SGN2002-00276 CITY OF TIGARD SIGN PERMIT
1 * -, 11 IA DEVELOPMENT SERVICES PERMIT #: SGN2002 -00276
F- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/17/02
PARCEL: 2S 103DD -00600
BUSINESS NAME: BARTELS CHRISTMAS TREE SALE ZONE: C -G
SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: GREGORY BARTELS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 5'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 15 sq ft freestanding sign. Sign must be placed on private
property and not in the visual clearance area.
MATERIALS: PLEXIGLASS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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_clayn validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 12/17/02
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° i. 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
Address/ Street Address .5 (� Permit No.: 7/\ Zoo Z — C3 o 2.-
Location 1 311 U S� P Ac A LLki Expiration Date:
Suite /Bldg. # /State Zip -
`\ l drCt 0 E. q �1 3 Receipt #: /_,,, 0 7_ l c�
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Na Approved By: ..3 P
Property \ � (Jara �(\ Date: I L 1 / 1 z
Owner Mailing Address uite Map/TL #: 2- 5/ o "' 7) 7) - Op (,O0
t%flo SUS CeUINC, Zoning: I. `7 .
/State Zip Phon
I I.{dfcA - f 1a3 Electrical Permit Required? ❑ Yes No
Tenant or
Is_ J Business �j B� S Building Permit Required? ❑ Yes p No
Name Rev. 01 -Jul -02 i:\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 ❑ 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 Iermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other 111 Billboard ❑ Balloon 111 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: 3 x 5 [ $30.00 Fe (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): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes 1 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 ErNo
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 ay of / 2- , 20 O Z-
-4 _
Signature o O wner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 12/17/2002
13125 SW Hall Blvd. 4:20:27PM
& t, Tigard, Oregon 97223
6�L L (503) 63 9-4 17 1
Receipt #: 27200200000000004791
Date: 12/17/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00276 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
SGN2002 -00277 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00278 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $60.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check BRENDAN & TAMARA KJP 1003 In Person 60.00
BARTELS
Payment Total: $60.00
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