SGN2003-00205 CITY OF TIGARD SIGN PERMIT
iT'" i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00205
��1�, DATE ISSUED: 8/29/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S113AD-01900
BUSINESS NAME: RELOCATION COORDINATORS ZONE: I -L
SIGN LOCATION: 16620 SW 72ND AVE B -10 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign. Sign #1. Valid 8/30/03 through 9/30/03.
MATERIALS: METAL /BOARD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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.
APPROVED BY: 6/7U de(4,141
PERMITTEE SIGNATURE: ��—
DATE: 8/29/03
r •A
}
Ate
�, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site O1 e9' 2 S / /2 °sS A? v/<
Address/ Street Address Permit No.: _ CAN a 00 3 -- b O,), O S
Location /��, Q s' . 7,____-- Expiration Date:
Suite /Bldg. #/e) City /State Zip
/ / 9 ) / 2 / 1 0 V , Q / Receipt #:
Name Approved By:
Property Pa e - - 77 Gr' t - Date:
Owner Mailing Address Suite MapJTL #:
a 3 S D j z i id/ Phone Zoning:
r. rj aS1)3 -01900
77rgv' Or. -o3 --. o Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name �pp &I( /e, / C/ ,
Business Building Permit Required? El Yes El No
�3plo (la'1oh C 144
Name A/0r0_ H� mf Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc
Sign
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 ❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign g Temporary Li Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
- New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:.
;x / 4 - Am72-2- ❑ $ .6760 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): y/ ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data Jurisdiction: ❑City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) NS E W NE NW SE SW •
Height to top of sign (feet): .' = . Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: s Wall signs do not require site /plot plans.
Materials: A2o.iq /s Z Boa Y'd • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ 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 tg 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 - day of /7 , 20D' 3
Signature of Owner /Agent
Contact Person Name Phone No.
/
1 '
.7,0,z1zo - /
\, '
'1
CITY OF TIGARD
Appioved ........... ..........................................
Conditionally Approved ..................... t
For only the wor as " scrili
PERMIT NO. - a00.
See Letter to: Follow ............................................
job cIns:1-5:-"C:Attach t
B.y; C ats:
r� Y OF TIGARD
13 12 5 SW Ha11 Blvd. 1 a
froilliti m ,d Tigard, Oregon 9 72 23
1
(503) 639 -4171
Receipt #: 27200300000000003896
Date: 08/29/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00205 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check ANNA MARIE HARLAN CAC 38642 In Person 15.00
Payment Total: $15.00