SGN2003-00306 C ITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00306
L�l " ,; DATE ISSUED: 12/1/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD-03301
BUSINESS NAME: JACSON HEWITT TAX SERVICE ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 224 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (2 sided /3 legs). Sign #1. Valid from
12/20/03 to 1/20/04.
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:
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J e- a. r •
PERMITTEE SIGNATURE: I A 1,A
DATE: 12/1/03
i n
'11/10 17:14 FAX 5055981960 CITY OF TIGARI> T1002
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A . , SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (50) 639 -4171 F:4.k? (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site / /P4� S Ai /94(-11/e-- 'I
Address! Street Address Permit No.: SS N c 2do 3— 003t
Location Expiration Date:_ f / as/ DJ- _
Sulte?Bidg, City/State Zip o2ao3 SaO
I
7 ?2 2 3 Receipt #:
hlamC
Approved By:._ C • e d
Property /eik%D/ / d Zie-
Date: l a- I- 0 - 3
Owner Mailing Address -Suite Map/TL #: 1.5135 DD- D- 033 o I
2 3.20 NZ / _ _ Zoning:_ C.C.
City/ // state Zip Phone $f
'V 6.' 1vA. 9( S.. j 13 _ 5 7s Electrical Permit Required? ❑ Yes lg Name No
Tenant or Building Permit Required? ❑ Yes p No
Business jAt +A/ ffewri7 724-7 SE.Qy /G
Name Rey, 6/7/2003 i:\cu •In'.masterstrevised\Si n ermd a••.doc
Sign r
Contractor Ma Address —7 Suite i REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
req.irea it _ I ❑ Completed Application Form
expired in the ■ Const. Cont, Board Exp. Date
City of igard's _icense # 2 Copies of Site /Plot Plan, Drawn to Scale
databaseL
J (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign i emperary ❑ Wait ❑ Electronic I t S
(Check all that / ❑ Other ❑ Billboard ❑ Balloon " U 2 copies of elevations drawn to scale
_Epiy) — (3 copies, if a building permit is required)
A N e w s ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 3/ X 4 / 31-13 ' ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /d / 0 � '` `�` $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) N S E W N E N W SW
Height to top of sign (feet): i • Wall signs do not need to be drawn to scale, i
i but must include dimensions of wail face and
I.
Projection From Wall (inche- sign placement.
Copy: I ® Wall signs do not require site /plot plans.
Materials: ixUD04 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X No
� building permit.
e:
T ❑ Internal External • If work authorized under a sign permit has not ;
Are there any existing freestanding or wall signs at this I been completed within ninety (90) days after
. location, including wall signs that overlap a tenant space? I 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)
11/10/2903 17:15 FAX 3035981960 c_CITI OF TIGARD 0 003
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
Signature of Owner /Agent
Contact Person Name Phone No.
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CITY OF TIGARD
Approved [
Conditionally Approved [
For only the wo as described in:
PERMIT NO 6 -00 3° Cr.
See Letter to: Follow [ [
Attach y [ 14
Job � ^.ddress:cl0 119(45 scJ Pu'� 0"
5 Date: _.1A--( -03
CITY OF TIGARD
13125 SW Hall Blvd.
12/1/2003
4:27:14PM
A Tigard, Oregon 97223
`lil (503) 63 9-4 17 1
ma Receipt #: 27200300000000005209
Date: 12/01/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00306 [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 ETUKSON FINANCIAL CENTER CAC 2542 In Person 15.00
Payment Total: $15.00
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