SGN2001-00011 CITY OF TIGARD SIGN PERMIT
i S, NI DEVELOPMENT SERVICES PERMIT#: SGN2001-00011
- 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/16/2001
EXPIRATION DATE:
BUSINESS NAME: BIG TOWN HERO PARCEL: 2S112DA-00301
SIGN LOCATION: 15230 SW SEQUOIA PKWY 120
APPLICANT/AGENT: ZONE: I-P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 4'8"
TOTAL SIGN AREA: 18 sq.ft.
WALL AREA: 690 sq.ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of(1)one permanent 4'x 4' 8"wall sign.
MATERIALS: ALUM/LEXAN
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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 temporary sig all expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY: /(`
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PERMITTEE SIGNATURE:
DATE: 01/16/2001
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A11, -iiIA
!. SIGN PERMIT APPLICATION
CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4/7/ FAX (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site FOR STAFF USE ONLY
Address/ Street Address
Location 5 Z6 0 3 —Q V ?KW' , Permit No.: 0 1 O ( T7 .
Sw / Idg.# Cit / tate Zip 1
1 0 I 1 Qrd 0a, ./12Zd Expiratio_1c) :
Name Receipt#: - CT-) j -- O C3 6 1
Property r'1 G2ED1-T Approved By: 1L 7 P
Owner Mailing Address Suite1-4 Date: `/1 k i
3 13.
153so 5�1 sedcLusmx Map/TL#:'- t�,
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't /State Zip V Phone Zoning:
,.... y/State
Ca.9 12z
Tenant or Nam — Electrical Permit Required?- R Yes ❑ No
Business 0%CP ICu1/4yv 0l✓e0 .
Name Building Permit Required'? ❑ Yes ,` No
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Contractor Mailing Address Suite
(Prior to permit 535 N( .�Qtr, C
issuance,a
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copy of all Cit /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if S2•^l*O OQ3 )/3? 2:35 ' �56V (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License# 1 ' (.0D
9 9 1/402,
database) V w // ❑ Completed Application Form
ProposedPermanent FreestandingFreeway
❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ���\\1 (3 copies,if a building permit is required)
apply) ❑ Other ❑ Billboard ❑ Balloon size requirement: 8'/z"x 11",or 11"x 17"
ISI New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies,if a building permit is required)
4.,-� ki - r� size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq. ft.): i S a ❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) (,9O ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E(V NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 15,-(p but must include dimensions of wall face and
Projection From Wall (inces): a " sign placement.
Copy: ?ti owl-, 14e)'O • Wall signs do not require site/plot plans.
Materials:Uw, ,Const wlLe,,m►-, FO.UL • Freestanding signs over 6 ft. required a
Will sign have illumination? 'ISLYes ❑ No building permit.
Type: Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑. Yes 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.
1)‘
DATED this day of ci O`ti, , 20 0
bAcx01)Q d
Signature of Owner/Agent
Contact Person Name Phone No.
Receipt #: 27200100000000000197
_.,. Date: 01/16/2001
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00011 [SIGN]Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CHARLES WIENS INC 0 2234 $50.00
TOTAL AMOUNT PAID: $50.00