SGN2004-00300 CITY OF TIGARD SIGN PERMIT
4iik D EVELOPMENT SERVICES PERMIT #: SGN2004 -00300
Real- M l DATE ISSUED: 10/14/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136DB
BUSINESS NAME: BIG TOWN HERO ZONE: C -
SIGN LOCATION: 11571 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: BIG TOWN HERO
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3X5
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: temporary banner sign (1st permit) 15 s.f. Valid from 10/14/04 through 11/14/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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.
APPROVED BY: Nei , "� • v• -�-
PERMITTEE SIGNATURE: ` 6)4, °A 10
DATE: 10/14/04
4
oe ' t)ra'; SIGN PERMIT APPLICATION
2 �, � III
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project .
Site .& 0 1 t 7 FOR STAFF USE ONLY
Address/ Street Address Permit No.: 3c c.) — oo 3 oc)
Location ` SLO PO QQ Ct C 01.0`1
Suite /Bldg. # City /State Z;p Expiration Date: I I - 04 c`1
t,^.l` (rg CR Receipt #: a.00 <4 - 45 7
Name Approved By: C . Co -
Property S e )■- Date: TO - / 4 - 0 c
Owner Mailing Address Suite Map/TL #: I S / 3 co D — ��
Zoning: C - G
City /State Zip Phone
Tenant or Name n
Electrical Permit Required? ❑ Yes ( No
Business _ei -- y Building Permit Required? ❑ Yes [ No
a me �` N V Rev. 7 /1/04 is \curpin \masters\revised \sin permit a
e\ ,
Sign p p app.doc
�
Contractor M fling Addres Suite
� REQUIRED SUBMITTAL ELEMENTS
(Prior to permit k
issuance, a >l P ( (Note: applications will not be accepted
t 2 hone without the required submittal elements)
copy of all City /State Zip c
licenses are �' . ` ,.. required if �"CJ1 SZ — 02$ ❑ 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)
Proposed (3 copies, if a building permit is required)
❑ Permanent El Freestanding ❑ Freeway • size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall
(Check all that ❑ Electronic
Other ❑ Billboard ❑ 2 copies of elevations, drawn to scale
apply) + ❑ Balloon (3 copies, if a building permit is required)
L�! - New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: , �
X 5 El $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): El $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all tion Wall Fa 1 • cle one): NOTES:
items in this
section) N I S E W NW SE SW
t to top of sl: eet): • 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: El 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
❑ YesNo 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.
DATED this day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.