SGN2005-00293 r'
CITY TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2005 -00293
sa l I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/18/2005
PARCEL: 1S12600
BUSINESS NAME: POTTERY BARN KIDS ZONE: C -
SIGN LOCATION: 09345 SW WASHINGTON SQUARE RD JURISDICTION: TIG
APPLICANT /AGENT: MULTI -LIGHT SIGNS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10' X 16"
TOTAL SIGN AREA: 13 sq. ft.
WALL AREA: 1,750 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install one permanent awning sign. (10' x 16 ")
MATERIALS: CANVAS
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: ,■ eL
PERMITTEE SIGNATURE:
DATE: 10/18/2005
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E�,,, „4. ,. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION
Na of D e lopment/Proje
FOR STAFF USE ONLY
Site �� Permit No.: PL/1
Address/ Street es r` / s �� $ G A) aOOF - 0
757 J � 1 /v/
Location
Expiration Date:
Suite /Bldg. # City /State Zip
/- Receipt #:
Name Approved By: C • L' "
Property Date: /o - la . 05
Owner Mailing Address Suite Map/TL #: vs Ica se 00 - 00.30a ._.
Zoning: h4 (A. r✓
City /State Zip Phone
Tenant or Na70 Electrical Permit Required? ® Yes ❑ No
Business at / /' r� Building Permit Required? ❑Yes ( No
me Rev. 30-Jul -01 is \curpin \masters \revised\sign permit app.doc
ail Sign / h
Contractor ilingAddress : o C REQUIRED SUBMITTAL ELEMENTS
(Prior to permit id
issuance, a F 444/ (Note: applications will not be accepted
copy of all City to Zip Phone without the required submittal elements)
licenses are
required if X 7/ 7 1 —�� ❑ Completed Application Form.
expired in the Or on Cons . ont. Board Date
City of Tigard's License # / i 1 / "J ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) l!/ / (3 copies, if a building permit is required)
Proposed size requirement: 8 x 11 ", or 11" x 17"
p ermanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary 111 Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that r.i2 Othe 111 Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) ,4 i. size requirement: 8 x 11 ", to 24" x 36"
_ few sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: , ..i
/U )(i& ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
/1
� NOTES:
Sign Data Total Wall Area (sq. ft.) - - „ • Wall signs do not need to be drawn to scale,
. � / but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this g p
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 3o building permit. -
Projection From Wall (inches): /, • If work authorized under a sign permit has not I
Copy: �m�j Ai 24 been completed within ninety (90) days after
Materi21s: _ , , / - the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes it; No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑Mastercard
Credit card number / /
❑ Yes ' _'p
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
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SECTION OF WALL ►
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(3D STUDIOS) L J
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CANVAS BANNER, lits. e
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UNBRELLA'SKY BLUE'
Ct
Crik 10'- 0" roc -_,/
TEXT COLOR `PBK CREAM" ,.1 BOTTOM OF - CANOS B..Ea
TEXT FACES
WALL (TYPICAL
—_— BOTH SIDES) I R e
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CITY OF TIGARD SIGN TYPE D
DOUBLE SIDED BANNER THOMAS - SWAN SIGNS
Approved [ 1117 HOWARD STREET
Conditionally Approved [ ] (TYPICAL OF 2) SAN FRANCISCO, CA. 94103
For only the work as described in: (415) 621 -1511 fax (415) 621 -0481
PERMIT NO. 5 (2 I 1/4-) ao° 5 —00 -2(43
See Letter to: Follow [
Job Ac dre s: A -1345 .-S(,) L'3a- h 4
6y: C.- C C' 01.4.-2., Date: / - /d -OS
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WASHINGTON S4JAPE, SPACE *T -t3
9585 SW WASHINGTON SQUARE RD
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�IEIER & MINK
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MALL SITE PLAN THOMAS -SWAN SIGNS
1117 HOWARD STREET
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�f � (4151 SAN 621 -1511 FRANCISCO fax (415) CA. 621 94-0481 03
CITY OF TIGARD 10/18/2005
I li
13125 SW Hall Blvd. 9:48:13AM
4 0, ..' L ,,, Tigard, Oregon 97223
1 (503) 63 9 -4171
Receipt #: 27200500000000005258
Date: 10/18/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00291 [SIGN] Sign Permit 100 -0000- 437000 33.00
SGN2005 -00291 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00292 . [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00292 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2005 -00293 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00293 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00294 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2005 -00294 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $152.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Check MULTI LIGHT SIGN CO CAC 38844 In Person 152.00
Payment Total: $152.00
cReceipt.rpt Page 1 of 1
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