 1 : 2 , 1 3 7 I
TIGARD, OR 97223 Commercial or Residential Permit Fee .1 '
(503) 6394171 Receipt N T - (1
- Please Print or Type. Called rtilki
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site sCv wETT/ct - te. OFelcE g(0 location, including wall signs that overlap a tenant space?
Address/ Street Address Q Yes
jNo
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Location IZ 5 - 5 - 1 S4J L� .- If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. .
Suite /Bldg. # City /State Zip
If C'A'S, On 4 7)--) .
Name NOTE: If work authorized under a sign permit has not
Property R4- Prt - le ri £S , L L. L. been completed within ninety days after the
issuance of the permit, THE PERMIT WILL
Owner Mailing Address xi Suite BECOME NULL AND VOID.
)75 sc. C
City /State Zip Phone I hereby acknowledge that I have read this application, that the
VGA-1 information given is correct, that I am the owner or authorized agent of the
n, owner, and that plans submitted are in compliance with the City of Tigard.
Tenant or Name f� "; Business )>7U�
k)T T //�U� - E. /�
7 gn re of Owner /Agent Date
Name / ////)7 S 5
Sign 0 ( µ> E- Contact Person Name Phone
2
Contractor Mailing Address Suite 13 / ,t) /c L L /f G O -6/5
Prior to permit
issuance, a
copy City /State Zip Phone
of all licenses
are required if Required Submittal Elements
expired in Oregon Const. Cont. Board Exp. Date
C.O.T. License # gf Completed :application form —
database 21-2 Copies of site /plot plan, drawn to scale
Proposed S' Permanent ,Freestanding ❑ Freeway (3 copies, if a building permit is required)
Sign ❑ Temporary ❑ Wall ❑ Electronic size requirement: 8 -1/2" x 11 ", or 11" x 17"
Check all that ❑ Other ❑ Billboard ❑ Balloon
apply Note::: Wall signs do not require site /plot plans.
-New sign? 2 copies of eleVatibns, drawn to scale
❑ Alteration to existing sign? (3.copies if a building permit is required)
size requirement: 8 -1/2" x 11", to 24" x 36"
Sign Dimensions: �/ X 7 / Note:: Walll.signs do not need t� be drawn to
Total Sign Area (sq. ft.): ^/ scale, but must include dimensions.
Sign � j( ii $50 Fee (Permanent sign, any size)
Data Total Wall Area (sq. ft.) / � ❑ $15.00 Fee (Temporary sign, any type)
Please A7
complete Direction Wall Faces (circle one):
each item .
in this N S E W NE NW SE SW FOR OFFICE USE ONLY:
section
Zoning:
Height to top of sign (feet): MaPrrL# 10 /�4 0 Z
��0 /4 E-
Notes
Projection From Wall (inches): , )�
N Electrical Permit Required? Yes ❑ No
COpy :?S,o, // Building Permit Required? ❑ Yes No
/ x.55 6e-c) lis'
Materials: � j Approved By: �J Date of Approval:
Will sign have illumination? Y es ❑ No E xpiration Date: ,() 0,ti 5
Type: ❑ Internal] ernal d
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