SGN2005-00133 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00133
L ' l l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/9/2005
PARCEL: 2 S 103 D D -00800
BUSINESS NAME: ANDREW AGENCY LLC ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 6 sq. ft. sign. Sihn must be placed on private
property and not in the public right -of -way. Sign #2 May 10, 2005 thru June 10,
2005.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
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 shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: Zr
DATE: 5/9/2005
1
t
,ir it SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: S 4/V 2.43c 0 O / 3 3
Location / 3g/S 5/,) P�c-,.'e__ S
Suite /Bldg. # City /State Zip
Expiration Date: 7 Q /0 S /(D f O S
1 5 , A,�,i__ 99 Receipt #: 2c y
Name Approved By:
Property mote_ G "�'J Co Date: 3797
Owner Mailing Address Suite Map /TL #:
Zoning: C �
City /State Zip Phone
Name Electrical Permit Re ❑ Y es L —No
Tenant or �b
Business 74 _s ,I-1- c .I- Building Permit Required? ❑ Yes
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite 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 the Oregon Const. Cont. Board Exp. Date
City of
database Tigard's License # El Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed Permanent El Freestanding El Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other El 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:
3 ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 6 ❑ $17,00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
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, I
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
sign have illumination? 111 Yes ❑ building permit.
No • If work authorized under a sign permit has not
1 ype: ❑ 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)
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 9 day of , 20 c9S—
.
Signature of Owner /Agent
eo zEni,9- 4NAQ 503 6 e
Contact Person Name Phone No.
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CITY OF TIGArt .
Approved
Conditionally Approved
For only the work as described in:
PERMIT NO .5 z_aca 7-60 /q.3
See Letter to: Follow , f I
Attach - 1 1
Job Addc , "__
3 g .5 1944, . ./ 60
By: _____,!..._ Date: