SGN2002-00256 CITY OF TIGARD 'I
fi SIGN PERMIT
PER I I DEVELOPMENT SERVICES MIT #: SGN2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/2002
EXPIRATION DATE: z�zmmZ
BUSINESS NAME: DARLING DEDUCTION'S PARCEL: 2S112DB -00200
SIGN LOCATION: 15255 SW 72ND AVE
APPLICANT /AGENT: RANDA BROOKS ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 31" X 46"
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A - Board Sign.
- _ 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 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 validit • - e.
APPROVED BY: — ='' J PERMITTEE SIGNATURE: - A.
DATE: 11/22/2002
Aii
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
�' " ^ .c1 \ FOR STAFF USE ONLY
• Site X 1�Y c\is�-�S
Address/ Street Address Permit No.: ✓c v' P Rtire
Location t5a9 aV\t € : Expiration Date:
Suite /Bldg. # C ity /S Zip
AV Y18- q 7 (--( Receipt #:
Name Approved By:
t a Qi_ _ a y -13 Date:
Property ,,,t_V ra
Owner Mailing Addrest Suite Map/TL #:
\' )O'"JS 4 `7w- Zoning:
City/State Zip Phone
1 C,v` \ Q'4 69))16 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
li r g � f ' Building Permit Required? ❑ Yes El No
Business cc�
Name Rev. 01 -Jul -02 is \curpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite 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
required if E Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ET 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 rN. Temporary Li Wall Li Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
(I New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: i ,
31 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /IZ . 3 $15.00 Fee (Temporary sign, any type)
Tot A rea
all (Cl. ft. 0 /Ne- A - / c4 -fZt
Sign Data /A- r"-- >
(Complete all Direction S Weil Faces (circle d one);„, NOTES:
items in this
section) 619 E vV NE NW SE SW
• Wall signs do not need to be drawn to sca
Height to top of sign (feet): It but must include dimensions of wall face and
Projection From Wall (inches): ,N /4 sign placement.
Copy: ELev • Wall signs do not require site /plot plans.
Materials: lfep • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes rY1 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 ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. .
(OVER FOR SIGNATURES)
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
11/22/2002
13125 SW Hall Blvd. 3:05:59PM
Tigard, Oregon 97223
. 1. (503) 639 -4171
Receipt #: 27200200000000004460
Date: 11/22/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00256 [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
Cash ANISA MAS In Person 20.00
Change CITY OF TIGARD MAS In Person (5.00)
Payment Total: $15.00
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