SGN2005-00260 i
4 AP CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00260
'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/9/2005
PARCEL: 1S136DB-00201
BUSINESS NAME: GOOD FEET ZONE: C -
SIGN LOCATION: 11577 SW PACIFIC HWY JURISDICTION: TIG
APPLICANTIAGENT: TIMOTHY HYDE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 14'
TOTAL SIGN AREA: 42 sq. ft.
WALL AREA: 546 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Installation of permanent wall sign. (3' x 14 ")
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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: C o-- v.-L
PERMITTEE SIGNATURE:
DATE: 9/9/2005 _'
„� =.1 SIGN PERMIT APPLICATION
ca I11
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 g0o reel
-
Address/ Street Address Permit No.: . S6Na o 0 s - a 0 a o
Location //5,2 � rl. -17” /Joy
Suite /Bldg. # / City /State Zip Expiration Date:
7q #u/ - Receipt #: ,2 o o 5- 4 53
Name Approved By: C'.. `; ,
Property r- e lt17i°4/ Date: / - 9' - vs
Owner Mailing Address suite Map/TL #: (S 13(,7 p I5 - oe) .2o /
Zoning: C. -G
City /State ' Zip Phone
Tenant or Name Electrical Permit Required? 0 Yes ] No
Business Building Permit Required? ❑ Yes V No
Name Rev. 7/1/05 is \curpin \masters \revised\sign permit app.doc
Sign ! `t� lifie
Contractor Mailing Addre s Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit y ,� h N ern'
issuance, a �"l (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if r);( ❑ Completed Application Form
expired in the Oregon Const. Con oard Exp. Date
City of Tigard's License #
database) /39 c' 06 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed L4ermanent ❑ Freestanding ❑ Freeway 1
• Sign y size requirement: 8 /z" x 11 ", or 11" x 17"
( Che all that ❑ T emporary ❑ W ❑ Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale
(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:
3l ❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
gAy( ❑ $18.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data _ .....ti. �, j' Jurisdiction: ❑ C it y ❑ Urb
T
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N VE W NE NW SE SW
Heigh top of sign (feet): • 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: g4.,,..,,,,,,,._ , • Freestanding signs over 6 ft. required a
Will sign have illumination? rEkYes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal D 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.
El Yes [lo
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 9 day of 7 20 of
Signature of Owner /Agent
Contact Person Name Phone No.
•
CITY OF TIGARD u
Approved [X j
Conditionally Approved [ j
For only the work as described in:
PERMIT NO. SC.Il1 .2o GS oa-?coo
See Letter to: Follow [ ]
Attache j
Jos Address: 11. S�� ��
By: ° - ac..z.,,.> Date: °l -1! yr -6 S
r 0 11)
3L ,,
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pool J
168 I I 168' I
21'
4 Inc lag bolt
mi ll , , :Il ZZ i i //
26'
aluminum -
sign weight:60 pound
CITY OF TIGARD 9/9/2005
13125 SW Hall Blvd. 4:20:37PM
/A�;,�nr „,p i s Tigard, Oregon 97223
11. (503) 63 9-4 17 1
Receipt #: 27200500000000004453
Date: 09/09/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00260 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00260 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
CreditCard TIMOTHY HYDE CAC 945590 In Person 38.00
Payment Total: $38.00
cReceipt.rpt Page 1 of 1