SGN2008-00196 a CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00196
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/2008
- PARCEL: 2S102BD - 02600
BUSINESS NAME: KIM ZONE: C -
SIGN LOCATION: 12955 SW PACIFIC HWY JURISDICTION: TIG
• APPLICANT /AGENT: PENNEY KIM
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Banner) 4' X 6' Valid 10/20/08 - 11/20/08
Sign #1 Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements
MATERIALS: VINYL
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 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.
APPROVED BY:
PERMITTEE SIGNATURE: K4/kvi
DATE: 10 0/2008
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SIGN PERMIT APPLICATION
City of Tigard Pernat Center 13125 SW Hall Blul, Tigarch
Phone 503.639.4171 Fax: 503.598.1960 plEt____ !+D
OCT 2 0 2 008
GENERAL INFORMATION Cl, Y T IGA RD
Name of Development /Project
-I FOR STAFF USE ONLY
S ite PV/V N -J KCI
Address/ Street Address 5,(1 o1 -U°g' t� 14 (°
_ Permit No.:
Location 1 y , W „()CjC C g
9 I Expiration Date:
Suite /Bld # City /State Zip
-1-T/ 61 4 e Y , 9' V-3 Receipt # : a o�
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Name Approved By: S T 12- 1
Property tiiiiiC l / Date: 1 v l - Ot O is i
Owner Maing Address Suite Map /TL# : ) 5 ( ()<- 66 - Ua(o
3 9 c( A/ , W 5 41/e (0 1212 Zoning: C./C
City/State l Zip Phone
rr �� Uc�1 ' �� 7
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'1-4 2-0 Electrical Permit Required? ❑ Yes ErNo
Tenant or Name
Business - -o LE AS ,rn � Building Permit Required? E] Yes �o
Name J Rev. 7/1/07
is \ cumin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Poor 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 Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign M Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon 1
apply) ❑ ❑ size requirement: 8 /z" x 11 ", or 11" x 17"
EKt New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: X , l J r ` (3 copies, if a building permit is required)
<< J D size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
/
`( Se roc f ❑ $40.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area (sq. f )
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): // fool • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: �� sf �� • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes VI No 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 space? of the permit, THE PERMIT WILL BECOME
❑ Yes 14 No NULL AND VOID.
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 7-O day of 0 Hc i7 e ✓ , 20 b X
e
Signatu of Owner /Agent
e7. � � 3 - l`' 7 -/ 2°7
Conta t Person Name Phone No.
;Lu.w �.� CIT OF TIGARD 111i20/20(1S II
4 t�IZ, SW tl:,n Isl�d. I I:02:2OAN'1
„a1 4 0 44) 1 tgard. OR 97223 503.639.4171
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Receipt #: 27200800000000003613
Date: 10/20/2008
Line Items:
Case No Iran Code Description Revenue Account No :\mount Paid
SGN200S -00196 [SIGN] Temp Sign Perm 100-0000-437000 17.00
SGN2005 -00196 [LRPF] LIZ Planning Surcharge 100 - 0000 -438050 2.00
Line Item Total: 519.01)
Payments:
Method Payer User II) Acct. /Check No. Approval No. Ilow Received Amount Paid
Check PLNNLY KIM ST 1589 In Person 19.00
Payment Total: SI9.00
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