SGN2005-00264 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00264
DATE ISSUED: 9/16/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102DD 00200
BUSINESS NAME: CITY OF TIGARD LIBRARY ZONE: R - 12
SIGN LOCATION: 13500 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 21 sf banner. Valid 9/16/05 10/16/05
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 wi ■ approved plans. A permanent sign must be placed within 90 days from
approval date or sign permit shall expire. A tempo sign hall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: :2)
PERMITTEE SIGNATURE:
DATE: 9/16/2005
'' °,.1�� 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 C.-l1/ Li J/"4 FOR STAFF USE ONLY
Address/ Street Add /less ( Permit No.: S 6 7/1/2.6 5- Ct.7 Z- 5l
Location l yjp � l_--L-4 X/7'/ "/ 4 4 4 — ,v
Suite /Bldg. # City /State Zip Expiration Date: �p 'CSS� �/* r05
/ c { rei (2 9777 3 Receipt #: OA
Name Approved By: / -)---p
Property c_! 7 OS- / / c 4 Date:
Owner Mailing Adddress Suite Map/TL #:
/2-07 AR 6/ Zoning:
City /State . Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes g. - fd
Business Building Permit Required? ❑ Yes g—rsto
Name Rev. 7/1/05 i:\curpinlmasterslrevised\sign permit app.doc
Sign /l0 Its
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 if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License #
database) • ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ P ermanent ❑ Freestanding ❑ Freeway „ ” 17"
Sign Temporary El Wall size requirement: 81/2" x 11 , or 11" x 17
(Check all that ❑ El ectronic
apply) ❑ Other ❑ Billboard 1=1 Balloon ❑ 2 copies of elevations, drawn to scale
V? New sign? (3 copies, if a building permit is required)
g n? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 i� 7 /—
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
Zl ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft) Z - Jurisdiction: - ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle o ne):
items in this � NOTES:
section) N t�S) E W NE NW SE SW
Height to top of sign (feet): ,Q ' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): o it but must include dimensions of wall face and
Copy: 7- 4 „l Cs /�.,.,t/ /{e., � 4,� sign placement.
Materials: -e---07 f r Ltijr • Wall signs do not require site /plot plans.
4 n • Freestanding signs over 6 ft. required a
Will sign hhave illumination? ❑ Yes Vij 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 gl 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 J( day of IJ `� 20 C
Si of Ow er /Agen
Contact Perso Name Phone No.