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SGN2005-00063 CITY TIGARD SIGN PERMIT D EVELOPMENT SERVICES P ERMIT #: S GN2005 -00063 Ail 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 3/17/2005 PARCEL: 1 S 136C D -01401 BUSINESS NAME: AMERICAN BOOT CO ZONE: C -G SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 3' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary banner. (8' x 3') Valid from 3/18//05 through 4/18/05. 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. APPROVED BY: PERMITTEE SIGNATURE: t,, DATE: 3/17/2005 1 aivir 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 Site FOR STAFF USE ONLY Address/ Street Address Permit No.: Location � � � ' ,r,-t SW paG�i L (�Wy s'E,tJ�odS auot� -.3 Suite /Bldg. # City /State Zip I Expiration Date: Li - is -as — 77,1 rd 0 K g72Z3 Receipt #:_ a oo S -111,5 Name Approved By: C • 0 6.-Z. Property IJ H 3 prop erf ieS 1-1-C Date: 3 -17 -Ds Owner Mailing Address Suite MapITL #: 1 sI34oC - 0 Igo / v 0,5Gt.7 C - f'fi !,S '*- ...1 1 2 Zoning: C -6 City /State Zip Phone go-f- a K. qjo 05 Electrical Permit Required? Tenant or Name q ❑ Yes j No Business All CY i (AAA, - bap - - CO Building Permit Required? ❑ Yes VI No 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 expired in the Oregon Const. Cont. Board Exp. Date E] Completed Application Form City of Tigard's License # database) Ell 2 Copies 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" (Check all that gi Temporary El Wall El Electronic apply) El copies of elevations, drawn to scale ❑ Other ❑ Billboard ❑ Balloon ❑ New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: g •x 3 i ❑ $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): �c.14 , i ($17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) 1 Jurisdiction: 111 City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this I NOTES: section) N S V , W NE NW SE SW Height to top of sign (feet): .•2.S ♦ Wall signs do not need to be drawn to scale, Projection From Wall (inches): D 0 but must include dimensions of wall face and sign placement. II Copy: ♦ Wall signs do not require site /plot plans. Materials: ,Bq) y) 'ey ♦ 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 X 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 day of , 20 Signature of Owner /Agent 5a r riks (503) -0/..6 Contact Person Name Phone No. Approved CITY OF TIGARD Conditionally Approved .........._ ........ For only the work as described in: PFRMIITNO. � - nvO 2 See Letter to: Follow i ttach Job Address: SA 5t.) P t Date: . i 4— • - (7— OS WORK Boars t TORE CLOS I 111 EVERYTHINO mor 601 • . 1 U( Site Address: 11652 SW Pacific HWY . . Tenant/Business Name: American Boot CO Sign Company: Sign Scope 13185 SW Pacific Hwy Tigard, OR 97223 CITY OF TIGARD 3/17/2005 13125 SW Ha11 Blvd. 10:21:34AM o ; ,� ; ,i, Tigard, Oregon 97223 I�,1 (503) 63 9-417 1 Receipt #: 27200500000000001165 Date: 03/17/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00063 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2005 -00063 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $17.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check AMERICAN BOOT CO CAC 4530 In Person 17.00 Payment Total: $17.00 1 k cReceipt.rpt Page 1 of 1