SGN2005-00067 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00067
ma _ 1 DATE ISSUED: 3/18/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CC - 00700
BUSINESS NAME: PARK PLACE PLAZA ZONE: C -
SIGN LOCATION: 13599 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 8 sq ft temporary A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Sign #
1 For Suite G Valid 3/18/05 - 4/18/05
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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 sha xpire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ' •
DATE: 3/18/2005
i. '. 9;it. 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
FOR STAFF USE ONLY
Site 3S q fa c:c:c }.lbw
Address/ Street Address Permit No.: , /J0`5 �c-N�1(07
Location Expiration Date: If
Suite ldg. # City /State Zip Z
Name Approved By:
t /�� Receipt #: I
��S�r c� C � (- A 7 �� r '
Property r Date: __YiB!.
Pro
p y 6e \�c or
Owner Mailing Addres Suite Map/TL #:
IG a a c 0,c...,.. i1✓' • Zoning: C
City /State Zip Phone
tx esA L ham\ r r Cr 2 h 3'=) 7WC 76'� — Electrical Permit Required? ❑ Yes g--No
Tenant or Name
Business Pi, r Pic c e 1-.. (4 Building Permit Required? ❑ Yes E —No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign S
. , 4 1 w\ 3 /1 e 5;c v� ,L, Contractor Mailing ddress Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 3 (Note: applications will not be accepted
issuance, a 1,�j1 �?�^ ,S .� tJ�C. C t- �'�' � A
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if TT �u✓' C` o t c t 3
- 1.Q ) cC 3Is .1 `1 As �
expired in the Oreg n Const. Cont. Board Exp. Date El Completed Application Form
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: 8 x 11 ", or 11" x 17"
Sign Temporary ID Wall 1=1 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: 8 x 11", to 24" x 36"
Sign Dimensions:
d )C LI ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): l $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: at ity El Urb
(Complete all Direction Wall Faces (circle one):
items in this -W -a� NOTES:
section) N S RC 1 NE NW SE SW
Height to top of sign (feet): L` • 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: L 0cc\ • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes a" building permit.
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 '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 ,/ (f (t- S day of , 20
Signature of Owner/Agent
9 9
Contact Person Name Phone No.
o
P E
fc_D
503 --7z3-7i0)