SGN2002-00262 CITY OF TIGARD SIGN PERMIT
4 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00262
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/27/02
EXPIRATION DATE:
BUSINESS NAME: TIGARD BEER & WINE PARCEL: 2S102AC -00500
SIGN LOCATION: 12492 SW MAIN ST
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 71" X 24"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq ft temporary banner. Valid 12/26/02 thru 1/25/03.
Sign #2
MATERIALS: VINYL
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 from validity date.
APPROVED BY: '
PERMITTEE SIGNATURE:
Oh
DATE: 11/27/02
p
4 vib ifts 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 6AR") 8/ 1W'
.0 � Z� Z
Address/ t reet Address Permit No.: S N 2 2— v
Location / c1I9.1._ --3.& l '14 /N S÷ Expiration Date: tL— 2,(0 -(a- - I "' Z'S-Q3
- Suite /Bldg. # City /State Zip
(/ (�
6�-k ,( is 97o 01-3 Receipt #:
Name Approved By: X
IIl/,,' '/ Date: 11 / 1 -1��
Property eli - ta�C i/ Y �l�tJ.D v to Z /-� - •
Owner Mailing Add ess , Suite Map /TL #: 2 5
�9� S Zoning: G69
� YV N(�bnl S�
City State Zip Phone
`�/G en
P , 97)'3 j -639 1115 Electrical Permit Required? ❑ Yes No
Tenant or Name
Business Building Permit Required? ❑ Yes [ No
Name Rev. 01 -Jul -02 is \curpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
accepted acce
(Prior to permit (Note: applications will not be p
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 # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent El Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign S Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
j 21 New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: it
g 7/ 0,1V'/ El $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): � //f «,
❑ $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 ((NO NW SE SW
• Wall signs do not need to be drawn to scale,
Height top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: V/ A) L • Freestanding signs over 6 ft. required a j
building permit.
Will sign have illu (nation? ❑Yes No • If work authorized under a sign permit has not
Type: ❑ Internal Ext n al been completed within ninety (90) days after
Are there any existing freestanding or w igns t 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 4I), ,7 day of , 20 e) 2---
A , 0.0.
Signature of Owner /Agent
53-Z,_39:-/ W- 3
Contact Person Name Phone No.
CITY OF TIGARD 11/27/2002
•
13125 SW Hall Blvd. 11:07:38AM
A Tigard, Oregon 97223
! ► 111 (503) 639 -4171
Receipt #: 27200200000000004522
Date: 11/27/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00261 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2002 -00262 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check TIGARD BEER & WINE KJP 6953 In Person 30.00
Payment Total: $30.00
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Example of Site Plan
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SW C ,,. - 1 Avenue
Site Address: 13524 SW Business. Lane
Tenant/Busines' Name: A Better Office Products Company
II
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503 -555 -4321
*Visual clearance area dimensions are drawn for this example only.
t.Mto:tasvig xmpt.pu 01/13/99 For correct dimensions, consult the Community Development Code.