SGN2008-00194 •
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00194
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/2008
PARCEL: 2 S 102A D - 03450
BUSINESS NAME: COT LEAF DROP /FOOD DRIVE ZONE: CBD
SIGN LOCATION: 08777 SW BURNHAM ST JURISDICTION: TIG
APPLICANT /AGENT: CITY OF TIGARD
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 4' X 3' Valid 10/15/08- 11/15/08
Sign #1 Placement must be of private property, not in public right of way. Must
meet visual clearance area requirements
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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 i n 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: I 4�
PERMITTEE SIGNATURE: ~'
DATE: 10/15/2008
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SIGN PERMIT APPLICATION
City of Tigard Pemit Center 13125 SW Hall Blzd, Tigarc4 0 Z223
Phone 503.639.4171 Fax: 503.598.1960
O 5 2008 GENERAL INFORMATION C1T r'UAAD Name of Development /Project P L '� N N 1 �
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: '' 6 'plq9 --
Location 6 777 5'„ air ,117,5 „ 5/
Suite /Bldg. # City /State Zip Expiration Date:
•- 11. gc,�� / l2r ,722 3 Receipt #:
Name �/ ►► 1 `` 77 / Approved By
� 7 ` Date:
Owner C , Address ar l 1 , Suite p 2`J (D .-4 D'D. .S)
Owner Mailing Address � Suite Ma /TL# ; . i
' 3)2' 51-f yy / / Zoning: G6
Cary /State Zip Phone
i 'e v., / ?Z) - 63 Yl7/ Electrical Permit Required? ❑ Yes O N
Tenant or Na
Business ' d / ' j (p) Building Permit Required? [I] Yes No
Name / J Rev. 7/1/07
is \ cumin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Coast. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Permane Freestanding Proposed ❑ ❑ g ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other $ llboard Balloon i " "
apply) ❑ ❑ ❑ size requirement: 8 h x 11 11", or 11 x 17
❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
X6 -5 A h b ra size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
Si
g ❑ $19.00 Fee (Temporary sign, any type)
(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): <l 'ret.4 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
SPY • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes Mr <o permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant sp ? of the permit, THE PERMIT WILL BECOME
❑ Yes No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES) /
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.
DA'1ED this / 5 day of a Jo�� J , 20 C:)
ignature of Owner /Agent
•
,‘41i 6J/ieg ) ( ) W - 20l o
Contact Person Name y Phone No.
C I 1 1 01 " 1 % C A I I)
� 7,,:i.1! / R0 ;7
II Ii gai d. (112 ')7_''_3 503.63').4171
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Receipt #: 27200800000000003566
Date: 10/15/200
Line Items:
Case No Trau Cock Description ILevemu: Account No Amount ['aid
SGN200S -00194 [SIGN] Temp Siwl I'crnl I00- 0000 - 437000 17.00
SGN2008-00194 1 LI:I'I) LI: I'Iannin_ Surchart c 100-0000-43;:0.1)0 2.01)
Line 1tcm'I'ntal: S19.II11
Payments:
Method Payer User 11) \ccl. /Check ! \u. Alrl)ruval \`u. Boo Received . \i I'aid
CreclitCarcl BRIAN \VI IEATL.EY ST 078628 In I'er;on 19.00
I'avntent Total: 519.00
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