SGN2005-00379 v
CITYOF TIGARD SIGN PERMIT
i1(lhDEVELOPMENT SERVICES PERMIT#: SGN2005-00379
-IL 13125 SW Hall Blvd.,Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12/19/2005
PARCEL: 2S 102BA-00800
BUSINESS NAME: SEE-ZER PROPERTIES ZONE: I-P
SIGN LOCATION: 12155 SW GRANT AVE JURISDICTION: TIG
APPLICANT/AGENT: SEE-ZER PROPERTIES
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 60" X 44"
TOTAL SIGN AREA: 18 sq.ft.
WALL AREA: sq.ft.
WALL FACE(DIRECTION):
SIGN HEIGHT: 5 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of(1)one freestanding, permanent sign.
MATERIALS: WOOD
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.
711: 0 . (.1!4(.----y2..e,7--s.,
APPROVED BY:
PERMITTEE SIGNATURE: '�j
DATE: 12/19/2005 /
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^� /11 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 6e.e -tor Pf( 4teS
Address/ Street Address Permit No.: 6G N.-- UJ.0 003 7 c)
Location 11-15c So "Ave-
Suite/Bldg.# City/State Zip Expiration Date:
I` eia Q-12.2-3 ` Receipt#:
gee– p te pe es Approved By:
Property 91t'Zame
9 IA esee - Date:
Owner Mailing ress Suite Map/TL#:
Y , 0 r 134 SL aeab Zoning:
City/State '.Zip . �,2, Phone
���.bQ�t /!«-503-�'1q-�13 Electrical •Permit Required? El Yes ❑ No
Tenant or Name CJ`
Business Ze.e -2.v r n
(la p,.•r..,L}`..5. Building Permit Required? ❑ Yes ❑ No
Name Rev.7/1/05 i:\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
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if El 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 ,j Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
' Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other El Billboard ❑ Balloon ill copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
[' New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: &( " h
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq.ft.):
❑ $18.00 Fee (Temporary sign, any type) i
Sign Data
Total Wall Area (sq.ft.) l Jurisdiction: ❑ City [11Urb
(Complete all Direction Wall Faces (circle one): i
items in this NOTES:
section) N • S E W NE NW SE SW
Height to top of sign (feet): j • 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 building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall,signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes No - -- ---- --— . -
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 , 20
Signature of Owner/Agent
Contact Person Name Phone No.
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CITY OF TIGARD 12/19/2005
13125 SW Hall Blvd. 11:55:12AM
inn, i, 1 f' Tigard, Oregon 97223
�' "�_='� � (503) 63 9-417 1
Receipt #: 27200500000000006404
Date: 12/19/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005-00379 [SIGN] Sign Permit 100-0000-437000 33.00
SGN2005-00379 [LRPF]LR Planning Surcharge 100-0000-438050 5.00
Line Item Total: $38.00
Payments:
•
Method Payer User ID Acct./Check No.Approval No. How Received Amount Paid
Check SEE-ZER PROPERTIES CAC 3414 In Person 38.00
Payment Total: $38.00
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�l�FULL PAYMENT
OFTHEIFOLLOWINGAACCOUNT(IN S): � 1�i)
AMOUNT SEE-ZER PROPERTIES
• 14960 S.W.TUALATIN-SHERWOOD RD..,SUITE 106
'
! SHERWOOD,OR 97140-8367
DATE y01K-,� 1� 96-601/1232
1 PAY
TOTAL OF INVOICES TO THE eir.:-i ITL2CriORDER OF ' 1 $ 25-/
�1 LESS %DISCOUNT / / :4
z` 1. iJ►.Ll 1.A //!Tl DO L L A FO z;',E.s�„n�r
LESS Feabres.Dalails
k'•
LESS COLUMBIA RIV-y�:ANK,
1-888-600-8702 ''77 �y'.
j TOTAL DEDUCTIONS •
cReceipt.rpt AMOUNT OF CHECK / —^ /7.. (:).., �/ it
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