SGN2003-00108 . 1
CITY OF TIGARD SIGN PERMIT
t DEVELOPMENT SERVICES PERMIT #: SGN2003 -00108
" " c � f � i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 5/21/03
PARCEL: 1 S136CD -01401
BUSINESS NAME: AMERICAN BOOT CO. ZONE: C -G
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X3'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 500 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq ft banner. Valid 6/19/03 thru 7/19/03.
Sign #1
MATERIALS: BANNER
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 expire 10 dam''. from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 5/21/03
,. .
A SIGN P 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 C
Address/ Street Address Permit No.: J G7 A L230 3- (*. (a �5 -7
Location ► I 65Z sit) Fk Ci'- +C Hwy Expiration Date: q( (c - 7 /j f(ei 3
Suite /Bldg. # City /State Zip
Tigard o Ri R I1 z . 3 Receipt #:
Name Approved By:
Property N M Z" pro per+i -e5 I- L C Date: --I o 3
Owner Mailing Address Suite Map/TL #: / S /3 Co G D ^ 01 k i
Z650 50 CedAr -I- J IS $# ZI Z Zoning: C 67
City /State Zip Phone
,Bea lier104 0 � ggDO Electrical Permit Required? ❑ Yes [ No
Tenant or Name
Business /�yyleri CelY1 P700'f co,
Building Permit Required? El Yes a No
Name Rev. 2/28/2003 iAcurpin \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 Et Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Ba ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Zr New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 8 ' X 3 r
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2y-' [ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Sd p Jurisdiction: . ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S 0 W NE NW SE SW
- Height to top of sign (feet): ZS • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): ( 2 but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
— Materials: 6A V) vl 9- 4- , ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes izi No building permit.
Type: ❑ Internal External ♦ If work 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 J 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 day of T{] a y , 20 6 3
1.'1A1
Signat e of Owne' /Agent
S c i d r o pek r S 6 - 5 0 3 ) l p Z 0 — u e Z
Contact Person Name Phone No.
8 '
Boots Sale3
'
Everything Must Go
Site Address: 11652 SW Pacific HWY
Tenant/Business Name: American Boot CO.
Sign Company: Sign Scope
13185 SW Pacific Hwy
Tigard, OR 97223
CITY OF TIGARD 5/15/2003
13125 SW Hall Blvd.
10:36:06AM
LIMO, Tigard, Oregon 9 72 23
al ". (503) 63 9-4 17 1
Receipt #: 2720030000000000] 967
Date: 05/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00107 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -00108 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -00109 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check AMERICAN BOOT COMPANY kjp 4172 In Person 45.00
Payment Total: $45.00