SGN2002-00192 1
.4
CITY T I GA R D SIGN PERMIT
, 1 e , DEVELOPMENT SERVICES PERMIT #: SGN2002 -00192
{l. DATE ISSUED: 10/14/2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: NW RUGS
SIGN LOCATION: 15983 SW 72ND AVE BLDG - A PARCEL: 2S112DC 00701
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Temporary A - frame
MATERIALS:
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 shah ire 10 days from validity date.
APPROVED BY: � /
'
PERMITTEE SIGNATURE: '- 6 ,-1 l' -----
DATE: 10/14/2002
10/14/20Q2
�� 10 /14/ AM
T I D E M A R K
COMPUTER SYSTEMS, INC
Receipt #: 27200200000000003891
Date: 10/14/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00192 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Cash CATHY WILLIAMS MET In Person 15.00
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt
Wa,, iltit, SIGN PERMIT APPLICATION
CITY O F TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of D vel p Project
/ / I I h / / FOR STAFF USE ONLY
Site
Address/ Streeetr�,S
ddS� ti " Permit No.: S CboZ - Al 9 Z
Location / - t Cti Z34 Expiration Date: /05/0Z-
Suite/Bldg. # Cit tate Zip
A�QD gi7AX Receipt #: ZbaZ - 3 59
Approved By: -41iii
A-cL Date: IuI /Kf Z
Property ,
Owner Mailing Address Suite Map /TL #: 24 1 1 2 IX- 0010
Zoning: I - /--
City /State Zip Phone
1 Electrical Permit Required? ❑ Yes 'No
Tenant or Na e
Business VV CRUUG6 Building Permit Required? El Yes ['No
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
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if '' Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # acr 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 emporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
lew sign? 1:11 Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: e Lt /
g ` ' T ❑ '.30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / Of `I $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) f
(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): l 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? El Yes No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ Exter al 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 o
If "yes ", a list or diagram of all si n dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
ti
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 xdTI1 of CQ-- C°C6- 1. 411) , 20 0
Signature of Owner /Agent
��. �/ , 5 9'6 g 78
Con act Person Name , / , / Phone No. -
1 X65
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