SGN2008-00217 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00217
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/2008
PARCEL: 2S 110AB - 00200
BUSINESS NAME: GLORIA NAITO ZONE: C -
SIGN LOCATION: 14465 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: GLORIA NAITO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 10'
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 300 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign Banner (FRAMED) Must be placed on
private property, not in public right of way. Must meet visual clearance area
requirements.
MATERIALS: MYLAR
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 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.
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APPROVED BY:
PERMITTEE SIGNATURE: ' `� —
DATE: 11/10/2008
SIGN PERMIT APPLICATION
Cuygf Tigard Pernrt Center 13125 SW Hall Bluff, Ti,rt� OR 4 ED
Phone. 503.639.4171 Fax: 503.598.1960 NOV j
2008
CITV
GENERAL INFORMATION PLANNI% �r r1 I V EE
Rife`
Name of Development /Project
FOR STAFF USE ONLY
Site
Address / Street Ad. r ` ,r' Permit No.: Se e ` $c erV 17
Location /V2( V Gl / /c1 if"— /w7' Expiration Date:
Suite /Bldg. # City/State Zip
1 --1 ®J 972 2y Receipt #/: ,0 3
Name Approved By 5 - T12-04
/�
Property C 0. `► a ✓L Date: f /// 0 /d'
Owner Mailing J Address , Suite / e
Map /TL# : , a- .1 l 0 �6 - n o
/ if �2Acii G_ l Zoning: .... co
City /State Zip Phone 6
,./d
, `./ °1" / D 6 0 tec, f) Electrical Permit Required? ❑ Yes [r No
Tenant or N
Business (? ( i.' 2/9 /1//4/74) Building Permit Required? ❑ Yes rallo
Name Rev. 7/1/07
i \curpin \ masters \land use applications \ sign pennit 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 Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed Permanent II Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign T emporary �i i all ❑ Electronic (3 copies, if a building permit is required)
(Ghleyallthat ❑Other El Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
app
'New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
3 X / O size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
v d $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) <706) ❑ $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 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
spy, / 477, t /L,41 L.'"
placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No permit.
Type: ❑ Internal ❑ Exte • If work authorized under a sign permit has not been
Are there any existing freestanding or wall s" ns at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant ace? 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.
/oo X. c.?O (OVER FOR SIGNATURES)
a
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.
DAl ED this // day of i�G � , 20
Signature of Owner /Agent
?P192 S - D 2 • / 2'J
Contact Person Name Phone No.
CITY OF TIGARD 11/10/2008
13125 SW 11.111 131%d. 3:32:41 PM
-' Tigard, OR 97223 5113.639.4171
°TI GARD`
Receipt #: 27200800000000003833
Date: 11/10/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00217 [SIGN] Sign Permit 100 - 0000 - 437000 3.00
SGN2008 -00217 [LRPF1 LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: 540.00
Payments:
Method Paver User 11) Acct. /Check No. Approval No. Flow Received Amount Paid
Check PAM BENSON ST 6102 In Person 40.00
Payment Total: 540.00
cReccipt.rpt Pad e 1 of I