SGN2002-00197 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00197
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/17/02
EXPIRATION DATE:
BUSINESS NAME: TIGARD GRANGE PARCEL: 2S103DD -00600
SIGN LOCATION: 13770 SW PACIFIC HWY
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 2'
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3' x 2' A -frame sign. Sign shall be placed on
private property and not in the public right -of -way. Valid 10 -21 -02 - 11 -20 -02
Sign #2
MATERIALS: WOOD
EXISTING SIGNS:
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 ys from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: �l "' ��� 'e� / J -42 <SI Z n
DATE: 1 0/1 7/02
I .
.. :i , b , 1: SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site a cid d G rci r1 e_
Address/ StreetAtldress f Permit No.: -4 f 2 - )1 - 2 - � (� 7
Location t ?{71O 5t The i+ rr 1 C -tW� Expiration Date: / 0 - Z / ' Oz 8 / -/- A z.
Suite /Bldg. # City /State ,^ II f Zip
Tl �c� t �R G1Zz3 Receipt #: z—) -H 7/
Name Approved By: )
Property I ke Q(d e ra n Date: i
Owner Mailing • 9 Map /TL #: S 7° 3 D 0- v`=, C, O
(O e., Zoning: l C7
City /State Zip Phone
Electrical Permit Required? ❑ Yes [i' No
Tenant or Name' " 180 (d,
Business C ( Ci(d— 61(61 e...--/ Building Permit Required? ❑ Yes No
Name
� ,A, SSCC Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign
C REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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 I Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ca 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent YV Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign igt. Temporary LLJ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon FT 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
t4 New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: ,
34+ htSh X LIZ (Me ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 0 5 F $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data N/A-
(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): 3 but must include dimensions of wall face and
Projection From Wall (inches): Ni A- sign placement.
Copy: (Sec? Ci ch-e d) • Wall signs do not require site /plot plans.
Materials: (A)Cod, L j/ +- ,[ handle_ • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes KNo • 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 0 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 I day of OCdVbe , 20 OZ
Si a (
/. re re of Own: /Agent
Aar c oh as on 5 • f. / 2_
Contact Person Name Phone No.
Tigard Grange & Tigard Recreation Association
Request for Temporary Sign out front property
Sign Dimensions - 3feet tall by 2.5 feet wide
From Monday, October 21, 2002 to Saturday, October 26, 2002
Both Sides to Read:
Children's Halloween Party
Here This Saturday
2:00pm - 5:00pm
Ages 1 - 6
Games, Prizes & Refreshments
$1.00 Donation Suggested
From Monday, October 28, 2002 to end of 30 day period
One Side to Read
New Dance Classes
Starting Winter Session
For More Details
503 - 524 -8794
www.TigardRecreation.org
Other Side to Read
Introducing
Tigard Recreation Association
Holiday Dance
Camps
For More Details
503 - 524 -8794
www.TigardRecreation.org
CITY OF TIGARD 10/17/2002
13125 SW Hall Blvd. 11:02:39AM
w I ��I� Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200200000000003971
Date: 10/17/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00197 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Check No. Approval No. How Received Amount Paid
Check MARK & MARIE JOHNSON KJP 2425 In Person 15.00
Payment Total: $15.00
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