SGN2001-00212 CITY TIGARD SIGN PERMIT
Aoh ior DEVELOPMENT SERVICES
PERMIT #: SGN2001 -00212
.--j 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2001
EXPIRATION DATE:
BUSINESS NAME: TIGARD GRANGE PARCEL: 2S103DD -0060
SIGN LOCATION: 13770 SW PACIFIC HWY
APPLICANT /AGENT: TIGARD GRANGE ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: 2,714 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) banner sign. Valid 11/17/01 - 12/17/01 (Sign #1)
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 OR. Specialty Codes
and all other applicable laws. All will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A to pora sign shall expire 0 days rom approval date. A balloon sign shall expire 10
riays fmm annrnval data /
Air
APPROVED BY: �'�' g ` ' , ALL/
PERMITTEE SIGNATURE: a/n
DATE: 11/14/2001
I
.a'r1'*0 la 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 / i G r-d G---er / /e �y !!��
-
Address/ Street dress Permit No.: s�� Ix) f -- co Ot Location /3.770 5-e.,) iaCccij� ^L /AJff Expiration Date: 1i O I- i 11 nI
Suite /Bldg. # City/State Zip
// �/ a ra f' e, 7 Z Zj Receipt #: .• _ ►a.1 k
Name Approved By: .V.:�
Property ey Y a 6' ra4y-e, Date: t Mll.J
Owner Mailin ddress Suite Map/TL #: . I ° D - 00 1 0 •
CO Z/6 A/6 4p- W Or f h Zoning: C— - •
City /State Zip Phone
Pc9 (` Ta 012. 972/x! Electrical Permit Required? ❑ Yes
Tenant or Name ///
Business fir/ S, ()arc Spa rc '✓ ,..„c2Glub Building Permit Required? ❑ Yes o
Name Rev. 30 -Jul -01 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 ❑ Permanen ❑ Freestanding ❑ size requirement: 8 x 11", or 11" x 17"
Freestandin Freeway
Sign ® Temporary [N Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
IN New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: /
2
(7 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
NOTES:
Total Wall Area (sq. ft.) 1 • Wall signs do not need to be drawn to scale,
Sign Data
�, 7 e but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N 0 E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): / r building permit.
Projection From Wall (inches): 0 • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: Ali f 6am19 P,r- the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes Er No --
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this 1 Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑MasterCard
Credit card number 1 /
❑ Yes ® No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. S
Cardholder signature Amount
(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 , 20 (`) /
Signature of Owner /Agent
Contact Person Name Phone No.
Sign Elevation 0-
0 , R
...) Tigard Grange North Side
• 100' ►
4 ,
1 23
15'
,AT i OF '' 4 'r. a I
Square Dance Lessons Apr. re• — i
q Condi •1.. ;y Approved ..._.. TO [
Po ;loty the O M, sCrrrT9Few:• ( ;
Call: 503 - 281 -9030 F t.RMIT NO. e�c�:
So Letcw to Follow`_ l 1
2
6 if : _ _ V- -It a _ V Chat.4:14104 iii
_ 'VW cat ifor4if
Site Plan " -
•
I \
Driveway Gravel and Grass Parking
Tigard Grange .
13770 SW Pacific Highway
_ ' _
L.
. \
3x6 Banner
Driveway Gravel and Grass Parking
7
Receipt #: 27200100000000004508
Date: 11/14/2001
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
.Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00212 [SIGN] Temp Sign Perm 100-0000-437000 $15.00
SGN2001-00213 [SIGN] Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash TIGARD GRANGE 0 0 $40.00
Change TIGARD GRANGE 0 0 0 ($10.00)
TOTAL AMOUNT PAID: $30.00
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•
e