SGN2010-00078 CITY OF TIGARD SIGN PERMIT
C Permit#: SGN2010-00078
COMMUNITY DEVELOPMENT Date Issued: 05/14/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business: Hands Berry Stand
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Rickard,James
Work Description: Placement of one(1)temporary A-frame sign. Valid 6/4/10 thru 7/4/10. 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: 3'x4'
Total Sign Area: 12
Wall Area:
Wall Face(Direction):
Sign Height: 4 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: =A/1
IMP SIGN PERMIT APPLICATION
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
_� n � o ����� FOR STAFF USE ONLY
Site / / i
Address/ / St tr re - ett / Address / 7„&/-).:(,, ��/ / PermitNo.: 5 () ZUIV ._0UCH"7g
Location /
�' �S o rU/ , / �f� // ���� p / 7 l !
x i ra tion Date: /'� / / u
"Suite /Bldg. # City/State Zip
Pie Receipt #: / 7 7 q S
Name .?" Approved By: K-1
Property 1 Y c>f N / Date: / ilro
Owner Mailing Address Suite Map /TL #: .1 Si v 3 A 0 - 0Q , C O
13 ?7O5 ca Nei N G i -koY Zoning: G
City /State Zip Phone
• ) //6 � r�� V' 23 � s9d >» Electrical Permit Required? ❑ Yes ['No
Tenant or Name
Business f /OS b/i!�-`'`- / 6 -X44/) Building Permit Required? ❑ Yes o
Name ,/' V Rev. 7/1/09
is \curpin \masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Poor to permit
issuance, spy a REQUIRED SUBMITTAL ELEMENTS
copy of all City/State Zip Phone
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) ❑ Completed Application Form
Proposed Permanent 3 Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 6 Temporary ❑ Wall ❑ Electronic 1 (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply)
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 / (3 copies, if a building permit is required)
q X3 size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
kz q 1, li ' ❑ $40.00 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): y • 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: p,(/ r7a ' • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 0 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
Q Yes El No NULL AND VOID.
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 A ( , 20 /0
.,/, �, l
: .f._ _
Si e of Owner /Agent
ME3 F/K‘K/9, - 36
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
' 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
IN GARD
Receipt Number: 177952 - 05/14/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00078 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00078 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
Check 1345 KPEERMAN 05/14/2010 $19.00
Payor: James A. Rickard
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1
R EV I 5 ED sl FE F).-NN,
PI 13 eer I ONA/- 51 1 4 9E5r6lv
Jimi 1 - suly 1,7 2010
\I
rCEtFO
---
Ey [Am
85' ' CITY P! TIGARD
PLAtol"!!‘",..7:Nto '
t [ l l I I I 1.
....ciaav ..I.
'tt 42%
■
.,, CITY OF TIGARD
- ed ----.
. tt. ,: Approved ......... ....._.... [ ]
U. , oniy the wok as described in:
PLANT NO. _, 4 v 1 - 0 oc.)
See Letter to: Follow .... ... ........................— [ l
ct
-- Z4s. ' K r•Q_Q-4- _r 5101 IN i
_
.
...
- ....,-(..
-...,_
c:: (>64'7 • . .
'--- ---- .
A
___ zov7,
0 cr--
. t
t i ) - 4
N .
ti.
..._ r 4
Pdfrir.5
■ /45•0' ? 1 - -
0
_ _ - ,--- ‘
- -- - ---- -
„ V
Pt al") 1 , 7 1
.) 5 i La 0
vel 9,41/Provc. i i 1/‘ '
fz› 0 Iii _....... .„-- .
t--
..-'
n If.d.1
/6r1 • • _
I f
kril
) t
‘r)
FR L S N
LOC