SGN2008-00002 1 ,
M I CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008-00002
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/3/2008
PARCEL: 2S 103DD - 00800
BUSINESS NAME: WINDFALL ZONE: C -
SIGN LOCATION: 13815 SW PACIFIC HWY 100 JURISDICTION: TIG
APPLICANT /AGENT: WINDFALL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 14 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (banner) 3' X 8' Valid 1/3/08 - 2/3/08 Sign
#1
MATERIALS: CANVAS
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. AD 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.
APPROVED BY: -�
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PERMITTEE SIGNATURE:
DATE: 1/3/2008
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SIGN PERMIT APPLICATION o ��
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City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR %22J + y0F 3 2008
TIGARD Phone: 503.639.4171 Fax: 503.598.1960 ilid T/�,
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GENERAL INFORMATION /
Name of Development /Project I FOR STAFF USE ONLY
Site 6 C,u,r4 L P1az
Address/ Street Address ' u �0O - cuto
;$ I S Si ` i I I C. l ermit N o.:
Location IN I I /',l
Suite /Bldg. # City /State Zip Expiration Date:
1 -) U TI6Writ q-T773 Receipt #: d-0 ?%vvSUV (
Name / f { Approved By: S - T ' ;.
C Property �J) V VIr� Date: 1/ 3 10S
Owner Mailing Address ,; j�� Suite Map /TL #: a S1p3 0D- Ubk�
( -i1 2 70 11 ( 0444 l 10 } Zonin
City/State Zip Phone
1 )4.4.- `1, a Y1 Electrical Permit Required? ❑ Yes [
Tenant or Name V Business V rkd L Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \ cumin \ masters \land use applications \ sign permit app.doc
Sign kJ /A
Contractor Mailing Address Suite
(Prior to permit 9
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
(;ity of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Gr Temporary ® Wall ❑ Electmnic (3 copies, if a building permit is required)
(Check all that ❑ Other Fr Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17"
apply) ze re �l
'i New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: i (3 copies, if a building permit is required)
3 f ` size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): s
21 ❑ $40.00 Fee (Permanent sign, any size)
' Data Total Wall Area (sq. ft.)
Sign $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N 0 E W NE NW SE SW
Height to top of sign (feet): ii t. ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: c 4)er) /4-F 7,4 placement.
♦ Wall signs do not require site /plot plans.
Materials: C_ n U' S ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? Yes [ 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 s ace? of the permit, THE PERMIT WILL BECOME
❑ Yes [ N NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
.1/910 k - ' - 11 0 K (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 ' S day of ' `f ,20 OS
AIL
Signature of Owner /Agent
TVf \-D - S
Contact Person Name Phone No.
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x 1 CITY OF TIGARD 1/3/2008
A� ��� qg rr°_ 13■25 s\y Han Blvd. 1 2:14:23PM
Tigard, OR 97223 503.639.4171
Receipt #: 27200800000000000021
Date: 01/03/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00002 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00002 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash WINDFALL DELI ST In Person 20.00
Change COT ST In Person (1.00)
Payment Total: $19.00
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