SGN2003-00118 CITY OF TIGARD
SIGN PERMIT
iiii DEVELOPMENT SERVICES PERMIT #: SGN2003 - 00118
+ - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/28/03
PARCEL: 2S115AB
BUSINESS NAME: CARDWORKS ZONE: C -
SIGN LOCATION: 16200 SW PACIFIC HWY G - JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 12sq ft A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Sign #1.
Valid 5/29/03 thru 6/28/03.
MATERIALS: WOOD
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 days from validity date.
APPROVED BY: . ' F
PERMITTEE SIGNATURE: 641
DATE: 5/28/03
wok I. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 11( ,21) ltwiti Sou
Address/ Street Address Permit No.: 5 4 A 3 - vd (/ ,P
Location i6c2CO S, d- 1 Fk°r fwy Expiration Date: 5 / 2 - i /3 '3 - 6 /' -- ti'/d3
Suite /Bldg. # City /State Zip
G _/! Oa- Receipt #: c�o1 -�- �
Name �! Approved By:
Property l . 00 /1 pi e r Date: 51 /-8 3
Owner Mailing Address Suite Map/TL #:
/6 S i 5.Gt) - 4Ottl4CT Zoning: C. .
City /State 0A
,{ Zip Phone .-
li��?cr�n� ���� �� Electrical Permit Required? ❑ Yes No
Tenant or e 5
Business Na � n�� Building Permit Required? Yes 9c No
. I=1 `
Name Rev. 2/28/2003 is \curpin \masters \rev \ 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 Erlemporary ❑ 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)
III/gew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 2i t i
9( . ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): i..)--
❑ $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 S E W NE NW SE SW
Height to top of sign (feet): 4 ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes �o 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 11(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 f d3 day of f , 20 �'1 3
90j 6 1, 7 1 44.A. 1
Signature of 0 ner /Agent
<JtiicJ�,�C 3) 108 L33
Contact Person Name Phone No.
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CITY OF TIGARD 5/28/2003
13125 SW Hall Blvd. 11:09:02AM
ho p Tigard, Oregon 97223
- � 1 ! (503) 639 -4171
Receipt #: 27200300000000002173
Date: 05/28/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -001 18 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
SGN2003 -001 19 • [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. Flow Received Amount Paid
Check DANIEL J CONKER kjp 9011 In Person 30.00
Payment Total: $30.00