SGN2002-00213 CITY TIGARD SIGN PERMIT
i l DEVELOPMENT SERVICES PERMIT #: SGN2002 -00213
Ai' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/28/2002
EXPIRATION DATE:
BUSINESS NAME: LAMB'S THRIFTWAY PARCEL: 1S134BC-00300
SIGN LOCATION: 12220 SW SCHOLLS FERRY RD
APPLICANT /AGENT: MIKE BABBIT ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 10'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permit for a 20 square foot banner to be placed on the North facing wall. This is
the 2nd temp sign for this address in 2002.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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Cc +. idirrcm.i.y Approved
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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 days from validity date
APPROVED BY: ,(:, /-e" �
�
PERMITTEE SIGNATURE: /'T'' 1 7 l -4
DATE: 10/28/2002
CITY OF TIGARD 10/28/2002
13125 SW Hall Blvd. 8:55:23AM
I l Tigard, Oregon 9 72 23
AO (503) 63 9-4 17 1
Receipt #: 27200200000000004102
Date: 10/28/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
•
SGN2002 -00213 [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
CreditCard DAVID CRISLIP BMK 093442 In Person 15.00
Payment Total: $15.00
•
Page 1 of 1 cReccipt.rpt
l i
�.sleriv {: 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 1 -- 444e,jit) 0115
Address/ Street Address Permit No.: S GN Da ii - OOH 13
Location , 2.O P ' l As c 2 _ ksk
Expiration Date: NOV. ay, 2601
Suite /Bldg. # City /State Zip
--ri, 0Q_ Q92-2-3 Receipt #:
Name Approved By: Q K
Property ( i j( G h h 1 f Date: (c)1 8 f x.0 0'1.
Owner Mailing Address Suite Map /TL #: 1 S 134 C ° 00 TOO
S
C . vv. - Zoning: C; 6
City/State Zip Phone
5b3 5 40 - 70` 1 j
2
Electrical Permit Required? ❑ Yes [INo
Tenant or Name
Business LiNen1L "Tt1raFerviA 4 Building Permit Required? ❑ Yes 10No
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 # ❑ 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 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
fl. New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: ' x ‘O '
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,
:_(..�`, {-7 d $15.00 Fee (Temporary sign, any type)
Sign Total Wall Area (sq. ft.)
g li
Si Data nk „ r.
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) Nj 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: ZuoaL Satz' LE �O% - SO`'iu oi. + Wall signs do not require site /plot plans.
Materials: Vrr ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ] No • If w If w ork ork authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes ileNo
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. —
(OVER FOR SIGNATURES)
I I I
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 Z `� day o t � �' e'� - , 20 C
/11-ku,d7r 6,2,
Signature of Owner /Agent r
Contact Person Name Phone No.
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