SGN2009-00130 CITY OF TIGARD SIGN PERMIT
COMMUNITY DEVELOPMENT
Permit d: SGN2009-00130
Date Issued: 05/28/2009
, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S101AD02400
Jurisdiction: Tigard
Name of Business:
Business Address: 12753 SW 68TH AVE
Applicant/Agent: GFU,
Work Description: Installation of (1) one 40 s.f. permanent wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4'x10'
Total Sign Area: 40
WaII Area: 816
Wall Face (Direction): Southwest
Sign Height: ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: cer alum /plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $40.00
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.
Approved By: /1 (:)-(4-A-7 " --
Permittee Signature: op-xtp-kt-pt_ci:
,; _'�°a SIGN PERMIT APPLICATION
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City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
• Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
�1 _ FOR STAFF USE ONLY
Site ( L' � 0 , I t r '
Address/ Street Add ... .C6 2 cs �� � - V o i 3-
Location j � . % , c _.5f S t t /
Expiration Date:
Suite /Bldg. # City /State Zip
97 ^ '? Receipt #:
Name s./ Approved By: 1(-- .P
Property 0 e i,' 1, '-i-1 C, ) i.,t VI i \Lt• VS E rd Date:
Owner Mailing Addro4s (( ``,, Suite Map /TL#:
L f ice' Iii .�1c 1`•
Zoning:
City /State Zip Phone
1 \;t'V lyC - r} 9 ' / I ) ! - 3t,' 3583
Tenant or Name `•' Electrical Permit Required? [1] Yes Lj -No
Business ;- . - - C ; Y -- �r 1 �_ f : ' 't' Building Permit Required? ❑ Yes EN-No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign :.-- 1 . - t •"
Contractor Mailing 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
City of Tigard's
database) • ❑ Completed Application Form
Proposed a Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary Er wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1 " " " "
apply) si ze requirement: 8 /z x 11 , or 11 x 17
2- New sign? I Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 `i, i (3 copies, if a building permit is required)
size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.): ,� L , •
-- j rY ❑ $40.00 Fee (Permanent sign, any size)
`Total Wall Area (sq. ft.) ,
19.00 Fee (Temporary sign, any e
Sign Data 1 7'. 2 L;` I k � i ti' $ (T P �' �� y tyP )
(Complete all Direction Wall Faces (circle one): ! -'s
items in this NOTES:
section) \ S E W NE NW SE ;t
Height to top of sign (feet): j,?, ` ''fti f 2,.' . • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): \, 0 must include dimensions of wall face and sign
Copy: Se_ e L1 H22 (: 1 tt c placement.
�, • Wall signs do not require site /plot plans.
Materials:
t a'•i G.0' t is ll ,�%`f tit' ?r l7 hii'6l /I( 111 ,5 h (. • 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 space? of the permit, THE PERMIT WILL BECOME
NULL AND VOID.
El Yes ❑ No
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 1 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
Ai474:6
Signature Owner/Agent
61 Hi • fit PY LE5 03 4 •
Contact Person Name Phone No.
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CITY OF TIGARD RECEIPT
Q 13125 SW Hall Blvd., Tigard OR 97223
- 503.639.4171
Receipt Number: 173704 - 05/28/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00130 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00130 Sign Permit - LRP 100 - 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 074816 KPEERMAN 05/28/2009 $40.00
Payor: Janis Sanford
Total Payments: $40.00
Balance Due: $0.00
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