SGN2005-00018 4 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00018
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/4/2005
PARCEL: 2S 102AD - 00600
BUSINESS NAME: HOUSING SOLUTIONS ZONE: CBD
SIGN LOCATION: 12645 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 12 sq ft permanent freestanding sign. Sign must be placed
on private property and not inthe public right -of -way or visual clearance area.
MATERIALS: PLASTIC/WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 days
from validity date. �(
APPROVED BY: ,
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PERMITTEE SIGNATURE: .. /
DATE: 2/4/2005
411 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
Site t'toust 501011/4D,05 FOR STAFF USE ONLY
Address/ Street Address Permit No.: • 3G iu �Q S — w V
Location 1 2-VI SW (4a (( (3 (vol •
Expiration Date:
Suite /Bldg. # City /State Zip
— 11 5 ,,, ✓ ct OR C17ZZ3 Receipt #: 2-c D05 -- vO V e Y
Name n Approved By:
Property �i,✓✓ 1 &.' l' (tAvl .1X Date: f `D
Owner Mailing Address S uite Map /TL #:
'8515 51.+/ 5,,, -re- i'1 Zoning: C j 4
City /State Zip Phone
- 333tret4on o Z 91co8 503 - (ottLi- Ga'17`1r
Electrical Permit Required? ❑ Yes EL_No
Tenant or Name
Business I OUS i V19 Sot tk'h0 LI V,t l - Building Permit Required? ❑ Yes C_No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
X Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
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 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 ❑ Wall ❑ Electronic
(Check all that ❑ Ot her El ❑ Balloon I 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 „
N $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
/ _ n $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City n 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): r-1-- • 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: Gofty .t,..t Plcoilt, /'.t1" c . • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ® 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 rgi 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
9111 day of e�ua % , 20
3
Signature of Owner /Agent
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Contact Perso me Phone No.
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503 910.2000
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A roved CITY OF TIGARD [
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Conditionally Approved [ j
For only the w as described in:
PERMIT NO.. , -- 1 / u 2 - 0, -D- -6301 -
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* - - Property Data Selection Menu - -
-1 Owner: TAYLOR, CHARLES E /BILLIE J
Prop ID : R1127168 (Real Estate) (217026) 12575 SW PATHFINDER CT
Map Tax Lot: 2S12BC -05500 TIGARD, OR 97223 l 2
Legal : YOLO ESTATES, LOT 4 ( / 1
Situs : 12575 SW PATHFINDER CT Year Built : 1979
Living Area: 2134
Name(s) .
Code Area : 023.74
Sale Info : 06/09/94 2003 Roll Values
Deed Type : DBS RMV Land $ 101,210 ( +)
Instrument: 94057589 RMV Improvements $ 106,040 ( +)
2003 Tax Status * No Taxes Due * RMV Total $ 207,250 (_)
Current Levied Taxes : 2,423.91 Total Exemptions $ 0
Special Assessments M5 Net Value $ 207,250
2004 -05 SB125 Taxes M50 Assd Value $ 147,640
(1) Alt Disp (2) Primary (3) Secondary
(4) Land /Impr (5) Gen Appr (.) More
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