SGN2003-00027 4 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00027
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 --Pi' DATE ISSUED: 2/6/2003
PARCEL: 1S135DD-00900
BUSINESS NAME: INTERIOR MOTIVES ACCENTS ZONE: C -G
SIGN LOCATION: 11875 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4X8
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: 748 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: 1
MATERIALS: PLYWOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 :le 10 days from validity date.
APPROVED BY: ,-"Ill
PERMITTEE SIGNATURE: I la
DATE: 2/6/2003
02/06/2003 12:23 FAX 5035981960 CITY OF TIGARD Z002
A
.�,..,,N� 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 -hvr l-e- 17 5 Acc rs : 2 sl644 Z
Address! Street Address Permit No.: 23 r I.
Location / /f3 ?5 (Ai . P �►`-t'ic //Iv y Expiration Date: �-
Suite /Bldg. # City /State • Zip
/ 02 11 Z 2.3 Receipt #: ' X193
Name Approved By: 'd' i ,
Property TM A-0 Lk .e_. Date:_ VXi /O
Owner Mailing AddreSS Suite Map/TL #:, I Si 3 S DV - oo l o0
/bolo Sw 621.401 D.2 H Zoning:
City /State Zip Phone
T11 A/21) ®2 972 b 3 S U o'
Electrical Permit Required? ❑Yes o
Tenant or Name
Business /41- e -_,'t4 N e/;- 8c0rti Building Permit Required? ❑ Yes g
Name Rev. O1Jul -O2 IAcurpin !masters\revised\Sk�n9ermlt app.doc
Sign Abia PACINc ,'
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Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 624 50�� �o "alrt) (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy Of all City /State Zip Phone
licenses are w , r7L /V 3373 cI' •
required if ❑ C ompleted Application Form O
expired in the Oregon Corist. Cont. Board Exp. Pate
City of Tigard's License # I 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 [5t] Temporary [l1 Wall ❑ Electronic
(Chock all that ❑ other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
0 New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: t c 5 '
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 32. S c i ❑ $15.00 Fee (Temporary sign, any type) .
Total Wall Area (sq. ft.) ,9
Sign Data 7��
(Complete all Direction Wall Faces (circle one): NOTES:
Items in this
section) N 0 E W NE NW SE SW
Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): 34 . _ . sign placement.
Copy: _ • Wall signs do not require site /plot plans.
Materials: ?Li ki,yc J4, • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes Q No • If work authorized under a sign permit has not
Type: ❑ Internal .External been completed within ninety (90) days after
' Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
. ❑ Yes II_ No
If "yes", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
02/06/2003 12:24 FAX 5035981960 CITY OF TIGARD 2003
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 6 day of /t/ ?v� , 20, 0 3
\ •,
Signature of Owner /Agent
?2_ d /
Cont_ ct Person Name Phone No.
CITY OF TIGARD 2/6/2003
13125 SW Hall Blvd. 3:12:58PM
»nml, Tigard, Oregon 97223
-! ► (503) 63 9-4 17 1
Receipt #: 27200300000000000493
Date: 02/06/2003
Line Items:
Case No Tran Code Description Revenue Account.No Amount Paid
SGN2003 - 00027 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check KEY BANK MET 549731 In Person 15.00
Cash RYAN FRAUNFELDER MET In Person 20.00
Change CITY OF TIGARD MET In Person (5.00)
Payment Total: $30.00
Page 1 of 1 cReceipt.rpt
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