SGN2002-00179 t
CITY OF TIGARD SIGN PERMIT
�i� DEVELOPMENT SERVICES PERMIT #: SG /4/200 -00179
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 10/4/2002
EXPIRATION DATE:
BUSINESS NAME: MEMORIES ANTIQUE & GIFT SHOPPE LLC PARCEL: 2S102AC 01000
SIGN LOCATION: 12575 SW MAIN ST
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X 8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 248 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 7 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install a 16 sq. ft. wall sign
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 ays from validity date.
APPROVED BY: 1
PERMITTEE SIGNATURE:
DATE: 10/4/2002
C ITY OF TIGARD SIGN PERMIT
1, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00179
DATE ISSUED: 10/04/2002
I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE:
BUSINESS NAME: ANTIQUES PARCEL: 2S102AC 01000
SIGN LOCATION: 12575 SW MAIN ST
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2X 8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 248 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 7 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install a 16 sq. ft. wall sign
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 validity date.
APPROVED BY: a '�
PERMITTEE SIGNATURE: (r) 9 /y-
DATE: 10/04/2002
4 ,
A
i i.ilja SIGN PERMIT APPLICATION
CITY OF I 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project 4 L ,$' /!r FOR STAFF USE ONLY
Site 4 /.7774) [/ES
Address/ Street Address Permit No.: _S A) 2.0(..52.— 0 i 7
Location 493 S4..) /vi,,/• S . Expiration Date:
Suite /Bldg. # City /State Zip
jd - 3 7 ��
_. Receipt #:
Name 7/6-7'2.0 a 0 97a a3 Approved By: S
Property F �C //E 6,e / - zQ" 9 us - A/ Date: f 4 1 .1(0 'Z—
Owner Mailing Address Suite Map /TL #:
p p a o k /36 6 Zoning:
City /State Zip Phone f So 3)
9 >a - 7s
8 E i 9 t/6 7 1' O.- 9% ,e-36 G3 Electrical Permit Required? ❑ Yes ❑ No
Tenant or N ame Building Permit Required? ❑ Yes ❑ No
(Business) /222,p9a2/ES ,9A 7 /4Vt,.'e S/fuP
Name Rev. 01-Jul-02 hcurpin \masters \revised \sign permit app.doc
Sign SIG-A/SC 0, 4
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /g !8' - S 6.. „0/9e./, Hu3y (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone (56 3J
licenses are 97$ 3 1 3 9 - 7 88 /
required if 7 /6 "e-Z2 O,2 ❑ 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 1 Permanent ❑ Freestanding El Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary M Wall El Electronic
(Check all that 111 2 copies of elevations, drawn to scale
apply) ❑ Other Bil ❑ Balloon
(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: / i
X_ 8 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /� .s 9 f ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 6 9 ye s9 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): - y ' but must include dimensions of wall face and
Projection From Wall (inches): • o Ya " sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: ii,c u,,,/,vu., • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes I 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 V day of O G TO c5 e 2 , 20 O 2 —
Signature of Owner /Agent
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Contact Person Name Phone No.
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10/4/2002
12:49:56PM
T I D E M A R K
COMPUTER SYSTEMS. INC.
Receipt #: 27200200000000003762
Date: 10/04/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00179 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Check BRADLEY KIM GRITZBAUGH SSC 8551 In Person 30.00
Payment Total: $30.00