SGN2008-00195 4/
1 CITY OF TIGARD SIGN PERMIT
"' ° DEVELOPMENT SERVICES PERMIT #: SGN2008 -00195
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/2008
PARCEL: 2S 102AC - 01100
BUSINESS NAME: CLEANING GREEN ZONE: CBD
SIGN LOCATION: 12568 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: CLEANING GREEN
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 144" X 48"
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: 1,250 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 3 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign. 48 sq. ft. Must be placed on private
property, not in public right of way. Must meet visual clearance area requirements.
MATERIALS: DURABOND /WD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Speaalty 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
Ae,c / APPROVED BY: ltot_12
PERMITTEE SIGNATURE: n't— alp (Ze.✓i:
DATE: 10/20/2008
G::t 17 08 05:09p FOREST CLEANING INC 503 - 624 -1425 p.3
k SIG PERMIT APPLICATIO
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City of Tigard Permit Center 13125 SW Hall- Bl^d, TtgZrr,4
Pho r 503.639.4171 Fx: 503.598.1960 ONE.
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GENERAL INFORMATION cm ? FTIGAR D
1 Name r. velopment/
Site r or.'
6,-
,ee,,,_ FOR STAFF USE ONLY
Address / Street Address l PermitNo.: 56` g- 00i'l
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Location ol fl Y rnN / s,?
S tite/m A' ay/State Zip Expiration Date:
7-,/ a rt. 99 7 aJj Receipt [# : .. _
r>a me Approved By
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Property ( (- 1" /2i*r» o 41 of Date:
Owner Mailing Redress Suite Mapi TL# : ol- S i 0 3 Pi' Of 10
Zoning: O evz,
City /Site Zip Phone
Electrical Permit Required? ❑ Yes Tenant or Name dNo
Business C 7 ,rt crree.ti Building Permit Required? ❑Yes 2
Name Rev. 7 11/07
(5 - 0 --C6. --C6. `, ly x\cwpLn\masten \land use applications\ sign permit app.doc
Sign (/ /J
Contractor mailing Address Site
(Prior tc permit
issuance, r iii r74-WA- Ic,4' /7 ■
copy of all Cry/ state VP t/ Phone REQUIRED SUBMITTAL ELEMENTS
licenses are ( Note: a location will not be accepted
requited if pia- IV 1j P3 - 0.3? - ?e 71 1 ( PF F
without the required submittal elements) expired in the Oregon Conn. Cont. Board License 9 Exp. Dar
y o f Ti Mt. %t //
darah
Cit a sey gartl's ¢ /`4 . 8d y /},,,p'.J� 61.-e n, vu h� nJ ❑ Completed Application Form
Proposed ,IEr Permanent ' Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign El Te:nporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1
applvf si r equirement: 8 " x 11 °; or 11" x 17"
R New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale 1
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): - )
7e ❑ $4C.00 Fee (Permanent sign, any
Sign Data ' Total Wall Area (sq. ft.) ,
Si
g ,/6 El $19.00 Fee (Temporary sign, anytype) •
(Complete all Direction Wall Faces (circle one):
items in this � NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): /3 6 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): .3 r i must include dimensions of wall face and sign '
Cop)' C l &ahih 1 6,e0 / e --,0 .,, ; C. e° it/placement.
� J • Wall signs do not require site /plot plans.
Materials: �c e J `'a'� Frof "S- • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 111111 No permit.
T .e: ❑ Internal ❑ Extema • If work authorized under a sign permit has not been
Are there anyexisting freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME '
❑ Yes No NULL AND VOID.
If "yes ", a list ordiagram of all sign dimensions and square ! J
foota: a must also be submitted.
(OVER FOR SIGNATURES)
Oct 14 '08 01 :15p FOREST CLEANING INC 503 - 624 -1425 p.1
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 :._U 4� dayof ?0
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Signaty / Owner% rent
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Cont ct Person Name Phone No.
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Pr CITY OF TIGARD 10/20/200;
i 13125 SW Hall BI%d. 10:44:46AM
Tigard, OR 97223 503.639.-1171
TIGARD
Receipt #: 27200800000000003612
Date: 10/20/2008
Line Items:
Case No "Tan Code Description Revenue Account No Amount Paid
SGN2008 -00195 [SIGN] Sin Permit 100-0000-437000 35.00
SGN2008 -00195 [LRPF] LR Planning Surcharge 1(10- 0000 - 438050 5.00
Line Item Total: 540.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. !low Received Amount Paid
CreditCard JOHN K WESTERHOLT ST 032365 Fax 40.00
Payment Total: 540.00
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