SGN2003-00280 CITY OF TIGARD SIGN PERMIT
,,, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00280
°�`'� c � I JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/19/03
PARCEL: 1 S126CA - 00300
BUSINESS NAME: BILLIARDS & MORE ZONE: C -
SIGN LOCATION: 09385 SW GREENBURG RD 100 JURISDICTION: TIG
APPLICANT /AGENT: BILLIARDS & MORE
BUSINESS TAX NO: 00300
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: POLYGON
TOTAL SIGN AREA: 65 sq. ft.
WALL AREA: 1,167 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 19 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Application for a 65 square foot wall sign to advertise a Billiards Store.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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 expir 0 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ('
DATE: 11/19/03
i
A t4 ,�,\ SIGN PERMIT APPLICATION
- I I I
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site KO; a £ MoYe- FOR STAFF USE ONLY
Address/ Street Address Permit No.: 2 603- 00080
Location G3 8'5 S W 6ree AS
Expiration Date:
Suite /Bldg. # City /State Zip
100 T1ai6e OIL 97223 Receipt #: DGY33 -z- i7 6r7
Name Approved By: 'BmK
Property Les Sci,,ab Date: tt -' - 03
Owner Mailing Address Suite Map /TL #: Is t'a(o CA; - 0O3OO
93g 5 - stA) 'rccN6u y Zoning:
City /State Zip Phone
-1 ` d1 Ok 9" 3
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?� � Electrical Permit Required? X Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 8/7/2003 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 w ithout the required submittal elements)
copy of all 'City /State Zip Phone q
licenses are
required if
2 Application Form
expired in the Oregon Const. Cont. Board Exp. Date � �
City of Tigard's License # Ltd' 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 ❑ [ co ies of elevations, drawn to scale
apply) ❑ ❑ Billboard B alloon p
(3 copies, if a building permit is required)
01 New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 2'X 25' 4. I 'x /S'
E Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
�,
s "it ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data fl � � 5t ' Jurisdiction: ^ 111 Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N CS) E W NE NW SE SW
Height to top of sign (feet): lc) ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches : Z but must include dimensions of wall face and
sign placement.
Copy: 6;11;445 Rittere I-h 74r'e re"'"' s ve • Wall signs do not require site /plot plans.
Materials: For,«J p(GSt.c la#er • Freestanding, signs over 6 ft. required a
Will sign have illumination? ,i Yes ❑ No building permit.
Type: ❑ Internal ,Q 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 [ No 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 , 20 0 T
Q
410 ,
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Signature of /wner Agent
Contact Person Name Phone No.
v • • • •, . • 1 1 V A • \ ,
I 1 /4 /2UU,S
13125 SW Hall Blvd.
Tigard, Oregon 97223 3:14:38PM
° (503) 63 9-4 17 1
Receipt #: 27200300000000004867
Date: 11/04/2003
Line Items:
Case No 'Fran Code Description Revenue Account No Amount Paid
SGN2003 -00279 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00280 [SIGN] Sign Permit 100- 0000 - 437000 31.00
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BUSTAX Business Tax - 9.1600 @ $1.0000 100- 0000 - 430000 9.16
• Line Item Total: $71.16
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash CASEY LEBOLD BMK In Person 71.16
Payment Total: $71.16
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CITY OF TIGARD
Sic e....),-/..,1,... ® Approved [ Al
S s Conditionally Approved [ ]
For only the work as described in:
-L) PERMIT NO. S GA - s— oo z t�
CV See Letter to: Follow [ ]
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Attach
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