SGN2005-00149 1
CITY TIGARD SIGN PERMIT
i I DEVELOPMENT SERVICES PERMIT #: SGN2005 -00149
'III 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/24/2005
PARCEL: 2S 102AB -05800
BUSINESS NAME: TIGARD CHAMBER OF COMMERCE ZONE: CBD
SIGN LOCATION: 12345 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: CLASSIC SIGN SYSTEMS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: P
MATERIALS: VINYL
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.
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APPROVED BY: 6 C
PERMITTEE SIGNATURE: w /�
DATE: 5/24/2005
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4111 �.rl,,,l,; SIGN PERMIT APPLICATION
etetsW CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project Cl 1Clrvi b °� FOR STAFF USE ONLY
Site f ! CUz-4 i---h-e'cA- CEtvvtrner e
Address/ Sired Address Permit No.: 3&i.J DoS - q
Location / 234 5 . W r J 6-t - ,S4.- Expiration Date: '7
Suite/Bldg. # City /State Zip
rt q - u3 Receipt #: 20 3 ° -.33- '
Name U �� Approved By:
�` r o a_ Date: 6 - 0
Property CI A4t_/ ,t loe -r cc C-0OA Wke -
Owner Mailing Address Suite Map/TL #: } S / °,z H I ' 0 cO v D
12 4 & +Ai, —
m441 Zoning: C r� 0 w .s-t--
City/State Zip Phone 6 0 3
1 t 44th 9 1 72 2 - 3 _w 39 , / OS 4 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business CI k-- Building Permit Required? ❑ Yes 0 No
Name Rev. 30JuI-01 iicurpin■masters\revised\sign permit app.doc
CI. tC -`9 sy Sles" r
Sign
Contractor Mailing Address -7 8 O Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit aco (Note: applications will not be accepted
issuance, a � (kl ti L.,Li 1414Y
copy of all City/State Zip Phone 03
without the required submittal elements)
S
Licenses are
required if "�J 3" 9 -72 - 2 - 3 y ' 5 l054: Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City or Tigard's License # ,r 4 1 3 . ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed size requirement: 8 /a" x 11 ", or 11" x 17"
Pro
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36
Vi New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 3' >e 5" it $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
.) 4 v MOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this • Wall signs do not require site /plot plans.
section)
N S E
L W NE NW SE SW
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): b" • If work authorized under a sign permit has not
Copy: 3 e_ 4 -t c_c I...oci been completed within ninety (90) days after
Materials: V; the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes El No
_ Type: ❑ Internal ❑ Extemal
Are there any existing freestanding or wall signs at this Not ail jurisdictions accept credit cards, please call jurisdiction for more information
O Visa 0 MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / / - -- Pc ❑ Yes ❑ No A.-1 Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
lf1VFR FOR SI(,NATIIRFSI
I hereby acknowledge that 1 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.
f i ,_
DATED this day of i.1y , 20 C
Signature of OwAgent)
v c CF 0 3• Co 3 S 4, S (r►
Contact Person Name Phone No.
CITY OF TIGARD
13125 SW Hall Blvd. �i �n,,, , �t'li ilii Tigard, Oregon 97223 _
(503) 63 9-4 17 1
Receipt #: 27200500000000002322
Date: 05/24/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00148 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2005 -00148 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2005 -00149 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2005 -00149 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
SGN2005 -00150 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00150 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2005 -00151 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00151 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $88.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL CAC 12566 In Person 88.00
GRAPHICS, INC
Payment Total: $88.00
cReceipt.rpt Page 1 of 1