SGN2003-00109 i
CITY TIGARD SIGN PERMIT
i, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00109
c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/22/03
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: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 500 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 25 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq ft banner. Valid 7/20/03 thru 8/19/03.
Sign #3
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 AV exp days from validity date.
APPROVED BY: ` ,
PERMITTEE SIGNATURE: a G
DATE: 5/22/03
Ate tiSIGN 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
Address/ Street Address Permit No.: 3q 33 - 031 C� 5 /
Location (( �SZ S(� Pa C Nli2� Expiration Date: r7/��( .5— 3 �cf (.j _
Suite /Bldg. # City /State Zip
T3ard 0 Rd q r( Receipt #: .moo " / 9(47
Name Approved By: _ (
Property N M S proper+ -e5 L L C s
Date: /2 t- 0.3
Owner Mailing Address Suite Map/TL #: I .S !CO U 1
Z050 50 Cedar -I- M IS # 2..1 z Zoning: l; 6
City /State Zip Phone
BeaVew10r1 OK, qr(00r Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
_ CO, Building Permit Required? ❑ Yes Ili No
Business
Ameri ceoi $GD C
Name Rev. 2/28/2003 hcurpin \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 without the required submittal elements)
copy of all City /State Zip Phone
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 ❑ B a ll oon ^ ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
,®- New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 8 ' x 3 ,
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 214 ' $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) .g U 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): 2c. o 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 o Wall signs do not require site /plot plans.
— Materials: 6/4 ✓) qt:. . Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 0 No building permit.
Type: ❑ Internal 0 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
J
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 )'1 a y , 20 d 3
IPAi LA 1
Signat - of Owne /Agent
S u n roe. PArKS 6503) 620 —2-Z.Z
Contact Person Name Phone No.
8'
\'4
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 ► Ji200s
13125 SW Hall Blvd. 10:36:06AM
M I Tigard, Oregon 97223
,- ►
6 11. (503) 63 9-4 17 1
Receipt #: 27200300000000001967
Date: 05/15/2003
•
Line Items:
Case No 'Iran 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
•