SGN2009-00160 -. ; CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00160
COMMUNITY DEVELOPMENT Date Issued: 07/07/2009
. ? 1 C G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S136DB02502
Jurisdiction: Tigard
Name of Business:
Business Address: 11634 SW PACIFIC HWY
Applicant/Agent: Subway,
Work Description: Placement of (1) one temporary 2'x3' A -frame sign. Valid 7/7/09 - 8/7/09. 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: No Electronic: . No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2'x3'
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: 3 ft.
Projection From Wall: in.
Illumination:
Materials:
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: Qn
Permittee Signature: 4 --- 4 ,1:(;�� /./41 .
N SIGN PERMIT APPLICATION
:,I
Ci of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
eilliftstcr' Phone: 503.639.4171 Fax 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site 1001 (c7) Address / Street Address
� Permit No.: .. =r
Location
tte4iP49 � Expiration Date: ! �J 7 0 5 - • 7 a, City/State Zip
71 0 / 1 IV- q7 , Receipt #: /, D
No -A q Name I Approved By: . . Property k Date: 7 /'?/c)ff
Owner Mailing Address Suite Map /TL #:
)1 Zoning: ( -6
City/State Zip hone
/I e • L "` of kc /Cf `` � - Electrical Permit Required? ❑ Yes -o
Tenant or
Business L` Building Permit Required? ❑ Yes �J"1Clo
Name ' Rev. 7 /1/07
is \cuepin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit I
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
requi if without the required submittal elements)
expired in the Oregon Coast. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent Freestanding ❑ Freeway ❑ 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 t
apply) size requirement: 8 /z" x 11 ", or 11 " x 17"
X New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale , Sign Dimensions: (3 copies, if a building permit is required)
D „ 1, size requirement: 81/2” x 11", to 24" x 36"
Total Sign Area (sq. ft.):
4 ❑ $40.00 Fee (Permanent sign, any size)
S Sign Da Total Wall Area (s ft
ign ni El] $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle o e):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): �41- ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): (1 ! n, 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
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 01
/0-/l/44 dk.
Signature of Owner /Agent
A/04A tc...q Wdaj--3
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.I1CrARD
Receipt Number: 174257 - 07/07/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00160 Temp Sign Perm 1003100 -43117 $17.00
SGN2009 -00160 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
Credit Card 194248 KPEERMAN 07/07/2009 $19.00
Payor: Monica M. Woods
Total Payments: $19.00
Balance Due: $0.00
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