SGN2003-00152 e
CITY OF TI GARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: S27/0 -00152
3
2510 3
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED:
PARCEL: 2S 103DD-00400
BUSINESS NAME: SUBWAY ZONE: C-G
SIGN LOCATION: 13727 SW PACIFIC HWY 150 JURISDICTION: TIG
APPLICANT/AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign 3'x 4' near Pacific Hwy entrance. Sign#3. Valid July 2 -August
2, 2003.
MATERIALS: VINYL
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 date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
i
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 6/27/03
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX.- (503) 684-7297
GENERAL INFORMATION
Nam of Development/Project
�w,�"`� FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: .SC,N 4003 y 0 i5:k
Locatio5 L,)n
1r_,,L 0-
Expiration Date:
S ite/Bldg.# Ci ate Zip
��P I ` 4 !t Receipt -
Name n , Approved U
By:�ag LC
Property
I!/ Il�''� Date: to a7 - v3
Owner -Ma`iling Addres Suite Map/TL#: A j°3 D D O 0400
Zoning:
City/State Zip Phone
Electrical Permit Required? ElYes [ No
Tenant or Name
Business Building Permit Required? ❑ Yes No
Name Rev.2/28/2003 i:\curpin\masters\revised\sign permit app.doc
Sign
V& 6
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(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 Ingard'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"
SignTemporary ❑ wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Fa New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: j
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
H ' t to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ 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
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 4Pr7 day of� , 20()
Sign ure of Owner/Agent
Contact Person Name
Phone No.
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