SGN2002-00091 • CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00091
c�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/29/2002
EXPIRATION DATE:
BUSINESS NAME: MATTHEWS MAIN STREET
SIGN LOCATION: 12566 SW MAIN ST PARCEL: 2S102AC -01101
APPLICANT /AGENT: MATTHEWS MAIN STREET PAINT ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1'4 X 34'
TOTAL SIGN AREA: 45 sq. ft.
WALL AREA: 1,050 sq. ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 13 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign.
MATERIALS: PLEX/ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All w• v.ill be done in acco • : nce with approved plans. A sign permit shall expire 90
days from approval date. A temp:, - ign shall expire 1 • :ys om approval date. A balloon sign shall expire 10
Hays from annrnval rlatP /
e/ &I. APPROVED BY: - — � 5/ / 4 ,
PERMITTEE SIGNATURE: �'
DATE: 5/29/2002
, A
Gor 4,1,, SIGN 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
Site FOR STAFF USE ONLY
Address/ Street Address _
Location (0 S t�, (v i P No.: ) � - C %
Suite /Bldg. # City/State Zip
�j�' /� A
- �3r f £ ""' , Expiration Date: I l - G�
Name `f Receipt #: OD a / O
Property
Name
Mr, Approved B : /, ,e_ii
Owner Mailing Address ess /� Suite Date: 0- OD
/,
7 i vo S 'Fc/ qp Map/TL #: ca--- 7 i 074C — Oil 0
City/State Zip Phone 4 Zonin : G'/"
11C 4th i 9 )223 4 54.6)�i "9'� 3' g
Business Na � JJ TI ( / Electrical Permit Require.. L4es
Name ma Building Permit Required? --- " 1 2: -s Li o
L
Sign ^�rr,t 1C/ f / / )G Rev. 12/1/2000 i:\curpin\masters \revised \sign permit app.doc
Contractor Mailing Address /// Suite �
a issunce, armit �IV33 C •„ r1/ 1 , �n �,{t
copy of all _ City/State V Zip Y Phone
licenses are ? � �� L + ,� /R R EQUIRED SUBMITTAL ELEMENTS
required if 7 �f �i (Note: applications will not be accepted
expired in the Oregon Const. Cont. Board Exp. Date w ithout the required submittal elements
City of Tigard's License # 11 Q �j / 4 elements)
database) �` t0 iJ ✓''
Proposed El Freestanding El' Completed Application Form
g ❑ Freeway
Sign Permanent Temporary wall ❑ Electronic ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(Check all that ❑ Other Billboard El Balloon / (3 copies, if a building permit is required)
apply) / size requirement: 8 x 11 ", or 11" x 17"
0--New sign? ❑ Alter to existing sign? d 2 copies of elevations, drawn to scale
Sign Dimensions: 4 0... x it x CJ .13 q"(3 copies, if a building permit is required)
° size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
4 Lc, s) LI $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) i y� • ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) NOTES:
S E W NE NW SE SW
Height to top of sign (feet): lit
1 %% • Wall signs do not need to be drawn to scale,
'l but must include dimensions of wall face and
Projection From Wall (inches): {
,, sign placement.
Copy:P42,J1i(6 • Wall signs do not require site /plot plans.
Materials: ui ctk�l(� d- Not (G LA-5 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yeso 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 No
If "yes ", a list or diagram of all sign dimensions and )OVER FOR SIGNATURES)
square footage must also be submitted.
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 , 20
Signature of Owner /Agent
Contact Person Name Phone No.
1 1'-8"
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PARAGON
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Condi.LOWA I Approved [ I
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E ERMIT NO IQ -d —
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by._ 61 • -___ Data:. .:Yr 712
Luminite TITLE: LOCATION: SALES PERSON: DATE: b/1
1NC.
Sign craft PARAGON TILE TIGARD SCALE= 1" DESIGN: 1
J ROUSSE
SLECIRIC SIGN APERTISING REVISION:
Receipt #: 27200200000000001963 Flef
_�-- Date: 05/29/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00090 [SIGN] Sign Permit 100- 0000 - 437000
$50.00
SGN2002 -00091 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check LUMINITE SIGN CRAFT INC. DCP 8087 0 $100.00
TOTAL AMOUNT PAID: $100.00