SGN2002-00231 CITY OF TIGARD SIGN PERMIT
II DEVELOPMENT SERVICES PERMIT #: SGN2002 -00231
��') DATE ISSUED: 11/1/2002
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: RELOCATION COORDINATORS PARCEL: 2S112DC 00100
SIGN LOCATION: 15605 SW 72ND AVE
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6' X 4'
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: PLACEMENT OF A PERMANENT FREE STANDING SIGN WITH TWO 24
SQUARE FEET FACES.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 10 days from validity da e.
/
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 11/1/2002
, 1
Atk .. .. t II t, SIGN PERMIT APPLICATION
CITY O F TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION _
ame of Development /Project R f /Cife°.,_006. 46 FOR STAFF USE ONLY
Site raii)l /u f= dRi Ye- 80771/2/S ,- X - g 3
Address/ Street Address Permit No.: J ) oc.0, /
Location LSHILS ,S1 7 Expiration Date: X
Suite /Bldg. # City /State Zip �s
779a12-/ Qr q;h f Receipt #: Ci(2 - L/ ( R
Name 0 Approved By: am C
Property /24d, 7/S 7 Date: /1/1/02 Go /GO
Owner Mailing Address Suite Map /TL #: a'l / Q. DC -50/60
153,o s ,,,,, , sEQu 6149 3 13 Zoning: /"
City /State Zip Phone
ri 44k» Die `i'c 6x4- 77 :7 Electrical Permit Required? ❑ Yes klo
Tenant or Name e: ,,,i/ 1 4m/tea_ Building Permit Required? ❑ Yes p(No
Business + 9 Xrd/M7/
ame Rev. 01 -Jul -02 iAcurpin \masters \revised\sign permit app.doc
Sign
Contractor 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 I
required if S 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 r N Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ B illboard ❑ Balloon Q 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
iN New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:, G X5
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Ar (sq. ft.): -' ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 9 gs al
(Complete all Direction Wall Faces (circle one): i NOTES:
items in this
section) N S 0 W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but but must include dimensions of wall face and
Projection From Wall (inches): - sign placement.
Copy: see P(w J 1 • Wall signs do not require site /plot plans.
Materials: Woo • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes Et No • If work authorized under a sign permit has not
Type: LI Internal RI 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 S 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 ji day of e / , 200a
Signature of Owner /Agent
2 P& 5(),3- eg a3
Contact Person Name Phone No.
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13125 SW Hall Blvd. 3:23:15PM
i Tigard, Oregon 9 72 23
• 1 (503) 63 9-4 17 1
Receipt #: 27200200000000004190
Date: 11/01/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00228 [SIGN] Sign Permit 100- 0000 - 437000 30.00
SGN2002 -00229 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00231 [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
Check ANNA MARIE HARLAN BMK 36939 In Person 75.00
Payment Total: $75.00
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