SGN2009-00213 •
CITY OF TIGARD SIGN PERMIT
t . Permit #: SGN2009 -00213
COMMU DEVELOPMENT
• Date Issued: 10/14/2009
'IIICr'AiltlD
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00600
Jurisdiction: Tigard
Name of Business:
Business Address: 13770 SW PACIFIC HWY
Applicant/Agent: Bartels, Gregory
Work Description: Placement of (1) one temporary 12 s.f banner. Valid 11/27/09- 12/07/09 Sign #1 Sign
must be placed on private property and not in the public right -of -way or visual clearance
area
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 15(12'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: vinyl
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:
Permittee Signature: ! •
1 - � z °g SIGN i r ] IT i PP' IC '.TI O,
,,^ City of Tigard Permit Center 93925 SW Hall Blvd., Tigard, OR 97223 N
60 1 .3 3iMAiliiM P8one. 503.639.4 971 Fax: 5 03.598.1960
Mk. 4 1VOL4kii
GENERAL INFORMATION
Name of Develcopment Project f i FOR STAFF USE ONLY
Site t j1...:._. / €q< ✓'t y - ii.t ( _.3
Address/ S Address ,- N 1‹.)1)q." 0 - Z-- 1 _,.. / 1 eunit N o.:
Location ( j 0 �, :. ! t , v` ` ,
Expiration Date: 7 9 - 1 Z7 Icy
Suite /Bldg. # City/State "tip
7{ (•`''.r -t c C(j E:0 Receipt #: n
Name �+ �'` Approved By: /� 1 N
Property t t t / Date:
Owner Mailing Address '
C � Suite Map /TL #: �1
f ,- �.`�7 I l ,. : �'�' -Ot.., .k C_ (. C` t- Zo7 /✓
Wl S g:
Ctry/S Zip Phone
Tenant or
Name t Electrical Permit Required? ❑ Yes ❑ No
Business r� %t: l Building Permit Required? ❑ Yes ❑ No ,at
Name Rev. 7/1/09
�- _ is \curpin \masters \land use applications permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit e\ '°? • i
rssu ance, a '1 i j tit's/ j -
copy of all Cif. /State I Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses ace t 1 (( :7 i -� 1 c (Note: applications will not be accepted
required if 71}-
r V ,
1 - -,i,, -- u' t . ` ' L- L . - > y 6 r
without the required submittal elements)
expired in the Oregon Coast- Lout Board License # Exp. Date
City of Tigard's
database) [/Z Completed Application Form
Proposed '41 Permanent ❑ Freestanding ❑ Freeway K 2 Copies of Site /Plot Plan, Drawn to Scale
Sign C� Temp y ❑ wan ❑ Electronic (3 copies, if a building permit is required)
(Check all that . Ot er ❑ Billboard ❑ Balloon t '
apply) size requirement: 8 /2 ' x 11", or 11" x 17"
yi New sign? ❑ Alter to existing sign? 6 2 copies of elevations, drawn to scale
Sign Dimensions: , , ,- (3 copies, if a building permit is requited)
1 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ' f
$$40.00 Fee (Permanent sign, any size)
Total Wall Area (sq ft.) f, m
Sign Data $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this /T -a,, NOTES:
section) (N) S E W NE NW SE SW
Height to top of sign (feet): i;` o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 9` must include dimensions of wall face and sign
placement.
Copy: • o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ) No permit.
Type: ❑ Interval Z External o If work authorized under a sign permit has not been
Are there any existing freestanding or wall 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 1 day of 0. 20 0 C
i f
c � i
si
Signature of Owner: /Agent
Contact Person Name Phone No.
I Z
C r s w-\ c`S 17-€._
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.TIGAFtD
Receipt Number: 175625 - 10/13/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00213 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00213 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC RUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2494 KPEERMAN 10/13/2009 $19.00
Payor: The Christmas Tree Company LLC
Total Payments: $19.00
Balance Due: $0.00
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