SGN2005-00107 1
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CITY TIGARD SIGN PERMIT
l; DEVELOPMENT SERVICES PERMIT #: SGN2005 -00107
' DATE ISSUED: 4/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S115BA -02500
BUSINESS NAME: PARTY MART ZONE: C -G
SIGN LOCATION: 16200 SW PACIFIC HWY W JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30'X36"
TOTAL SIGN AREA: 90 sq. ft.
WALL AREA: 1,008 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 15 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Alteration to existing sign. Replacing with existing west elavation sign.
MATERIALS: PLASTIC& MET
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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 da s fr validity dat
APPROVED BY:
PERMITTEE SIGNATURE: - - .------ � -
DATE: 4/18/2005
� /if S IGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Pr
Site itep , 5u , �'�-cl,,'e yiw y FOR USE ONLY
Address/ Street dress Permit No.: S ( 7 N L6 UU ■ c - 7 -
Location ("Roo ce) Plum , e /AAA/ Expiration Date:
uite /Bldg. # City /State Zip
7177V D/'l � � Receipt #: �`� / 1
Name
Approved By:
Property Date: `/11
Owner Mailing Address Suite Map/TL #: S / 5 6 -c; Z 5 x
Zoning: 6 (-
City /State Zip Phone
Tenant or
Name Electrical Permit Required? E -Yes ❑ No
Business c n),y 1 1- Building Permit Required? ❑ Yes [i to
// Name // Rev. 8/7/2003 is \curpin \masters \revised\sign permit app.doc
Sign kifYiblidv 4,u I
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit l 1`
issuance, a
/� D 0) I fi (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if A /V// 1 /// ,p/ 9 / (n 579 to J � ! ❑ Completed Application Form
expired in the Oregon onst. Cont. Board Exp. Date
City of Tigard's License # / 5.( 2 Copies database) � �5� ❑ p� of Site /Plot Plan Drawn to Scale
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary Vall ❑ Electronic
(Check all that Other ❑ ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Billboard Balloon ,
El New si n? (3. copies, if a building permit is required)
g Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 1 tr
�C9 - Er$331.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
9. ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) t, Jurisdiction: ❑ City ❑ Urb
v2 x ail =7 4T
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE W SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): )6.4 but must include dimensions of wall face and
sign placement.
Copy. +4,l.`1 1111044-Z • Wall signs do not require site /plot plans.
Materials:Q 4t- rjej J4- i- • Freestanding signs over 6 ft. required a
Will sign have ill mination? Yes I=1 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)
1 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 / 6 day of I / , 20 d
Signatu fo O dine /A• '-
/
/ /1f2 f1 /72.71/,/../4/ '76 6/ ?7 Pe Name Phone No.
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