SGN2000-00158 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2000-00158
DATE ISSUED: 09/26/2000
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
EXPIRATION DATE:
BUSINESS NAME: MADDY'S PARCEL: 2S102AA-0049(
SIGN LOCATION: 12085 SW HALL BLVD 140
APPLICANT/AGENT: ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 34"X24"
TOTAL SIGN AREA: 0 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of temporary A-frame sign. Date of sign 10/1/00-11/1/00 (3rd sign).
MATERIALS: METAL
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 work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall ex 're 30 days from approval date. A balloon sign shall expire 10
clave fmm annmval data
APPROVED BY: 60h
PERMITTEE SIGNATURE:
DATE: 09/26/2000
017Y-OF TICARD Sign Permit Application Recd By - /\
Date Recd o-W 00
13125 SW HALL BLVD. Permanent or Temporary Permit No. -001
TIGARD, OR 97223 Commercial or Residential Permit Fee
(503) 639-4171 Receipt No. 6 t)--
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site location, including wall signs that over p a tenant space?
S/ Street Address ❑ Yes No
Addres If"yes", a list or diagram of all sign dimensions and
Location L� ,� vv square footage must also be submitted.
ui /Bldg.# City/State Zip
/3& - v
Name NOTE: If work authorized under a sign permit has not
,v ��J�— been completed within ninety days after the
Property CO
Mailing Address suite issuance of the permit,THE PERMIT WILL
Owner BECOME NULL AND VOID.
oa -(J Ad i
/State Zip Phone 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,an a plans submitted are in compliance with the City of Tigard.
Tenant or Name
Date
Business ��75 Sian
Name 0C
Sign Co ct erson Na a Phone
Contractor Mailing Address Suite C, ltaf)
Prior to permit �/ D
issuance,a
COPY City/State Zip Phone
of all licenses
are required if Required Submittal Elements
expired in Oregon Const.Cont.Board Exp.Date
C.O.T. License# p Completed application form
database ❑ 2 copies of site/plot plan, drawn to scale
Proposed ermanentO Freestanding ❑ Freeway (3 copies, if a building permit is required)
Sign OH/Temporary ❑ Wall ❑ Electronic size requirement: 8-1/2"x 11", or 11"x 17"
Check all that ❑ Qther ❑ Billboard ❑ Balloon Note: Wall signs do not require site/plot plans.
apply _
C]si 2 copies of elevations, drawn to scale
[Er-NewAlteration to existing sign?
sign? 9n. size requirement: 8-1/2M x 11 , to 24'3 co ies9`if a building permit is required)
.x36
�
( P
"
Sign Dimensions: f Note: Wall signs do not need to be drawn to
��% J/►J�Total Sign Area(sq. ft. scale, but must include dimensions.
Sign $ .❑..x$50.00 Fee (Permanent sign, any size)
Data Total Wall Area (sq. ft.) F X15.00 Fee (Temporary sign, any type)
Please
complete Direction Wall Faces(circle one):
each item
in this N S' E W NE NW SE SW FOR OFFICE USE ONLY:
section Map/TZon'
Height to top of sign (feet)- 1 - 0
Notes
Projection From Wall (inches): Electrical Permit Required? El Yes
No
Copy: Building Permit Required? ❑ Yes No
Materials: App B( Dulte of Ap orvaal:
M71V U U
Will sign have illumination? ❑ Yes No Expiration Date:
Type' ❑ Internal ❑ External
i:WstsVormsksignapp.doc 12/17/98
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Receipt #: 27200000000000000641
_.. Date: 09/26/2000
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00158 [SIGN]Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CO-ZACK VENTURES,LTD 0 2717 0 $15.00
TOTAL AMOUNT PAID: $15.00