SGN2001-00157 CITY OF TIGARD SIGN PERMIT
A� a
DEVELOPMENT SERVICES PERMIT#: SGN2001-00157
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/2001
EXPIRATION DATE:
BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY PARCEL: 1S136DD-0260
SIGN LOCATION: 11705 SW 68TH AVE
APPLICANT/AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 41"X 28"
TOTAL SIGN AREA: 8 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of(1)one temporary A-frame sign. Sign shall not be placed in public
right-of-way or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subjectto the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All workwill a in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sii shall xpire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 8/23/2001
U8. 2Y t11 1 11) 15: '_'3 1 .1.0 50:5 598 19 tj 0 t IT)i 01 1 1 GUM
SIGN PERMIT APPLICATION
, 6S'47"1)7
CITY Of TIGARD I �12,j 639-4171 17.f:k' t5t) )
GENERAL INFORMATION
1ME'Ot Or V0•:3Pi'ller'VPro
F F E QN
Site L Ir"t,/.:.I LY
t,jruut Addre
Address/
Permit No.: tj Z-0 0 1
Location
uike!�t3!thj 9--T7-'jty"St'1tC I Expiration Date---
77
—------ Receipt#'
Approved 13y
nate:— g ---
Property Suite
Mailing Addre-I
Owner
alePho I Zoning,
No
Tenant or Electrida Permit,Required?
P ermit�Rb cjuired?� Yes
Building-, 14o
Business �JJ(i
1 2JI!2(
S;gn
Contractor A9ailiny Ad; trite
(prior to pern'it
REQLLIRE Q13 PAITT&L-ELEMENT$
(Note. applications will p
ot be acr
iredd 7 ittal elements)
r4'u 7. without the required s"bnl
-ily cf i iceww,
Completed Application [-Oiff)
2
Proposed Q Freestanding Freeway
Copies Of sitktPlot Plan, Drawn to
Sic wall (3 copies, ii a building f)-rillit is iequ 1-�dil
Sign x
ualJ004-1 size requireflIE!"t
(Check au that L'i!'board 1--i
F.Zjj0y' I I-1.------ I evaticw-.', dr"y""ft
2 (;opies Of el
'igp-? I Alter to exi!,ting sign'W F (3 Copies,it a building j
'roTt4i'l Sign Ar( ft �)0.00 Fee (Permanei'd,
ra -,a
ally tyoci
$15.00 Fee (lei
tal VV it Area (sq. ft.)
Sign Data
(Complete all Direction Wall Faces (circle on(,): NOT itemsit)M�S need to be drawn to scale,N �N' N'E NW SE __svv____ ♦ Wall signs do not car t11f.7r�e n-nd
but must �1-jciude &-nansiOrl'; Of
_Height to top Of sig" (feet)� sign placement.
Proiectien From Wall 0n&'es):.'.--------
• Wall signs do not require site/Plot P'--ilil!
red
Copy: 6 ft. iuquk
------ ♦ Freestanding sign, OveF,
building permit,
Yes No ed under a sign pp
Will sign have ll1LJM;n3ti01"? Li ♦ if work authorized (.Fnit Ijas not
r- `90) days after
1-ype� L-1 internal r Efternal—, been completed within ninety k
ire—t there Eilly existing freestanding or wall signs ael i the issuance of the t tris permit, THE PERMIT Wit t,
-- - -
location, including wall signs that overla,�j a let ai14 SP BECOME NULL AND VOID.
Yes No
(OVER FOR SIGNATURES,
if ,yes,,, a list or diagram of ail sign dimem.1ons and
square footage Must also be submitted.____
TI( '�Rh
0:3 5 C)8 19 6 CIT) W.
I hereby acknowledge that I havo 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 _—Clay of
it h-
Signature, c)f 0,,vnei-/AqenL
Phone No.
Contact pr�rseri Name
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I
(MTY OF
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Receipt #: 27200100000000003494
_w.... Date: 08/23/2001
TC 1 0T E SYS`�,TEMS,R CK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00157 emp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check MOUNTAIN PACIFIC MACHINERY INC 0 5596 $15.00
TOTAL AMOUNT PAID: $15.00
MOUNTAIN PACIFIC MACHINERY, INC. US BANK 5596
11705 S.W.68th AVE. PH.503-639-7635 24-22/1230-214
PORTLAND,OR 97223
5596
************ Fifteen & 00/100 Dollars
DATE AMOUNT M
08/20/01 ********15 . 00.
PAY
TO THE
ORDER
OF: City of Tigard
13125 SW Hall Blvd. MOUNTAIN PACIFIC MACHINERY, INC.
Portland, OR 97223NP
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11100559611' i: 1230002201: 15360651225611-