SGN2005-00367 C ITY OF TIGARD SIGN PERMIT
i; DEVELOPMENT SERVICES PERMIT #: SGN2005 -00367
.4 LEI I° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 4 DATE ISSUED: 11/28/2005
PARCEL: 2S 110AA - 01100
BUSINESS NAME: GARDENERS CHOICE ZONE: C -
SIGN LOCATION: 14240 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
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. (3' x 8') Placed on fence, outside of right -of
way. Sign #1. Valid from 11/28/05 through 12/28/05.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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.
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APPROVED BY: PERMITTEE SIGNATURE: A 4 7.4- * - / .--4 6
DATE: 11/28/2005
■
. S IGN 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 TA .44- 5 r_rket'ne -2A c
Address/ Street Address Permit No.: SGT Z_cK,s- - C.x.1 3 ( 7
Location y,? yo SG' , 4 %C /A
Expiration Date: tl( / _ I z{
Suite /Bldg. # City /State �,/ q /
Zip
i��ral 0'r. / 722 y Receipt #:_ b 0 (0)
•
Name / //�� it / Approved By: K
Property 6 C - , 4-re P Date: t_al , s
Owner Mailing Address Suite Map/TL #:
/0030 5ctl Pak/ 7e -.00 Zoning:
City /State Zip Phone
- 7 - 774-4-1, 6rr zV co3 6S5/ 363`
Tenant or Na a Electrical Permit Required? ❑ Yes D--too
Business 74 69- 'ar s Gifei'•ce. „ 7, C. Building Permit Required? ❑ Yes p
Name Rev. 7/1/05 i:lcurpin\masters\revised \sign permit app.doc
Sign •
-
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required it ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License #
database) E] 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"
Sign emporary El Wall ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
apply)
� ( 3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81" x 11", to 24" x 36"
Sign Dimensions:
3 XS ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): •
a y 1=1 $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 11] City ❑Urb
(Complete all Direction Wall Faces (circle one):
items in this Fe-41 NOTES:
section) N S E W NE NW SEC
Height to top of sign (feet): I, — • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): / but must include dimensions of wall face and
Co sign placement.
py • Wall signs do not require site /plot plans.
Materials: l/ 'i 4 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes .vv C) 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 2 day of /y0 v % , 20 C
l C &'
Signatu e of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 11/28/2005 3:40:08PM
13125 SW Hall Blvd.
U� A ' , �\ T igard, Oregon 97223
4)4 :IL, n (503) 63 9-4 17 1
Receipt #: 27200500000000006063
Date: 11/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00367 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00367 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard STEPHEN C BATES /GARDNERS KJP 071687 In Person 18.00
CHOICE
Payment Total: $18.00
cReceipt.rpt Page I of 1
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