SGN2002-00149 C ITY OF TIGARD SIGN PERMIT
.�1?� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00149
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/02
EXPIRATION DATE:
BUSINESS NAME: CLUB K - INC
PARCEL: 2S112AC 0270
SIGN LOCATION: 07360 SW BONITA RD 100
APPLICANT /AGENT: ZONE: I -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 2'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x2' A -frame sign. Sign must be placed on
private property and not in the public right -of -way. Valid 8/24/02 - 9/23/02. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval tiatP
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 8/30/02
` .J .—
b4 i �� I I APPLICATION T
X11! AUG 2 7 2002
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY 01- TIGARD
GENERAL INFORMATION P LANNING/ENGINEERING
Name of Development/Project
3 FOR STAFF USE ONLY
Site -2I ve ivi UJ .4„-- _ G,1,
Address/ Street Acdress Q� s Permit No.: . / 2 - 00 Ri f
Location - 1362c) St&l [ 1/11 E ( — ` '' . xpiratio e: // I§
Suite /Bldg. # City /State Zip
j) Tic yx 4 9 . --ru Receipt #:
Name %% Approved By: i' 7,
Property 17.5 Y1) I.�lr'lp'r i 5P 5 Date: 6/3 o/o 2...
Owner Mailing Address i f Suite Map /TL #: /S // Z i c- 0z-70a
PO 6px 2 ' (07_ Zoning: TL—
City/State Zip Phone
1 I Oy4 i Electrical Permit Required? E] Yes [�No
Tenant or Name I
Business (., � 0 ki V.I -C1 I� J fo 3? -n p/7 Building Permit Required? El Yes [ No
Name 1. Rev. 01-Jul-02 is \cur.ln\ masters \revised \si.n.ermit
Sign 9/ 1 v OvJ , ,
Contractor Mailing •6 ress suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ( 90 Sub 12 ._ f� (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
(�( P [
licenses are . i
required if I. c i � J 0
re I 1 ❑ Completed Application Form expired in the Oreg 5 6/■
Const. Cont. Board Exp. �7 -`'�� 01
ate
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 2 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ ❑ ❑ ❑ 2 copies of elevations, drawn to scale
apply) Other Billboard Balloon
(3 copies, if a building permit is required)
a, New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: , x t
?j 2 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): Wall l7 /' �� $15.00 Fee (Temporary sign, any type) Fo r
• Sign Data
Total all 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): G but must include dimensions of wall face and
Projection From Wall (inches): . sign placement.
Copy: 0 u 1 K- -ei "(vi ED • Wall signs do not require site /plot plans.
Materials: p i t4k r i, f t , tJ obc( • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes Ni No building permit.
Type: ❑I nternal ❑External • If work authorized under a sign permit has not
yp 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 sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
1 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 /Y day of AASVS4 , 20 '
/- 7411d2...._‘' ,_.a*: °PP ______ _
L
Signature of Owner /Agent /
U/ a vie Kocr r_s o 3 - .? q , 0
Contact Person Name ✓ Phone No.
-
•
• Receipt #: 27200200000000003261
Date: 08/30/2002
TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00149 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00
SGN2002 -00150 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
SGN2002 -00151 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
• Check CLUB K -9 INC KJP 1017 $45.00
TOTAL AMOUNT PAID: $45.00
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