SGN2005-00385 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00385
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/28/2005
PARCEL: 2S 113AD -01800
BUSINESS NAME: WESTERN TOOL SUPPLY ZONE: I -L
SIGN LOCATION: 16700 SW 72ND AVE B - JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'X 3' A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
12/29/05 thru 1/29/06. Sign #1
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 d. s from validity date.
APPROVED BY:
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PERMITTEE SIGNATURE: X !SEMI A
DATE: 12/28/2005
._.tiii SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAY.. (503) 684 -7297
GENERAL INFORMATION
Name of evelopment/Project
Site � � G- FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5 4N S O o 33
Location /'2 L, /�'g 4
suite l dg. # City/State Zip Expiration Date / Z,41- L'6.
/6---- .ili "� ,, . ��,-' Receipt #:
Name Approved By: A_
Property Y -- LCJS'7_ Date: i z/zs /cu
Owner Mailing Address Suite Map /TL #:
Zoning:
City /State Zip Phone
Tenant or Name .
Electrical Permit Required? ❑ Yes El—ILLo
Business 7t`�P. , ]1i-O� Building Permit Required? ❑ Yes _
Name =� vU ` Rev. 7/1/04 i1curpin\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
spy of all City/State Zip Phone without the required submittal elements)
anses are
equired if
❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City o Tigard's License # j ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent
❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" ■
Sign
all that e mporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
apply) ❑ p
Other ❑ Billboard El I
(3 copies, if a building permit is required)
ew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
3)(5 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb i
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to 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: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes building permit.
Type: ❑ Internal External • If work authorized under a sign permit has not
Are there any existing freestanding or wall Igns at this been completed within ninety (90) days after
cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
El Yes No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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CITY OF TIGARD 12/28/2005
13125 SW Hall Blvd. 11:10:17AM
ii,;,oh1 1, Tigard, Oregon 97 22 3
' .. (503) 63 9-417 1
Receipt #: 27200500000000006507
Date: 12/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00385 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00385 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID AcctJCheck No.Approval No. How Received Amount Paid
Cash WESTERN TOOL SUPPLY KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (2.00)
Payment Total: $18.00
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