SGN2001-00065 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00065
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/9/2001
EXPIRATION DATE:
BUSINESS NAME: FABRIC GALLERY PARCEL: 2S112AB-0190
SIGN LOCATION: SW NO ADDRESS
APPLICANT/AGENT: PATTY MCKAY/FABRIC GALLERY ZONE: I-L
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Permanent placement of(1)freestanding Tx 4' sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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. wor will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. empora sign shall exp e 0 days from approval date. A balloon sign shall expire 10
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APPROVED Y: `
PERMITTEE SIGNATOR .
DATE: 4/9/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (503)684-7297
GENERAL INFORMATION
Name of Development/Project
W
Site �1 0 51 a O, P
Address/ Street Address
Location
Suite/Bldg.# City/State Zip
�{ y
Name
Property
Owner Mailing Addr sU Suite
�ZI0to SE 06\ow
City/State Zip Phone
rn;iWouk�eg7aaa 07-7-7 ra
z
Name
Business MON
Name _ uU OuMEvS �Qf'(ffLt�S�
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/state Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if (Note: applications will M be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License#
database) I [Completed Application Form
Proposed ® Permanent ® Freestanding ❑ Freeway ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Signwall Electronic
(Check all that ❑ (3 copies,if a building permit is required)
(Che
apply) ❑ Other [:] Billboard ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
® New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
(3 copies,if a building permit is required)
Sign Dimensions: Lit,x 3 l size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area(sq.ft.): 12 .Z S $50.00 Fee (Permanent sign, any size)
tees
Sign Data
Total Wall Area (sq. ft.) b ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 6'4W but must include dimensions of wall face and
Projection From Wall (inches): dD L)LA, sign placement.
copy: abrlt, C901t'u ♦ Wall signs do not require site/plot plans.
Materials: V#,&,c, ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes [S No building permit.
❑ ❑ ♦ If work authorized under a sign permit has not
Type: Internal External
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 a No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
I
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 day of C '/�L(� • 200_
Signature of Owner/Agent
,,T3-W-0777
Contact Person Name Phone No.
APR.10.2001 12:58P,�36?eoTRI COUNTY IND. PK. SCOTTIE MAC PATTY NO.730 P.3i3 01
04 1„f tenl 11:90
tion given is
1 hereby acknowledge that i have read this ��f��o�orha�d that plaat the nes submitted are
correct, that I am the owner or authorized aprn
in compliance with the City.of Tigard.
DATEDthis
-Sday of 6pyle7 20-LL-
✓{�.. Cow
S' nat jAreV owner/Agent ►�j
Contact Person Narne Phone Na
(( ,rm& arab to
4>5
0 Ti A%rd 50 3�s�Q_►ql�
Receipt #: 27200100000000001437
TI'Ak�
DEMARK Date: 04/09/2001
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2001-00065Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check FABRIC GALLERY,INC. 0 1373 $50.00
TOTAL AMOUNT PAID: $50.00
Keysenk NedonW AssooI.uon 1373
Lake Oswego.Oregon 97034
FABRIC GALLERY INC 24-201/1230
14865 SW 74TH AVE.,STE 110 38
TIGARD,OR 97224-7968
(503)968 0777 /�y
PAY TO THE 04 $ VV .t/V
ORDER OF
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