SGN2002-00220 CITY OF TIGARD SIGN PERMIT
� i� v DEVELOPMENT SERVICES PERMIT #: SGN2002 -00220
c1
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/29/2002 EXPIRATION DATE:
BUSINESS NAME: SEARS PARTS /REPAIR PARCEL: 2S112DB 00300
SIGN LOCATION: 07233 SW KABLE LN 500
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: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one 3ft temporary A -frame sign. Sign shall be placed on private
property and not in the public right -of -way. Valid 11/1/02- 12/1/02. Sign #1
MATERIALS: METAL
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 or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expirTiays from idity date.
APPROVED BY:
PERMITTEE SIGNATURE: .<-
DATE: 10/29/2002
� 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 D FOR STAFF USE ONLY
Site Seep k /t 6(
Address/ Street Address a _ Permit No.: SCj / , w:� 2-- 00 ,2 a"0
Location 7:233 � L 1�14 \ e1 —E 1 - Expiration Date: lit ( t o z. - 14 -1 i 1u
Suite /Bld # City /State Zip
4-cap I i C7 b CR- 97))-cf Receipt #:
N.F e Approved By: K -ye
�. Date: i �Z Ti Q:2.-- Property &c \ iaU T
Owner Mailing Address Suite Map/TL #: ? S // t 5 - OJ3C.)
l �? , Sb.> to l fi.. - 306 Zoning: .t L
ty /State Zip Phone
Qn k- 97,2)y Electrical Permit Required? ❑ Yes [ ,No
Tenant or Nam
Business ( F-
�� / V A I k- Building Permit Required? ❑ Yes Cif No
Name Rev. ()I-Jul -02 is \curpin \masters \revised \sign permit app.doc
s
Sign J (621.-C 1) 0
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit tvl (Note: applications will not be accepted
issuance, a (5�6� Scs3 7� L� 6. without the required submittal elements)
copy of all City /State Zip Phone
required are fro i. �q C7 22' / ❑ p pp
required if Oca / 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)
New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: ' l
14 QPen(' mtvta -v 3 t2 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): El $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) a 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): pN f\ sign placement.
Copy: S - Efles E f - - • Wall signs do not require site /plot plans.
Materials: "\ r L • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes 6 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.
I=1 Yes KNo
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 day of ` , 20 C�
S ic„S clom
Signature of Owner /Agent
Contact Person Name Phone No.
I
3''/1 5,4LC
CITY OF TIGARD 10/29/2002
13125 SW Hall Blvd. 2:22:46PM
Tigard, Oregon 97223 •
� �' (503) 63 9-4 17 1
Receipt #: 27200200000000004139
Date: 10/29/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00220 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00221 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Check No. Approval No. How Received Amount Paid
Cash SEARS REPAIR SERVICE KJP In Person 30.00
Payment Total: $30.00
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