SGN2003-00241 CITY TIGARD SIGN PERMIT
Ii DEVELOPMENT SERVICES PERMIT #: SGN2003 00241
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171' DATE ISSUED: 10/2/03
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 #2. Valid from 10/2/03 through 11/2/03.
MATERIALS: METAL /BOARD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE: I
DATE: 10/2/03
, ..
R _,...
A,,,;;,� r h l ,;, 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 Ote9 m gas /GI t°SS fi.it// -
Address/ Street Address Permit No.: s _5 (;,N a 00 3 - ll oa
Location /1,4,0 S - . - 7 . .
Suite /Bldg. #f City /State Zip Expiration Date: 11" a 3
7W/4 P- g7aa, Receipt #: a003 - 2435:3
Name Approved By: C . e .G-)
Property Poe- - 7 - /'7 . Date: to "a -c'3
Owner Mailing Address Suite Map/TL #:
I,S3S0 � d Zoning: l -L
City /State ZOWNW Phone as
Tye Or • -_ 3 - � Y Electrical Permit Required? ❑ Yes 0 No
Tenant or Na e /11 )/ / �/7f / 42 �
Business 7'T Building Permit Required? ❑ Yes [ No
Name m Ktoni,g,lc Rev. 2/28/2003 iAcurpin \masters \revised\sipn permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a n
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 U Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
14 New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:.
2 ,-y 4 -Amw ❑ $36760 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): A5 / 3i. o
❑ $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 to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: /7 Z Boa rd • 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.
ID Yes TEI 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 r ,2 , 2O4'
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 10/2/2003:
13125 SW Hall Blvd. 12:00:37PM -
� � II Tigard, Oregon 97223 ,
U �' (503) 63 9-4 17 1 .
Receipt #: 27200300000000004383
Date: 10/02/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00241 [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
Cash RELOCATION COORDINATORS CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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