SGN2009-00204 I ,
x5.rr
s CITY OF TIGARD SIGN PERMIT
• Permit #: SGN2009 -00204
;` n; COMMUNITY DEVELOPMENT Date Issued: 09/21/2009
TIG 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110AB00200
Jurisdiction: Tigard
Name of Business:
Business Address: 14365 SW PACIFIC HWY
Applicant/Agent: Oregon Mattress,
Work Description: Placement of (1) one temporary 24 s.f. banner. Valid 9/21/09 - 10/21/09. _Banner must
be placed on private property and not in the public right -of -way. Sign #1
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area: 24
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: S19.00
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 l � ∎__e ---�_
Permittee Signature: I (. """ " °" ° --• ----,
t
III SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGAI T
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site e, offM ketii S - �� /UXo 0 s -UO7
Address/ Street Address 1 Permit No.:
Location I_ //
I �V SW � City/State Zip Expiration Date: 7/1-1/3 1 /� /2� !
Suite/Bldg.
.17 off- 01124i4 Receipt #: T Q
Name J Approved By: X . 1 Property iW Date: 9/LA / J
Owner Mailing Addre Suite Map /TL #:
/ T ?ji Et.) Plott liti Zoning: `
City/State Zip Phone
C i .71'4 Electrical Permit Required? ❑ Yes [L}—No
Tenant or oe �0 S
Business Building Permit Required? ❑Yes [�l�o
Nam a Rev. 7/1/09
is \curpin \masters \land use applications \sign permit app doc
Sign
Contractor Mailing Address Suite
a
(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 t Tigard's
database) ❑ m Completed Application For
Proposed ❑ � Permanent ❑ Freestanding ❑ Freeway 111 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ' Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon
apply) size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 8'/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ��l
O�[ 4 111 $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) �/ f� $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): tt``��
items in this NOTES:
section) N S E 69 NE NW SE SW
Height to top of sign (feet): • 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: ❑ 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 1
footage must also be submitted.
(OVER FOR SIGNATURES)
r
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 Z k day of T , 20 a q
Signature of Owner /Agent
M,• 044.4A _ Van raj 3 (o 4— g g 4 3
Contact Person Name Phone No.
. y
pril CITY OF TIGARD RECEIPT
. 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARE.
Receipt Number: 175277 - 09/21/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00204 Temp Sign Perm 1003100 -43115 $17.00
SGN2009 -00204 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 20744 KPEERMAN 09/21/2009 $19.00
Payor: Oregon Mattress Co.
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1