SGN2002-00263 r i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2002-00263
DATE ISSUED: 1
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 SI lO
PARCEL: 2S110DC-02200
BUSINESS NAME: POSTAL ANNEX ZONE: C-G
SIGN LOCATION: 15532 SW PACIFIC HWY C-113 JURISDICTION: TIG
APPLICANT/AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X12'
TOTAL SIGN AREA: 24 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of(1)one temporary banner. Valid 12/2/02 thru 1/1/03. Sign#2
MATERIALS: VINYL CANVAS
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 Oregon Specialty
Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must
be placed within 90 days from approval d r sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall ex 0 d ys from v 'dity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 12/2/02
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 T16W py-OM6YN PC FOR STAFF USE ONLY
Site ?Oslr 1. ANgex
Address/ Street Address Permit No.: -�C AI 2z%, --00
Lfo
Location 663a Expiration Date:
Suite/Bldg.# City/State Zip
C - 1B JGAP D q Receipt#:
Name Approved By:
Date: � 2
Property C -p 22,03GMS
Owner Mailing Address Suite Map/TL#: l 5 11OD
Zoning: _
City/State WA
Phone
W Electrical Permit Required? ❑ Yes No
Tenant or N e
�3 Building Permit Required? El Yes No
Business
Rev.Ot-Jul-02 i:\curpin\masters\revised\sign permit app.doc
Name
Sign REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(Prior to permit (Note: applications will not be accepted
issuance,a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const.Cont.Board Exp.Date
City of Tigard's License# ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", Or 11" x 17"
Sign Temporary ❑ wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
(� New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimen io2/
❑ $30.00 Fee (Permanent sign, any size)
Total i Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height„to top o sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: 6ANTk sf-hp!s • Wall signs do not require site/plot plans.
Materials: L (-kK)QAS • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ta No • 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 Ef No
If"yes",a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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 )r-,O-jCAAIF>�— , 20�
Signature caner/Agent
Contact Person Name Phone No.
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