SGN2003-00157 . ,
C ITY OF TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2003 -00157
e. 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171 DATE ISSUED: 7/7/03
PARCEL: 1S135DD-00900
BUSINESS NAME: INTERIOR MOTIVES ZONE: C -G
SIGN LOCATION: 11875 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 15' X 15'
TOTAL SIGN AREA: 225 sq. ft.
WALL AREA: 2,700 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install new wall sign. 15' x 15'
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty 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.
a
APPROVED BY:
PERMITTEE SIGNATUR - � � �- �
DAT : 7/7
t - •,_ -s . .
. .
,. . . . . .
. .
A SIGN PERMIT APPLICATION . `
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
. Name of Development/Project •
FOR STAFF USE ONLY
Site �`l D Q WIO l c cc o. t . t- De, -,eq v -Tiv f • . /
Address/ Street Address Permit No.: S 6N a 0t3 " oo 15 7
Location V i 1,g7s < (Z Pfic( Fee !4„/ -f
Expiration Date:
Suite /Bldg. # City /State Zip
- ti-fe_ 40 OR_ c) 7 225 Receipt #: a 003 - x 8 4
'Name Approved By: e CG
Property i14 V 1-d e ue r
Date: r 1 - 7 -0 3
Owner Mailing Address 1 Suite Map/TL #: 1 513 5 1"-)D - 64 . 3 q O0
I I k1 r SW lP .1-1u/4 Zoning: C -6
City /State Zip Phone
1 a k vie t O e . 9 S 6 3 6 ?Y ?7 Electrical Permit Required? 'CI Yes ] No
Tenant or m •
Business
w�l� Building Permit Required ?,. CI Yes - No
,,�
Name Rev. 2/28/2003 is \curpin \masters\revised\sipn permit app.doc
Sign - 6 J N OTT-- .
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a ' • copy of all City /State Zip Phone • without the required submittal elements)
licenses are
required if ❑ Completed Application Form .
expired in the Oregon Const. Cont. Board - Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) •
. (3 copies, if a building permit is required)
Proposed ' -E4. Permanent , ❑ Freestanding ❑ Freeway • size requirement: 8 x 11", or 11" x . 17"
Sign ❑ Temporary , ❑ Wall ❑ Electronic
(Check all that ❑ Other 1:1 Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply) • (3 copies, if a building permit is required)
El New sign? El Alter to existing sign? size requirement: 81" x 11' ", to 24" x 36"
Sign Dimensions: / / i 3 i • °°
,. f ' El $38780 Fee (Permanent sign, any size)
. Total Sign Area (sq. ft.): woi- j El $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW • '
Height to top of sign (feet): / Wall signs do not need 'to be drawn ' scale,
�� but must include dimensions of wall face and
Projection From Wall (inches): 6 . sign placement.
Copy: • Wall signs do not require site /plot plans.
. Materials: IA) 0UI.) • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes VI No building permit.
Type: ❑ Internal ❑ External - • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ❑ No '
If "yes ", a list or diagram of all sign dimensions and '
square footage must also be submitted. -
(OVER FOR SIGNATURES) i •
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 , 20
Signature of Owner /Agent
Contact Person Name Phone No.
I
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t 3U.' 'ENG DIAGRAM - COMMERCIAL f ,D' ' .
j l ` , ':5 . 15'
RESTROOMS
I r MEZZ.
ABOVE
44.50' 13' x 29.25'
.1 I r
I 1 R
6.50'
11.50'
28. so' ENTRY E .
•
A
7
T
R 130.50'
NEWER . ENTRY
' [ • r A
I E
50.•5' '�_1_y '
1
I A D D I T I O N A
I a
..� (1988) L ' , 4 ‹! 6 ...0 5l
k. t
if
I 28.50'
g. r
(EL EVATED FLOOR) .
66.5Q'
sq
•
SKATC CALCUSAT2oN9
'' •t t
Al : 0.5 x 9.5x4.8 — 22.6
A2 : 50.3 x 44.5 — 2236.1
`k' - u A3 : 86.6 x 50.3 ■
4359.2
�• �:, A4 : 0.5 x 13.3x15.5 ■ 120.1
` AS : 71.3 x 15.5 ■
A.3 1104.4
A6 : 0.5 x 20.3x20.3 • 205.0 •
.. A7 : 66.5 z 20.3 ■ 1346.6
1 f . Al
First Fl 9354.0
Total Building Area 8394.0
7 CITY OF TIGARD ,
13125 SW Hall Blvd. 9:3'5:28AM
Tigard, Oregon 97223 ' do-
� �i (503) 639 -4171 •
Receipt #: 27200300000000002884
• Date: 07 /07/2003
Line Items: • • -
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00157 [SIGN] Sign Permit 100- 0000 - 437000 31.00
- Line Item Total: $31.00
Payments: _ -
Method Payer User ID Acct. /Check Approval No: How. Received Amount Paid
• CreditCard - TAMMY LEFEVER CAC 057186 In Person 31.00
Payment Total: • $31.00
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