SGN2008-00219 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00219
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2008
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: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 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 A Frame sign 2' X 3' Valid 11/14/08 - 12/14/08
Sign #1. Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements.
MATERIALS: PLASTIC
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.
t
APPROVED BY: --� "�
PERMITTEE SIGNATURE: , (AAA
DATE: 11/14/2008
r j -'
SIGN PERMIT APPLICA '' ' '�� iV ; ,.
' on - City of Tigard Permit Center 13125 SW Ha/1 Ben, Tigarr4 OR A21 1 � f
TIGAlZD P b: 503.639.4171 Fax.• 503.598.1960 C '`1 eu08
GENERAL INFORMATION "' t _ /.1 : E: " V`G
Name of Development /Project
Site /1 3 PK/Gi /t7 S FOR STAFF USE ONLY )
Address/ Street Address 5�1� �Ifrbe °D 'i y
Permit No.:
Location �
� 1 ‘-271-,)-,3
Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #: aLnx(.3ki
Nam Approved By: S - 1!t'1 1
Property 6 I / /� eta ^►.4 � � Dare: 1111.410$
Owner LclailU% Address :cute Map /11#: .2-S /oa AC- 0t1
Zoning:
City/State C6 0-v
Lip Phone
Tenant or N;tme Electrical Permit Required [i]
❑ Yes 'No
Business G' / G,. r lf,o� C t �� • Building Permit Required? ❑ Yes o
Name NC - Rev.7 /1/07
i:\cutPkAmIskY \Land use applie.tiorsslsign pemvrapp.doc
Sign -S7...)/7 -S7...)/7 - i
Contractor Mailing Address ' Suite
(Prior to permit
issuance, a
copy of all cry /State Zip phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if (Note: applications will not be accepted
expired in the ()rmnn Consr. Cunt Board Liccttvr # Epp. Date without the requited submittal elements)
City of'1 igard's
database) ❑
Completed Application Form
Proposed ❑ Pcimaacnt ® rrets^.tttdin ❑ ❑
Sign Freeway 2 Copies of Site /Plot Plan, Drawn to Scale
❑ Temporary ❑ Wall ❑ electronic
plied all drat (3 copies, if a budding permit is required)
atipl) 0 ❑ Billboard ❑ Balloon size requirement i >
quirement 8 /z' x 11", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, ifa building permit is required)
e/ ._ jj X J i.• "1 - `rcmg' -
Total Sign Area (sq. ft.): size requirement 8' /z" x ] I", to 24" x 36"
Si Data Total Wall Area (sq. ft.) El $40.00 Fee (Permanent sign, any size)
❑ $19.00 Fee em o s
(Complete all Direction Wali Faces (circle one): p �' any type)
items in this
section) N S E W NE NW SE SW TES
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but '
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: placement
Materials: y(.a 51-t • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes RI No
T e: Permit
rp 0 Internal ❑ External ♦ If work authorized under a s
Are there any existing freestanding or wall signs at this location permit has not been
including wall completed within ninety (90) days after the issuance
signs that overlap a tenant space? of the ermi
P t, THE PERMIT WILL BECOME
❑ Yes p No NULL AND VOID.
If "yes", a list or diagram of all sign dimensions and square
f ootage must also be submitted. -----_,----___---___-----.—____]
(OVER FOR SIGNATURES)
I,
d 9Z�6-bZ9-009 ONI DNINV31O 1S3210d d6ZZl 80 i AON
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.
day of , 20
Con ct Person Name Phone No.
Z'd
9Z171.
ONI ONINV31O 1S32iOd
dZZ:ZI 20 171. AoN
CITY OF TIGARD 11/14/2008
13125 SW 1)all Bled. 1:05:21 PM
Tigard. OR 97223 5113.639.4171
TIGARD`
Receipt #: 27200800000000003872
Date: 11/14/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00219 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2008 -00219 [LRPFJ LIZ Planning Surcharge 100- 0000 - 438050 2.00
Line Item "Total: 519.00
Payments:
Method Payer User 11) Acct. /Check No. Approval No. flow Received Amount Paid
CrcditCard CLEANING GREEN ST 027545 Fax 19.00
Payment Total: $19.00
ri
cRecell/LI Page I OI' I