SGN2003-00113 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00113
4 �' ll 13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/16/03
PARCEL: 1S135DD-00900
BUSINESS NAME: INTERIOR MOTIVES ZONE: C -G
SIGN LOCATION: 11875 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6" X 187
TOTAL SIGN AREA: sq. ft.
WALL AREA: 2,992 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install lettering on awning for signage.
MATERIALS: VINYL
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 date.
APPROVED BY:
PERMITTEE SIGNATURE: , ��- �'��'
DATE: 5/ 6/03 /
A
,4 SIGN PERMIT APPLICATION li
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project •
' I C IUL_ v IA cTI V S vie c e' if
FOR STAFF USE ONLY
Site A � F v(jN -cNe
Address/ Street Address Permit No.:
Location 1 \ 1 S, w _ ( 1FtC 14 L
Suite /Bldg. # City /State Zip
11g Expiration Date: 2 2 3 Receipt #:
Name n Approved By:
Property `T v■A wt 1 J • L p -ee ✓ 2 / Date:
Owner Mailing Address Suite Map/TL #:
?oZ (9Ce'rcleft,)�l. Zoning:
City /State Zip Phone
90/I P 0 ( 922 z S ho v 3 ‘8119d-75)9 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business 4 t n4, n vc- Building Permit Required? ❑Yes El No
Name Rev. 2/28/2003 is \curpin \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 g permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Pg New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
AcJAAAA' ❑ $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.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N( (3 ( NE NW SE SW
Height to top of sign (feet): 6, • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): 0 but must include dimensions of wall face and
sign placement.
Copy: 5 r iff fi • Wall signs do not require site /plot plans.
Materials: ' will) G t rHifrvier) • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes ❑ No building permit.
Type: ❑ Internal External ri — . • 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 1 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 76 day of "77 `/ , 20 7>
Si. -ature of 0 *rr /A g ,,s-
„
--T-- it-e vim/' 4 C�g v?-790 Contact Pers Name Phone No.
4 I � CITY OF TIGARD 5/16/2003
13125 SW Hall Blvd. 9:17:35AM
Tigard, Oregon 9 72 23
1 (503) 63 9-4 17 1
Receipt #: 27200300000000001999
Date: 05/16/2003
Line Items: •
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00113 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard TAMMY J LEFEVER CAC 081984 In Person 30.00
Payment Total: $30.00
Page 1 of 1 cReceipt.rpt
1 EACH ENTRANCE CANOPY COMPLETE FOR: INTERIOR MOTIVES
AWNING RAIL _ _ _ _
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FABRIC: 60" PREMIUM SUNBRELLA SOLID •• •• .. •
• FRAME: 1" X 16 GUAGE SQUARE STOCK (NO UPRIGHTS)
GRAPHICS: NONE
TOTAL WEIGHT: $25 LBS J
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S.W. PACIFIC HWY
6 SITE PLAN FOR:
OR MOTIVES
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11875 INTERI S.W. PACIFIC HWY.
TIGARD, OREGON 97223 °
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PARKING LOT
1 EACH ENTRANCE CANOPY COMPLETE FOR:INTERIOR MOTIVES
AWNING RAIL
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FRAME:1" X 16 GUAGE SQUARE STOCK • •
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GRAPHICS: NONE
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