SGN2003-00087 03/14/2003 15:32 FAX 5035981960 CITY OF TIGARD 41 002
. 7
r , ,° _ SIGN I T APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (50.3) 684 -7297
GENERAL INFORMATION
Name of Development/Proje / ct FOR STAFF USE ONLY
Site 7 t� ` ‘,.3v ` v r
Address/ . Street Address �iy7 /� . - - I! Permit No.: S I ‘,2003
Location L Q S 5� i i /L`.v(j7 � i�6 r i.!:1 4 . y /% : i = .
Expiration Date: to t » ' � ! ,c�r �..�. _. "
Suite Idg. # City /State Zip
/ 3
7_ Receipt #:
Name Approved By: \\
•
Property Date: J t 57 ki 0
Owner Mailing Address Suite Map/TL #:
Zoning: h v t ic- i
City /State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Nam(:
// /�� p ,.j / / Building Permit Required? ❑ Yes ❑ No
Business _ ,_/p
NemE Rev. 01 licu •In \reasters\cvised\si•n •ormite••.doc
Sign
Contractor Malting Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
Issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are `
required If i ❑ Completed Application Form
expired in the Oregon Coast. 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 ether ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) I (3 copies, if a building permit is required)
4 ew sign? ❑Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: �' . L'
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): $15.00 Fee (Temporary sign, any type)
•
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
Items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): H but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: ( -Iq((t, , n Alti f - 1,lg • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a I.
building permit.
Will sign have illumination? ❑ Yes V,1 No • If work authorized under a sign permit has not
• Type: ❑ Internal ❑ Externs 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 No
If "yes ", a list or diagram of all i n dimensions and
square footage must also be submitted. -
(OVER FOR SIGNATURES)
03/14/2003 15:32 FAX 5035981960 CITY OF TIGARD 16003
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 . I i day of / 7 , 20
1161
Signature o 04 n r /Agent r
—i.. , [ieI 6-63.9i-7_56w
Contact P on Name Phone No.
4
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