SGN2003-00249 t, w
CITY TIGARD SIGN PERMIT
4 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00249
,41111, �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/14/03
PARCEL: 2S 112BA -06200
BUSINESS NAME: CITY OF TIGARD ZONE: I -L
SIGN LOCATION: 14275 SW MILTON CT JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 4'
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install 2' x 4' permanent freestanding sign.
MATERIALS: WOOD
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:
DATE: 10/14/03
„,�+w, „ i,•, 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 4oru/714 P/4/2-k
Address/ Street Address � Permit No.: 5a N a o
oo - O. '.( c
Location /'/,776 / y/ i / Z 7o A) C-t- NM Suite /Bldg. # City /State Zip Expiration Date:
7/GA0 -0 Dg , 9 2,z_3 Receipt #: At
Name Approved By: L C�
Property £ iT'-/ o F 7 420 Date: / 15 -q-03
Owner Mailing Address Suite Map/TL #: aS I I d 1311 - 0
/i /g Se- r/All Zoning: -L
City /State Zip Phone
7 /GA at 9.7,023 sb3 -7i9 -as
r Electrical Permit Required? b Yes - 6 No
Tenant or Name
Business pe) (l;,6.s' Building Permit Required? ❑ Yes 0 No
Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc
Sign C.,D�
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, City /State Zip Phone , a
o
copy of all without the required submittal elements)
licenses are
required if 76 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 ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other El Billboard ❑ Balloon c6 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
,J New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: (7 2' y if l pN .y' pasts
❑ $ Fee (Permanent sign, any size)AVA_
Total Sign Area (sq. ft.): g Ft ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City El Urb
(Complete all Direction Wall, Faces (circle one):
items in this NOTES:
•
section) N S E W NE NW SE SW
Height to top of sign (feet): 5b ;,,aas • 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: 60N/r/} PA2k ei1 vaf /6Aa'
• Wall signs do not require site /plot plans.
Materials: irl-etc4 Posts — GJvod S /'Au ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 12rNo 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
❑ Yes
�o BECOME NULL AND VOID.
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 v �� , 20 o_ _
Signature of Owne Agent
gem j /V/ i
Contact Person Name Phone No.
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