SGN2010-00105 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00105
COMMUNITY DEVELOPMENT Date Issued: 06/04/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S112AA00600
Jurisdiction: Tigard
Name of Business: Stone Wood Outlet
Business Address: 6777 SW BONITA RD 120
Applicant/Agent: May, Steven
Work Description: Placement of(1)temporary A-frame sign. Sign#1. Valid 6/7/10-7/7/10. Sign must be
placed on private property and not in the public right-of-way or visual clearance areas.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 2'x3'
Total Sign Area: 12
Wall Area:
Wall Face(Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
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:
Permittee Signature:
SIGN PERMIT APPLICATION
Er " City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
p ��' FOR STAFF USE ONLY
Site kkk On 1 C Ce4. -. t'tr'
Address/ Street Address n Permit No.: S (7/�a -a 1 0 - UJ /
Location („2 .Cla Vplti 0, 1 -A I
Suite/Bldg. # City/State Zip
Expiration Date: / 1 { l 7 7 /t
r40 /T) t 1 �^'! V (1 � Receipt #: ( $ ,` oa
Name c.. ¥ O h C lis.) 0 R Approved By: K p
, 1 Date: (O WO
Property ;1 J" 2�SU l LLC
Owner Mai ling Address �p Suite Map /TL #:
Li OS ioi l kw A 0 Zoning:
City/State Zip Phone
C}_LL7ui5 (Al 34 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business
si-o N 2 L)000 O+-{ , Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/09
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 are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) I ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign M....Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon t " 11", 11"
apply) size requirement: 8 /s x 11 , or 11 x 17 "
E New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / l (3 copies, if a building permit is required)
X 3 a '/t size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): /.� rJ '
�P / �®�-f' (/z � t ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) $19.00 Fee (Temporary sign, an
g . ❑ $ ( p rY gn� y type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N OE W NE NW SE SW
Height to top of sign (feet): 3 / ♦ 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: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes a No permit.
Type: ❑ Internal a 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
NULL AND VOID.
❑ Yes IZI 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 L i day of , 20
Signature
,i 1 7---/7
f n er /Agent
5 e-u-e--c— A-1 5-D3 -?-D-- `� 62
Contact Person Name / Phone No.
6713 6713 6713 6713 6713
6777 6777
6777 6777
Feet
125 FtQNITA t�D
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T1GARD;
Receipt Number: 178200 - 06/04/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00105 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00105 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
Credit Card 259364 259364 KPEERMAN 06/04/2010 $19.00
Payor: Styeven may /Stone Wood Outlet
Total Payments: $19.00
Balance Due: $0.00
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