SGN2002-00253 CITY OF TIGARD
SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00253
.- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/20/2002
EXPIRATION DATE:
BUSINESS NAME: YOUR BACK YARD
SIGN LOCATION: 07301 SW DARTMOUTH ST PARCEL: 1S136DC-02504
APPLICANT /AGENT: YOUR BACK YARD ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign to advertise a spa sale
MATERIALS: WOOD /PLASTIC
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 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 1 days fro v- ' ity date.
APPROVED BY:
PERMITTEE SIGNATURE: ' -
DATE: 11/20/2002
CITY OF TIGARD 11 /20/2002
13125 SW Hall Blvd. 3:00:24PM
j; Tigard, Oregon 97223
6 1 (503) 63 9-4 17 1
Receipt #: 27200200000000004428
Date: 11/20/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
TUP2002 -00023 [LANDUS] Temp Use 1 -3 Mo. 100 - 0000 - 438000 205.00
SGN2002 -00253 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $220.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash MELINDA BMK In Person 220.00
Payment Total: $220.00
Page 1 of I cReceipt.rpt
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., ,.,. ,s SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION 1g- r ) 4/2 / kr (— -7 —0 3
Name of Development/Project FOR STAFF USE ONLY
Site VO tii 1 8,9c.e Yi972rD
Address/ Street Address Permit No.: C-1\1062 1 a - coal3
Location 730/ SW � o TC 7/ Expiration Date: — 03
Suite /Bldg. # City /State Zip
'.----- O Q- y y aif
/ / �/ CJ va'� or-- 97Zz3 Receipt #:
Name Approved By: IfIrVIC
4
Property 41f/60/1 /d's ?4 /.el Date: i ( t /6
Owner ailing Address Suite Map /TL #: /S/ 36 ®C - naSUc/
Zoning: C 6
El /State Zip Phone
/Lit a>ti0 Ole Electrical Permit Required? ❑ Yes leNo
Tenant or Name
Building Permit Required? ❑ Yes No
Business y D id/- gf e.,,e / 0
Name Rev. 01 -Jul -02 i:\curpin \masters \revised \sign permit app.doc
Sign
Contractor REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # .IT 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent 2<eestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ErTemporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ B ❑ Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: a i 43 i ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2 $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): .3 / but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: SPA- </KA- t(r v O. • Wall signs do not require site /plot plans.
Materials: W v o , o - ?t- ,. • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ILVNo • 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 overla 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 // day of J 4 vow4e- 20 0
/
S'•natur- • Owrer /Agent
e4e- a41
Contact Person Name Phone No.
2 �
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