SGN2002-00221 r
` CITY OF TIGARD SIGN PERMIT
' D EVELOPMENT SERVICES PERMIT #: SGN2002 -00221
�!, ''l`� 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' X2'
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 must be placed on private
proerty and not in the public right -of -way. Valid 12/2/02- 1/1/03. Sign #2
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 o . permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 1 a om validity date.
APPROVED BY: OY M-G-AM
PERMITTEE SIGNATURE:
DATE: 10/29/2002
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.A 4 . 4 424 . SIGN 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 FOR STAFF USE ONLY
Site S- \ / V A ( g_ S C , 2Z
Address/ Street Address ° _ Permit No.: J i 2 c Z �'
cc - O
Location 77233 S� K�Bc ft � Nt� Expiration Date: i 2 - - 2 -"'O'Z - I % I bI-
Suite /Bldg. # City /State Zip
g:2U I t G -b Ce 97)-.z(4 Receipt #:
N me Approved By: IC 4 P
Property k 6-C \ /-0,-ST- Date: l` /'�i l 0}2 ---
Owner Mailing Address Suite Map/TL #: -)- S i 12- D (3 eo 3oo
l s(>J -)5Z 6-4' 30G Zoning: Z. L_
&y/State Zip Phone
Ado C k $ 9 w %' __— Electrical Permit Required? ❑ Yes [ No
Tenant or Nam
Business (
_ / D
OA t Building Permit Required? CI Yes No
Names Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc
S Sign ( Iv d Co
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit Lois Ask y _ (Note: applications will not be accepted
issuance, a I �� 9.93 7� I � � without the required submittal elements)
copy of all City/State Zip Phone
licenses are � � X22
97
required if (� `f ❑ 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 TA Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ B illboard ❑ Ba lloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
KNew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: t i
a Pf e0K - eLY 3 V ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $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) 64 E W NE NW SE SW
e Wall signs do not need to be drawn to sca
Height to top of sign (feet): . .v r but must include dimensions of wall face and
Projection From Wall (inches): 1)1\44 sign placement.
Copy: ' EA l~S Sfl-LG --,' • Wall signs do not require site /plot plans.
Materials: 'METAL e . Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes a 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)
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CITY OF TIGARD 10/29/2002
44 13125 SW Hall Blvd. 2:22 46PM
Tigard, Oregon 97223
A- 1± (503) 639 -4171
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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