SGN2013-00078 ,,..�'q CITY OF TIGARD SIGN PERMIT
k.Iri e COMMUNITY DEVELOPMENT Peru d: SGN2213-00078
Date Issued: 06/18/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102CB02000
Jurisdiction: Tigard
Name of Business: J&M Imports
Business Address: 13320 SW PACIFIC HWY
Applicant/Agent: Pettijohn, Paul
Work Description: Temporary banner sign, 18 square feet(3'x 6')in size,located at 13320 SW Pacific
Highway.
Permanent: No Freestanding: No Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 3'x 6'
Total Sign Area: 18
Wall Area:
Wall Face(Direction): North
Sign Height: 10 ft.
Projection From Wall: 0 in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $54.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: /10PLIA 4644:--
Permittee Signature: nl es-Cvl -
RECEIVED
JUN 17 2013
Ili • City of Tigard
CITY OF TIGARD
Sign Permit Application PLANNING/ENGINEERING
T I G A R D
GENERAL INFORMATION
Name of Development
r "6 / ���os u-C FOR STAFF USE ONLY
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Site
Address/ Street Address t t Permit No.: SCAN 2013—ODD-1 8
Location J 3 3 i)n l�/ Pa L)�tL. Y k K
tute:Bldg.a Cite:'State Lip Approved By: 2
A y� Di q7d 1.) Date: (QIiB (J
Name 7 v`v`'' Receipt#: 1 162 .3'
Property )6q41 S /l °h ) Aa /TL#: 2-S C B OVXU _
Owner Mailing Address w
Lon
f a' )s S u)1 t i 'i V A Allowable Total Area:214 ft
City,'State Lip f Phone
L I a t(14,DI!1)o6 (So)) 7'1-7 or Electrical Permit Required? ❑ Yes 1Jd Tenant or lle
Business J cir/ ' IC/Ivor-h. C i Building Permit Required? ❑ Yes o
Name Res"`1'12
t i;ci.rplo\.rasters\land we applications isign peanut app.doc
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Sign Fat # S.1 ,
Contractor Mailing Address Suite
S.u s su1 PAc,;;;... ,.i 6g
Cm-/State Zip ,,Phone REQUIRED SUBMITTAL ELEMENTS
g 4ii 01 oK 7rI a2(so))4y4-P4)13 (Note: applications will not be accepted
o,.6°.Coon.Cast.Boud License# Esp.Date without the required submittal elements)
?)-3 3(39- ❑ Completed Application Form
Proposed ❑ caaaanent ❑ Faeestanding El Freeway ❑ 2 copies of site/plot plan,drawn to scale
Sign ' Temponac ❑ Roof ❑ Electronic
;Check an that (3 copies,if a building permit is required)
'PPh) ❑ Wall El Other size requirement: 8'/2"x 11",or 11"x 17"
❑ 2 copies of elevations,drawn to scale
[/New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: 3, . i / size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area(sq.ft.): ❑,/ $171.00 Fee (Permanent sign,any size)
Si g n Data Total Wall Area(sq.ft.) _ a E $54.00 Fee (Temporary sign,any type)
,,Complete all Direction Wall Faces(circle one):
items in this NOTES:
xenon; Q S E W NE NW SE SW
Height to top of sign(feet): 61 • Wall signs do not need to be drawn to scale, but
Projection From Wall(in
chps):/ must include dimensions of wall face and sign
I placement.
Materials: vL • Wall signs do not require site/plot plans.
Will sign have illumir tion? ❑ Yes [21/No • Freestanding signs over 6 ft. required a building
Type: 0 Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes d No
If"yes",a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 1 of 2
APPLICANTS:
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the"Required Submittal Elements"box.
NOTE Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of
this form or submit a written authorization with this application
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
6 /73//3
Applicant attire Date
&mg, - 7/
Signature of Owner/Agent / Date
c10,4
M1/ - 'f- -1-Poo
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard,OR 97223 503-718-2421 I www.tigard-or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
n
1111 c . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 191827 - 06/18/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00078 Temporary Sign Permit-LRP 100-0000-43117 $7.00
SGN2013-00078 Temporary Sign Permit 100-0000-43115 $47.00
Total: $54.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1046 AKOWACZ 06/18/2013 $54.00
Payor: J& M Imports, LLC
Total Payments: $54.00
Balance Due: $0.00
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