Loading...
SGN2002-00203 or CITY TIGARD SIGN PERMIT l;� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00203 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/18/02 EXPIRATION DATE: BUSINESS NAME: VERIZON WIRELESS PARCEL: 2S112DD 01600 SIGN LOCATION: 15495 SW SEQUOIA PKWY 150 APPLICANT /AGENT: ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2.5' X 2' TOTAL SIGN AREA: 5 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SE SIGN HEIGHT: 2 ft. PROJECTION FROM WALL: in. ILLUMINATION: IND DESCRIPTION OF SIGN: Placement of (1) one 5 sq ft temporary A -frame sign. Sign must be placed on private property and not in the public right -of -way. Valid 12/19/02 - 1/18/03. Sign #3 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 date • • • n permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 • . : from validity date. APPROVED BY A T� l�' e PERMITTEE SIGNATURE: .:�l 11 DATE: 1 �i 8/02 1 / , yr lr, 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 Veit) F-0✓ ' ,/ � to / ,, FOR STAFF USE ONLY �� Site W (c Address/ Street Address �j Permit No.: S9 N Let,-2_-:- 0Q Location 151 5 .. (X / SeatC,Ct I k- 7 Expiration Date: � S 7 uite /Bldg. # City/State Zip 1vi4e I.5C 1 t -kv VP_ q 02,2,q Receipt #: a 2 — 3 1 l �' Name t ��� Approved By: Pro ert a I fv(° ! Q Date: i ° ' 1,` e- p y i Owner Mailing Address uite (/ Map /TL #: 2 S I I Z a 0 I (0 O � IT 3•1V fiL1 4 . .°0 Zoning: T L City /SState Zip hone 70414 vi / 0 6)7221 <03 ^624;? Electrical Permit Required? ❑ Yes No Tenant or Name )) Business L. ✓i .i.21 UC./ l d'GCt!' Yo ,a �t pff..� Building Permit Required? ❑ Yes R. 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 U/ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # L3/ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent f — Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic (Check all that ❑ ❑ ❑ [11/ 2 copies of elevations, drawn to scale apply) Other Billboard 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: 2 g 2 f J ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ,O n 5� ❑ $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 O SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 0____ 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 ❑ 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 / 2 day of (940 6eK 20 has :2-- • A it,1,47 Signature e , O A r /Agent K; 6 2 v -64 let.S J�13 � 3/ Contacerson Name Phone No. L11 Y UV 1 i (jAIW _ 13125 SW Hall Blvd. 4:04:41PM eil li Tigard, Oregon 97223 ' (503) 63 9-4 17 1 Receipt #: 27200200000000003999 Date: 10/18/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00201 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2002 -00202 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2002 -00203 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2002 -00204 [SIGN] Sign Permit 100- 0000 - 437000 30.00 Line Item Total: $75.00 Payments: Method Payer User ID Check No. Approval No. How Received Amount Paid CreditCard JIRI KUBIS VERIZON WIRELESS KJP 098637 In Person 75.00 Payment Total: $75.00 Page 1 of 1 cReceipt.rpt ' \ 4 i ir - ,.. V-) / a ■ 5 ■ / I .Ni i \\..................„,.........„,,,...........„.,....,*.• i'Die C , s; —., c ..C6_,) _C P•U©, Pt Lte.- Z 41 �� iTY OF 71 SM ) r /Y App. roved.. -[ X) L Condit, :nz ;.i Y Approved__ . �1 N For only the wor:� as eaescri±Ssd in: 0 I ✓� FrRMITNO.„2._C�lzkb2- Zg St Lett<zr tc• Follow........ ,a,. jOh' :i H.-.., fikily 14 1 A ,: i