SGN2009-00021 .
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00021
TI:GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/27/2009
PARCEL: 2S 102 DA - 00401
BUSINESS NAME: CITY OF TIGARD ZONE: CBD
SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
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):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of one (1) temporary sign 3' X 4' (A- Frame) Must be placed on
privateproperty, not in public right of way. Must meet visual clearance area
requirements U i-'- //,_ - 5' ?/o ? Sid 4 -I (
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE: '�-'''
DATE: 1/27/2009
r
1:1111 I. Nu SIGN PERMIT APPLICATION
City of Tig rd Pe wit Center 13125 SW Hall Blzd, Tiiarr C E El VED
Phone. 503.639.4171 Fax: 503.598.1960 M
JAN 2 7 2009
CITY OF TIGARD
GENERAL INFORMATION PLANNING /ENGINEERING
Name of Development/Project
FOR STAFF USE ONLY
Site 7--r-rgai,d
Address/ Street Addres I 1?�C " p Permit No.: a �
- v .44 l
Location Att �7tkd -
Suite /Bldg. # City/State Zip Expiration Date:
1 or& 1 72,23 Receipt # :
Name ,/ / 1 , Approved By: S • 'CLE4 ,--
Property `G�' l� Date: /� , /
Owner Mailing Address Suite Map /TL# : eV 3 t' t3 A ` CO 7 D/
* 13i2" ??,(1,y-01/1 Zoning: CA
� Gty/Statee,,/ /et- Zip Phone
PVC C 7 � ` -7 i Electrical Permit Required? ❑ Yes No
Tenant or
Business P& e 00'43 Building Permit Required? ❑ Yes a No
Na Rev. 7/1/07
J i \cucpin \ masters \land use applications \sign peimit app.doc
Sign '° .
i -,-
Contractor Mailing Address Suite
(Prior topernui /3,z'5 _ /.jtB,� `
issuance, a !' `i REQUIRED SUBMITTAL ELEMENTS
copy of all City/State Zip Phone
licenses are q (Note: applications will not be accepted
required if (► t'a , an- l 72 without the required submittal elements)
expired in the Cn Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent 2) 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 0 Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
appl) q
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: g / x y ( (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
. 1 1 S j / ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft ❑ $19.00 Fee (Temporary sign, any type)
(Complete all if ction Wall Faces (circle one):
items in this NOTES:
section) ( S E W NE NW SE SW
Height to top of sign (feet): 4 / • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
CopY • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? Yes No permit.
Type: El Internal External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall sig s 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)
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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.