SGN2008-00058 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00058
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/24/2008
PARCEL: 2S 110AA - 00700
BUSINESS NAME: TIGARD 76 ZONE: C -
SIGN LOCATION: 14030 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TIGARD 76
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
.WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- frame) 3' X 4' Must be placed on private
property, not in public right of way. Valid 3/24/08- 4/24/08 Sign #1
MATERIALS: METAL
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. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: }" " a "`
PERMITTEE SIGNATURE: 6x' (n7I/J
DATE: 3/24/2008
_ SIGN PERMIT APPLICATION
Qt 9rTi vt Pemt Co' ger 13125 SW Hall BM, Ti OR W223
P1 503.639.4171 Fax: 503.598.1960
GENE T j INFORMATIQN
Name oC Development /Protect
t 11 13q if d 1 6 FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: _c'U ?oT 6 " C 9/
Location ivsc s •W. Par c t ' c \ ` C (4w4
Suite- 'Bldg. h City /State Zip
Expiration Date:
1- A r o IQ-- Q( 79-9-1/ Receipt # : .2-01) 110 `f-co
Name s ot&A t - 1 tAa Approved B }^ / �`S"
Property Date: ���(
Owner Mailing Address SURE Map /TLft : � 110 '4 - )OD
_l Ici i-ect cc/ ,... ,'Ill 0 r , Zoning:
Gry+State Zip C'hone
weSI Li tAKoQ97 S o 3 - - -1 s a a
Tenant or Name Electrical Permit Required? El Yes ❑ No
Business t� e A '7 ‘ Building Permit Required? ❑ Yes ❑ No
Name a 1/07
X t_o e - H • 1 L ec d r • — \ t \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor MaihngAddress - Suite
(Pnor to permit a;.Q (CO .S 6 C (eue {44_ Q T .
issuance, a
copy of all cG /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
Menses are L, O 22i2o'Sa 5 `LI S1'- 1 d SI (Note: applications will not be accepted
feyuired without the required submittal elements)
expired in the Oregon Coast. Cant Board Licensc N Exp. Date
Oty of Tigard's
database) ❑ Completed Application Form
Proposed `� Permanent A Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign `temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ BtlIboara ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
g New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 x 4 (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Si Area (sq. ft): 3x( 3
r $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data to f gt $19.00 Fee (Temporary sign, any type)
(Complete aU Direction Wall Faces (circle one):
section) this MOTES:
N S .E ( NE NW SE SW
Height to top of sign (feet): q • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): q j must include dimensions of wall face and sign
SPY may I to 0 S t'1 3 94 e � . placement.
Materials: cu.I / l- (r2 • 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 External • If work authorized under a sign permit has not been
Are there anyexisting 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 No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
F
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 2-O day of M ,20C
$
Signature of Owner /Agent
-e
- )41.5 Ceer c 3--13 a — G Bc)
Contact Person Name Phone No.
(� to- e - S' w.
CITY O.F TI G A R D 3/24/2008
�� 13125 SW Hall Blvd. 10:07:04AM
"rihard. 97223 503.639.4171
TIGARD
- Receipt #: 27200800000000000946
Date: 03/24/2008
Line Items:
Case No "Iran Code Description Revenue Account No Amount Paid
SGN200S -0008 [SIGN] Temp Sign Perm 100- 0000 - 437000 I7.00
SGN200S -0005$ [LRPF] LR [Tanning Surcharge 100-0000-438050 2.00
Line Item T $I 9.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard MOIL I -1 KASIMI ST 170263 In Person 19.00
Payment Total: 519.00
cReceipt.rpt 1 ' I e 1 of 1