SGN2000-00200 CITY OF TIGARD SIGN PERMIT
At. DEVELOPMENT SERVICES PERMIT#: SGN2000-002000
9.�I 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28/2000
EXPIRATION DATE:
BUSINESS NAME: BOWEN REAL ESTATE
PARCEL: 2S101AA-09801
SIGN LOCATION: 12570 SW 69TH AVE
APPLICANT/AGENT: TIM ROTH MANAGEMENT ZONE: MUE
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 13'
TOTAL SIGN AREA: 52 sq.ft.
WALL AREA: 2,000 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of 4'x13' permanent wall sign.
MATERIALS: FOAM/METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 tempora • shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval riatP
APPROVED BY: 4•44101,44
PERMITTEE SIGNATURE:
DATE: 12/28/2000
Receipt #: 27200000000000001843
Date: 12/28/2000
TIDEMARKc TESTINC.EMS,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00200 (SIGN]Sign Permit 100-0000-437000 $50.00
•
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check ROBERT'S SIGNS 0 3214 $50.00
TOTAL AMOUNT PAID: $50.00
ASIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SII'Hall Bled.. Tigard. OR 97223 (503) 639-4171 F,4.-A (503) 684-7297
GENERAL INFORMATION
Name of DevelopmenUProject
Site 130(U eh Real Fs/4-1`e FOR STAFF USE ONLY
Address) Street Address ,r1
Location 1)-570 51° �+el'fk Permit No. Jlf1/V(M^O- VQ360
Suite/Bldg.# City/State Zip 4
97Expiration Date: -/19-
7jatv{
Name Receipt#: d e g
l �{n Approved By: � J
Property ki'1 POI h /'t W1� pp U
Owner �ng Address Suite Date: 7 Od
WOO So .102&f Map/TL#: c1 JIDI f - Fv I od0
City/State Zip Phone Zoning: LLE
7-1..ail4 131%31
Na
Business
Tenant �evE'a Real
ES � Electrical Permit Required? ❑ Yes g No
Building Permit Required? ❑ Yes (g No
Name
/pelf
el f fS 5;8145
g:'
Rev.12/1/2000 is\curptn\masters\revised\sign permit app.doc
Signll
Contractor Mailing Address Suite
(Prior to permit 0/y, / V j -$- eq..)
issuance,a /
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are /�
required if xv OR 97/32_ 53e-83,Z (Note: applications will no be accepted
expired in the Oregon CoAl.Cont. Board Exp.Date without the required submittal elements)
City of Tigard's License#7 78' 3� L"✓ -L'/
database)
❑ Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
g Temporary Wall ❑ Electronic (3 copies,if a building permit is required)
(Check all that ] Other Billboard
apply) ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
Nt;< New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
(3 copies,if a building permit is required)
Sign Dimensions: 4/.._./3 / size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq. ft.): 5A/ X $50.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) G' E] $15.00 Fee (Temporary sign, any type)
Sign Data �
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) / fl S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): ni/ but must include-dimensions of wall face and
Projection From Wall (inches): I" sign placement.
Copy: t • Wall signs do not require site/plot plans.
Materials: l t,�f e't'a( • Freestanding signs over 6 ft. required a
Will sign have illumination? 111 ,Yes No building permit.
Type: El Internal [ External • If work authorized under a sign permit has not
- been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes 2K.No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
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 6 `'4317-12.6 day of , 20
Signature of Owner/Agent
k'd 6.e rt
fr' 55 540-5 5 3 ;55
Contact Person Name Phone No.
Receipt #: 27200000000000001823
Date: 12/27/2000
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00200 [SIGN]Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check ROBERT'S SIGNS 0 3214 $50.00
TOTAL AMOUNT PAID: $50.00
C
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BOWEN
REAL ESTATE
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