SGN2009-00070 F'M CITY OF TIGARD SIGN PERMIT
• rc ` ^ ~' _ Permit #: SGN2009 -00070
'` COMMUNITY DEVELOPMENT Date Issued: 04/01/2009
rT,1GARDa 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DB00200
Jurisdiction:
Name of Business: DARLING DEDUCTIONS
Business Address: 15255 SW 72ND AVE
Applicant/Agent: Darling Deductions,
Work Description: Placement of (1) one 3'x4' temporary A -frame sign. Valid 4/2/09 - 5/2/09. Sign #2 Sign
must be placed on private property and not in the visual clearance area or public right of
way.
Permanent: No Freestanding: Yes Freeway:
Temporary: Wall: Electronic:
Billboard: Balloon:
Banner: A- Board: Yes
Sign Dimensions: 3'X4'
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: NON
Materials: WOOD
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. 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.
l �
Approved By: / '
Are Permittee Signature:
lig SIGN PERMIT APPLICATION
• •
City of TigardPennit Center 13125 SW Hall MEd, Tigzrzv OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ `J stree t n„ i?1S( Permit No.: S y�� 0
Location ) . e. Suite /Bldg. a /,p Expiration Date:
orm Receipt !# : j 2 3()
f e 1 Approved By. 5 - 7/LE -I
t / V7(Do � Date: f4il f 09
Property
Owner • • s Suite Map /TL# : o l ( a- b 6 d - °' 3-07.)
it ' 'l n ttAZ Zoning:
t s 04,41 1 Phone
Tenant or N Electri cal Permit Required? ❑ Yes I No
Business cecluattiv � Building Permit Required? ❑Yes 2.1\16 Name Rev.7 /1/07
rs \l
VVV is \cucpin \mateand we applications \ sign pet app. doc
Sign
Contractor Matting 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
Qty of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Eh..Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement: 8' " x 11 ", or 11" x 17"
apply ) q
❑ New sign? ►`� Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
R Sign Dimensions: . gv L (3 copies, if a building permit is required)
i !1 /` size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ' rim ( ��'� . �y� 3 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Tempora sign, any type)
(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): 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Co py
Materials: W • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes S.,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 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.
DAI'ED this ( day of 1 UC , 20 0 J
,/
Signa . ' • 7 • • er /Agent
Utt, etcTolz --7, . te--1 - ca
Contact Person Name Phone No.
III CITY OF TIGARD RECEIPT
n .
> i 13 125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T1G Alt D.
Receipt Number: 173047 - 04/01/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00070 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00070 Temp Sign Perm - LRP 100- 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 102429 STREAT 04/01/2009 $19.00
Payor: Lisa Gonzalez
Total Payments: $19.00
Balance Due: $0.00