SGN2011-00023 CITY OF TIGARD J,%.7,, rCrXirn1
g�.! Permit #: SGN2011 -00023
COMMUNITY DEVELOPMENT Date Issued: 02/15/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AD01601
Jurisdiction: Tigard
Name of Business: Burnham Circle Business Park
Business Address: 9037 SW BURNHAM ST
Applicant/Agent: Hopkins, Alan
Work Description: Placement of (1) one 32 s.f.t permanent freestanding sign.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'x8'
Total Sign Area: 32
Wall Area:
Wall Face (Direction):
Sign Height: 6 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
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: Ate, .. A
Permittee Signature: .141MMIOTIF
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City of Tigard n Lv `1
FEB 1 1 2011
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CITY 01=
GENERAL INFORMATION
Name of Development /Project
0�N 4rn Ct �cL-� FOR STAFF USE ONLY
Site C
Address/ Street Address P ermit No.: J CV 7 ,03 J I --0002,,
Location 900 Burz.it4a-tY\
Suite /B dg. # ' City/State Zip ` Approved By: ��
li �R_ 1 7A-13
/ Date: y l/
Name Receipt #: I S I '�
Property ' STING- D C 1 C T- Map /TL #: 1 ' • ) I O' /4 -01 LO d
M Owner Mailing Address Suite Z oning: U iCA30
() (C3 - 1-6(A3 e} Re, Allowable Total Area: 7J s . rf��-
City/State Zip Phone p� v
(16.403/L17223 53 �� �"`° Electrical Permit Required? ❑ Yes l]-No
Tenant or Name
Business //3� � {� S f J3 0 Building Permit Required? ❑ Yes g...-N0
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Name Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign Q( �
Contractor , Mailing Address Suite
City/State Zip Phone , f f'(�( ' UIRED SUBMITTAL ELEMENTS
applications will not be accepted
Oregon Const. Cont. Board License # Exp. Dat ut the required submittal elements)
d Application Form
Proposed Permanent ❑ Freestanding ❑ Preeway t U 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall ❑ Other t n
apply) size requirement: 8 /z x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: W / K 8 i size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ..)o`- ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) U ❑ $52.00 Fee (Temporary sign, any type)
Sign ° n Data =
(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
placement.
Materials: Lu D • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes g No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes "] No
r r cc • • t
(OVER FOR SIGNATURES)
t _ __ 1
of Tigard.
DATED this day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
ir 1____________________ ________
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CITY OF TIGARD
Approved .......... [I/
Conditionally Approved ... ..... [ )
For only the work as described in:
PERMIT NO. St w» e I Drn11
See Lett: r to: Follow ........................._...._ - [ l
Attach [ l
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CITY OF TIGARD KEGEII' I
• ? 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARI}
Receipt Number: 181470 - 02/15/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00023 Sign Permit 1003100 -43115 $143.00
SGN2011 -00023 Sign Permit- LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 797 KPEERMAN 02/15/2011 $164.00
Payor: DEANGELO'S CATERING, INC.
Total Payments: $164.00
Balance Due: $0.00