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SGN2003-00093 � • CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00093 `' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/28/03 PARCEL: 2 S 112AC -02700 BUSINESS NAME: CLUB K -9 ZONE: I -L SIGN LOCATION: 07360 SW BONITA RD 100 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X2' TOTAL SIGN AREA: 6 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be place on private property and not in the public right -of -way. Valid 5/1/03- 6/1/03. Sign #1 MATERIALS: PLYWOOD 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 orsig.n,permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days frorralillity date. k APPROVED BY: PERMITTEE SIGNATURE: X /I DATE: 4/28/063 G 444: X1 41 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 FOR STAFF USE ONLY Site C)vb K-9 .,� . Address/ Street Address Permit No.: - ) CiV‘I ll 3- �, c 9 "7 Location 3Go _St-) ( c . ,;fo, rD • Expiration Date: .5 /c, 3 - C ' // l L ? Suite /Bldg. # City/State Zip 1 U:. � i �a'} Receipt #: Q — 01 >3/ Name Approved By: . D Property JC r-c vv C - -- Date: '�/,;2d/ o 33 Owner Mailing Address Suite Map /TL #: 5(0 i ' Se S I s+< Av< . Zoning: L . City/State Zip Phone' bS c 007 �� _ l d d < X72 mac, Su . 2 S3(o 7 hw, Electrical Permit Required? ❑ Yes [ No Tenant or Name Business Building Permit Required? ❑ Yes Q 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 ❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary Wall ❑ Electronic (Check all that ❑ Other , ❑ 2 copies of elevations, drawn to scale ❑ Bi llboard ❑ B 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: a x s ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): C0 ' ❑ $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): '3' ' • Wall signs do not need to be drawn to scale, ): 3 CaD' but must include dimensions of wall face and Projection From Wall (inches sign placement. Copy: • Wall signs do not require site /plot plans. Materials: ?)y woc & • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes RI 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 El 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 z 45 day of A LL- ,20 0 Signat e of Owner ent Contact Person Name Phone No. rluiS C ti ) I �v3 •CV4- 0 4`17 CITY OF TIGARD 4/28/2003 13125 SW Ha11 Blvd. 1:1245PM A Tigard, Oregon 97223 -.iJ • 6 1,L (503) 63 9-4 17 1 Receipt #: 27200300000000001681 Date: 04/28/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00093 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Cash CLUB K -9 INC KJP In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt