SGN2007-00098 a • CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00098
DATE ISSUED: 5/25/2007
T�I RP 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102 C B -00200
BUSINESS NAME: TIGARD - TUALATIN SCHOOL DISTRICT ZONE: R -12
SIGN LOCATION: 13125 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):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3' x 8' banner. Valid 5/25/07 - 6/25/07. Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spedalty 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.
APPROVED BY: /<-
1
l�n
PERMITTEE SIGNATURE: /\C- 0)-0-12-e.0
DATE: 5/25/2007
•
ti SIGN PERMIT APPLICATION
. .
City of Tigard Pemat Center 13125 SW Hall Blzd , TigawI OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site Ilya ,a T A S 5k-1/tit.
FOR STAFF USE ONLY
Address/ Street Address J y i -1- `' 7- O o 0 9 T d
' - �^ Permit No.:
Location � ( 2 FrG 1TW
n
Suite /Bldg. # Gry to Zip Expiration Date: `Sf - S/ o / 2 - (° 72- EA7
1 IG ` 122`-`' Receipt # : �o ? - Z 3 `f 7
Name 19 cord
By
Property 0 - W— Date: `` gjZ.5 /d - 7
Owner Mailing Address Suite Map /TL# : . ! 73 Z C — 6- 2y
Zoning: a-
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes [11.4.40
Business Building Permit Required? ❑ Yes 3
Name Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses (Note: applications will not be accepted
required without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database)
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign all that ❑ Temporary ❑ Wall 1=1 Electronic (3 copies, if a building permit is required)
apply) ❑ Other ❑ Billboard =1 Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 I X , (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $39.00 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
c placement.
Materials: • Wall signs do not require site /plot plans.
• 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 ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
i.
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.
DA'1EDthis day of /v, ,20 07
othd
Signature of Owner /Agent
ck� U. 603 ^(f334 -- 17S9
Contact Person Name Phone No.
IN CITY OF TIGARD 5/25/2007
q 13125 SW HaII Blvd. 1 12:28:29PM
Tigard, OR 97223 503.639.4171
TIGARD.
Receipt #: 27200700000000002347
Date: 05/25/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00098 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00098 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check REBECCA & JOHN HURD KJP 1109 In Person 19.00
Payment Total: $19.00
cReceipt.rpt Page 1 of 1
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