SGN2004-00293 CITY TIGARD SIGN PERMIT
I
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00293
- �' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/04
PARCEL: 2S112AC
BUSINESS NAME: CLUB K - ZONE: I -L
SIGN LOCATION: 07360 SW BONITA RD 100 JURISDICTION: TIG
APPLICANT /AGENT: CLUB K -
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary A -frame sign. (2' x 3') Sign #1. Must be placed
outside of right -of -way. Valid from 10/13/04 through 11/12/04.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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.
fI / Y
APPROVED BY: 4 C.
PERMITTEE SIGNATURE: ALL
DATE: 10/13/04
' ,, ,' , 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
Site C I I v D K- c
1 n C • FOR STAFF USE ONLY
Address/ Street Address Permit No.: S� N a cx.)4 o oLtei,3
Location -� 3 C O 5 60- -;,�c, rd'
Suite /Bldg. # City/State Zip Expiration Date: 11 - I - o 4
l T'. Pik f cal o Q,. --/-72.24 Receipt #: q o O t-I - 45
Name
Approved By: C . Ca.4,;.,`—.)
Property S v t...1?,, C_i�, ,, -, Date: / - i3 - -04
Owner Mailing Address Suite Map/TL #: aS l i d A C -- U .a? co
G+03 i,.) y 4 f ` s 4 - Zoning: j — L
City /State Wt. Zip Phone
Tenant or
Name Electrical Permit Required? ❑Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/04 is \curpin \masters\revised \sign permit app.doc
Sign
Contractor Mailing Address uite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a
(Note: applications will not be accepted
copy of all City /State zip Phone without the required submittal elements)
licenses are
required if `% ❑ Completed Application Form
expired in t Oregon Const. Cont. Board Exp. Date
C tabase tares Li # El Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ P ermanent ❑ Freestanding 1:1 Freeway size requirement: 8 x 11", or 11" x 17"
Sign 0 Temporary ❑ Wall ❑ Electronic
(Check all that I-1 Other ❑ 2 copies of elevations, drawn to scale
❑ Billboard
apply) ❑ Balloon
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
X Sign Dimensions: /
x 3 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): r Z , ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) - Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height 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
Copy: sign placement.
• Wall signs do not require site /plot plans.
Materials: ? 1 y,,.Y cocQ S« ,.,,t ...,;, LI, 6 - - A • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes El 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
❑ Yes ❑ No BECOME NULL AND VOID.
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.
kh
DATED this i 3 day of C G , 20 U
Signature p Owner /Agen I
r c� y �t� vs"Th v 3 ct SS O y (- I ` 7
Contact Person Name Phone No.