SGN2009-00115 r i
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00115
COMMUNITY DEVELOPMENT Date Issued: 05/08/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DC00701
Jurisdiction: Tigard
Name of Business: NW Rugs
Business Address: 15957 SW 72ND AVE
Applicant/Agent: NW Rugs,
Work Description: Placement of one (1) temporary sign (A- Frame) 24" X 32" Valid 7/10/09 - 8/10/09 Sign
#3 Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: A- Board: Yes
Sign Dimensions: 24" X 32"
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
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.
Approved By: I4(Ab.0 tikLati
I
Permittee Signature:
SIGN PERMIT APPLICATI
al , � 40
\ City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
at; \ Phone: 503.639.4171 Fax: 503.598.1960 MAY 11 /
7 2009
GENERAL INFORMATION �' /F NG 1 N'�A0
EERING
Name of Development /Project
Site N', I y) t 9 FOR STAFF USE ONLY
---
Address/ Street Address Permit No.: Sak) al 0 -0-1..) t 1
Location ( r 6(51 1 7 17 W N p A
Expiration Date:
Suitc /Bldg. # City /State Zip
1]6V f OR t q 1 ?? Receipt #: :311-K
Name .Approved By: - -
Property Date: 5/ V
Owner Mailing Address Suite Map /TL #: ;- '''. C 07)7 i
5351 W• 4 QVO 3W Zoning:
(atv /State 7 .t Phone
P 0� - t�d�1 �TZ2 � 03 bi�q b 00
Tenant or Nm
a Electrical Permit Required? 111 Yes ❑ No
Business N W 12466 Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \si},m permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
nipy „ f all Croy /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
rctgtdred if without the required submittal elements)
expired in the Oregon Const. Cons Board License # Exp. Date
(;ay of l igard's
database) /Completed Application Form
Proposed ❑ Permanent , ❑ Freestanding ❑ Precway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 'Temporay ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
((:heck all that ❑ Other ❑ Billboard ❑ Balloon t '
apply)
size requirement 8 /z ' x 11' , or 11" x 17"
.New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ,•7 .`� l� • (J A �/ �r"/ 1 (3 copies, if a building permit is required)
G size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): J_
lJ ❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g NiA 7 $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
`eCtt°") N S E W NE NW SE SW
Height to top of sign (feet): 2, E Fr • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): b. must include dimensions of wall face and sign
Copy: J }` rrlrlv\! i placement.
Materials: !i ff`!a�� Nairer • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ;2 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 pace? 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
\)cuavi
Signature of Owner /Agent
DAB - FIML 503- 533 S2u3
Contact Person Name Phone No.
IIIII CITY OF TIGARD RECEIPT
4
! 13 125 SW Hall Blvd., Tigard OR 97223
503.639.4171
T1GARD
Receipt Number: 173485 - 05/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00115 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00115 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 03508D STREAT 05/08/2009 $19.00
Payor: Mychelle Ashlock
Total Payments: $19.00
•
Balance Due: $0.00
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