SGN2002-00288 CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00288
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/20/2002
PARCEL: 2S112DB - 00200
BUSINESS NAME: DARLING DEDUCTIONS ZONE: I -P
SIGN LOCATION: 15255 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT: RANDA BROOKS
BUSINESS TAX NO: - 002S {o S J z. f k)
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 31" X 46"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement on (1) one temporary sign. Valid 12/23/02 thru 1/22/03
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 r sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expir 10 ys from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: • k\ - 4 A AJ
v
DATE: 12/20/2002
w ;,, SIGN PERMIT APPLICATION
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CITY IGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
, ‘.. .:
GENERAL INFORMATION
Name of Development/Project 1 FOR STAFF USE ONLY
Site ' ( dIRC - t2rn \ Pce-�rO i
Address/ Street Address . Permit No.: $ Qoly Z L -{ "> - 2 -S
Location 11 ` p I�V C - Expiration Date: I''- r L's - a i 1"44- `- 2-2--43
S uite /Bldg. # City /State Zip
� 0 9 ±as Li Receipt #: e - '1 W
Name Y Approved By:
Property Vz�Uy A- 2,nd.o, �Ls Date: 1116 (o 2 -
p y
Owner
Mailing Address Suite Map /TL #: 2 5// 2 - A 6-002406
cbCtAlcu2.._ Zoning:
City/State Zip Phone
Electrical Permit Required? ❑ Yes xi No
Tenant or Name
Business bad l `I� kICTI011S (- jet j' Building Permit Required? ❑ Yes pa- No
Name Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(Prior to permit j (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 Permanent El Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ B illboard ❑ 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:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
Ej $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 ❑ 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 Qi 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 & -Uf\ day of JC Q 6T , 20
Signature of Owner /Agent
I V1(SGc 6vZ` [� ( 9 �
Contact Person Name Phone No.
CITY OF TIGARD 12/20/2002
13 12 5 SW Hall Blvd. 9:25:27AM
is mNi �"�P i�l, Tigard, Oregon 97223 -
(503) 63 9-4 17 1
Receipt #: 27200200000000004842
Date: 12/20/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00288 [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 DAR;ING DEDUCTIONS kjp In Person 15.00
PRESCHOOL
Payment Total: $15.00
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