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SGN2003-00210 � 1 CITY OF TIGARD SIGN PERMIT i p DEVELOPMENT SERVICES PERMIT #: SGN2003 -00210 r 6=— 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/3/03 PARCEL: 1 S136CD -00101 BUSINESS NAME: WEST COAST BANK ZONE: C -G SIGN LOCATION: 11675 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 1 X 3 TOTAL SIGN AREA: 3 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one(1) three square foot banner. Sign #2. Valid 9/3/03 through 10/3/03. MATERIALS: VINYL 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. i APPROVED B PERMITTEE SIGNATUR . DATE: 9/3/03 9/3/03 1 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 Devel pment/Project � + FOR STAFF USE ONLY l� 4 Site eeii.ai Address/ Street Address (�N aoo ° t Location �/ 76 �� Afej Permit No.: J �Q Expir ation Date: 16 - 3-0 Suite/Bldg. # Cit / tate ,dip ' / / 9 ,1 Receipt #: -O o 3 ` ,3 3 CP Name / / Approved By: C Property v 0 J Date: 4 - 3--o 3 Owner Mailing Address Suite Map/TL #: i 5 13 LP C D W t 0 1 Zoning: C - G City /State Zip Phone Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business Building Permit Required? ❑ Yes ❑ No Name 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 ❑ F eestanding ID Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary Q W all ❑ Electronic (Check all that ❑ Other El Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) [r New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: ❑ $48 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): J[0,5 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 © 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: a Wall signs do not require site /plot plans. Materials: a Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ No building permit. Type: ❑ Internal ❑ External a 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 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 4/ //' , 20 03 Signature of Owner /Agent Contact Person Name Phone No. r 4 11. 1• CeS4 Example of Site Plan Parking 3 U O Driveway Retail Building 4 Parking ` , U M Freestanding 4172.TOTOYCEWIFIS Temporary Sign . z �' 5' Concrete Walkway 4 35' SW Commercial Avenue Site Address: 13524 SW Business Lane A Tenant/Business Name: A Better Office Products Company N Sign Company: ABC Sign Company 680 NE Letter Street Portland, OR 97200 Scale = 1" = 20' 503 -555 -4321 *Visual clearance area dimensions are drawn for this example only. i:\dsts\forms\signexmpl.ptt 01/13/99 For correct dimensions, consult the Community Development Code. CITY OF TIGARD 9/3/2003 13125 SW Hall Blvd. 11:35:58AM 40. ei... 1r,0111( Tigard, Oregon 97223 (503) 639 -4171 Receipt #: 27200300000000003936 Date: 09/03/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00210 [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 CreditCard WEST COAST BANK PAMELA CAC 003352 In Person 15.00 BROWN Payment Total: $15.00 Page 1 of 1 cReceipt.rpt