SGN2011-00072 il Y „ CITY OF TIGARD SIGN PERMIT •
,:; Permit #: SGN2011 -00072
COMMUNITY DEVELOPMENT Date Issued: 06/21/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: Miller Paint Co
Business Address: 15951 SW 72ND AVE
Applicant/Agent: Hauzenberger, Steve
Work Description: Placement of one (1) temporary sign 8' x 30" Must be placed on private property, not in
public right of way. Must meet visual clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 8' x 30"
Total Sign Area: 20
Wall Area:
Wall Face (Direction): East
Sign Height: 12 ft.
Projection From Wall: 3 in.
Illumination: No Illumination
Materials: Vinyl /Plywood
Electrical Permit Required:
Building Permit Required:
Total Permit Fee: $52.00
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: / Sail
Permittee Signature: j��+- i,, 1
City of Tigard
i r fi
1 . Sign Perm Applicat
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
,n
Site 101 t / - 1"c.4 1 r-, ( 0
Address "Street Address (I (� 7
/ Z Permit No.:
Location (� C3 S I (L) - 261 ItL " A Approved By: .. i A (
Suitc /Bldg. # City /St ate Zip 41 4 P0,4)...,/ - 6.)? 9 -7a.N Date:
Name Receipt #:
Property "e 6 C41,.' + is 1' Map /TL #: ohs (1 a v OD ? 0
Owner Mailing Address Suite Zoning: ( T
1 ` � ?S'Q 56.3. Ses4 df Allowable Total Area:
(C ity /State Zip /r �[ Phone e'
d /4��4 of ) T 503 t'°3S'S
Tenant or Electrical Permit Required? El Yes EA'Slo,
•
Business IM t t \.,, Pe-. Aj {- (/ Building Permit Required? ❑ Yes o
Name �-+ Rev. 7/1/1D
t. \ cumin \ masters \land use applications \sign permit app.doc
Sign �a 1 /2 �-
Contractor Mailing Address Suite
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding Freewa
❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Roof ❑ Electronic
(Check all that (3 copies, if a building permit is required)
all ❑ Other
aPPly) size requirement: 8'/2" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
4 New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ? x 3 d i 0 size requirement: 8' /z" x 11", to 24" x 36"
Total Sign Area (sq. ft.): 9 O ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) ❑ $52.00 Fee (Temporary sign, any type)
Sign Data 1 O =
(Complete all Direction Wall Faces (circle one):
items in dos . NOTES
section) N 5 (J W NE NW SE SW
Height to top of sign (feet): oZ .P • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches). 3 1 v must include dimensions of wall face and sign
placement.
Materials: P L j (,rj,, • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes c x, No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External pennit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes X No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2
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 I.n day of f3 ( , 20
1
ignature of Owner/ ent
r� �.2ze -11 YS.GY' 3 - Z; (145 5o3
I
'Contact Person Name Phone No.
"30 51 z=. (5X ft) 11
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 of 2
•
66'
��
J J �
o
0 0 �� 1
6 1 i'l
SW 72ND AVENUE SW 72ND AVENUE
r I I
/ ru nimnmm�nnnmmoinnni L---= —j NnnmV (1
t "`°, ,,,' m�( mum] J emu iwi{ f 1 dli- unu _ I� ��
� F ( 220) �� - _(21 S) N _ (219) (215) ■ `
_,„---
• c, .����������� 5 �� Ti (21 -4,
NE R N cvn"" ,, ..,,.. ` .�.— ' ( 21 Z• 1_4111- 0
G' ; ';
,I—' �.^ •^' ,;`•::, e ll��� I - -
.11111111Mo .,
BURUNGTON NORTHERN RR
_ __— ___ _ SW -T' AVENU
z OREGON BUSINESS PARK III
\ PORTLAND, OR 97224
SCALE I " =30'
0' � z � 0 40' 0 60' 3/31 /10
A PACTRUBT PROPERTY
CITY OF TIGARD RECEIPT
w i1
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TI
Receipt Number: 182954 - 06/21/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00072 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00072 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash STREAT 06/21/2011 $52.00
Payor: Steve Hauzenberger
Total Payments: $52.00
Balance Due: $0.00
Page 1 of 1