SGN2016-00113 CITY OF TIGARD SIGN PERMIT
I • Permit#: SGN2016-00113
COMMUNITY DEVELOPMENT Date Issued: 11/15/2016
T I( A R.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AB03300
Jurisdiction: Tigard
Name of Business: Mortgage Cafe Northwest
Business Address: 9295 SW ELECTRIC ST B
Applicant/Agent: Hinckley,Adrian
Work Description: One(1)temporary A-frame sign valid from Nov. 15,2016 to Dec. 15, 2016.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 2'X 3'
Total Sign Area: 6
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: Plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $63.00
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:
Permittee Signature:�►�
City of Tigard
11 . COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Temporary Sign Permit Application
SIGN LOCATION
REQUIRED SUBMITTAL
Address: 7(v2_ SiA.) (.i_,I ��jZ..1c 1. Suite #: g ELEMENTS
City/state: '1 I Li Ag4.2 )II Zip: g 7 ?•3 Size information type and size
Tenant or business: rVi 01Z `6011 6 ( ilii,3 iimensions
pplication Fee
Propety owner: . re 1 0 11 A Property owner signature/
Address: 9.9,9 C Sl..) (zu ix7l'C(C. S) written authorization
City/state: .T/C.4 f-1-tZ () `j}J Zip: 1 7,23.3 NOTES:
Phone: Email: • Applications will not be accepted
Contact name: k(4 LS . l c;04 10 S GN"\ without all required submittal elements.
• Temporary Signs 18.780.100
APPLICANT 1 • Balloon Signs 18.780.100
Name: - -p2i 14-.A. 4Nt L.t C 1C—L/C-
Address: 9,�7c ,git) 6_1_6_0-4(C Y.c..77,7: 'g FOR STAFF USE ONLY
City/state: 17(....;020 t3i — Zip: 9 1,1,23
CaseNo.: rx-2.oi(0,-/)a//3
Phone: cD3 Si S,?) 'c ? Email: 4-01Z:/14,1- .. Q MTZ.I Ci4-/f_10(4.J.
Contact name: 7�{Zi .t/\ tk-1►nom tccf� Approved and issued: /
By: LS Date: /l//C /
`'
C
SIGN INFORMATION (Check all that apply) Permit fee: 4i,e.��
❑ Balloon Map/TL#: Ma—(261)
Install date: (Valid for 10 days) Zoning: //,,,,
Lawn Sign (Inclu g A-f mes) Total sign area: t-[/
/ Install date: I l . /(o (Valid for 30 days) I:\CURPLN\Masters\Land Use Applications Rev.12/30/2014
❑ Banner
Install date: (Valid for 30 days)
O Other:
Sign dimensions:. Sign area: (sq.ft.)
Materials:
Direction wall faces (c. cle one): N S E W NE NW SE SW
lam- , JZ/#\ M 0tGC/C( /l / c /4'
Apr/an '(signature Print name ate
&€ ckce
Owner's signature Print name Date
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 1
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated`Termittee"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.
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,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 or 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 required.
Applica s signature Print name Date
Owners si ature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2