SGN2007-00115 •
CITY OF TIGARD
SIGN PERMIT
•
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00115
4,41 DATE ISSUED: 6/29/2007
TI�GARD„ 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 1S 12600 - 00300
BUSINESS NAME: DICK'S SPORTING GOODS ZONE: C -G
SIGN LOCATION: 09585 SW WASHINGTON SQUARE RD MGMT OFFICE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X19' -
TOTAL SIGN AREA: 39 sq. ft.
WALL AREA: 8,400 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one additional 39.5 sq.ft. wall sign to existing parking lot structure
sign.
MATERIALS: ALUM /PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable
laws. 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: ' rAC._
DATE: 6/29/2007
d
iNwiziom
5 . ' ` Q . SIGN PERMIT APPLICATION
a
� City of Tigard Permit Center 13125 SW Hall Blvd., Tigard OR 97223
'r Pho 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project @ /� ,�y r
Dick_ `� /'/q t i r` FC�7, /J 5 -
f FOR STAFF USE ONLY
Site � I `�
Address/ Street Address Gj Z— 7 - V}U� L5 ` �� Expi Permit No.: G
Location ���.Se /4.)0 AS
d / �i./
L 5 Suite /Bldg. # City /State dip Expiration Date:
...." Receipt #: 2----" 2----" z--
— 3 cs ( "
C r i r ! , .
Name ' n r Approved By:
Property / /C.Q_ /Y� , ��. , e;t `l c k. CO. Date: ri0/ .6�
Owner Mailing Address / Suite Map /'11, #: 1,3/ Zto (JO 00 30 3
/69 ?S�
1 Zoning: I L O.-./
City /State ip Phone ,i /7
Tenant or Name / u? � CVO I?Icctrical Permit Required? DX ❑ Nji
Business k J :5 S PO{L._l l N O cods Building Permit Required? ❑ Yes No
ante i ft._I I C.) Rev. 7 /5/116
5 / et \curpin \,nastcrs \land use applications \sign permit app.doc
J
Sign • 4 v5 *A ! i J »j
Contractor Mailing Address Suite
(Por to ma y 11 / i 1 - - --
iss pe a it s ` 0 I�n l l >� 7J , / J � o � 7Ji
copy of all (t /State 1 Zip \V � I j 7 � ti �f >h o Pc� q ( �� J REQUIRED SUBMITTAL ELEMENTS
licenses are ,.+ required P +O �/
required if ��� n 0 4J � (Note: applications will not be accepted to
expired in the Oregon Consc. Cont. 'Board license # Exp. Data without the required submittal elements)
City of'Tigard's
database)
❑ Completed Application Form
❑ Permanent Freestanding g ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P
Sign all that El Temporary Wall El Electronic (3 copies, if a building permit is required)
1PPh) ❑ Other ❑ Billboard El Balloon size requirement: 81/2" x 11 ", or 11" x 17"
X New sign? ❑ Alter to existing sign? g • gn• ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: G2 / / q t " S (3 copies, if a building permit is required)
size requirement: 8'/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
0 7, . ❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Arca (sq. ft.)
g N 5tliu yo ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) NOTES:
N OE CD NIE, NW SE SW
I Icight to top of sign (feet): a Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
4X 1 5
Copy: N 'ci-4 r3 YG P-1( �V 4 placement.
Materials: / C' e Wall signs do not require site /plot plans.
v i / " L e Freestanding signs over 6 ft. required a building
Will sign have illumination? r,.- Yes ❑ No permit.
Type: ❑ Internal • External a 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)
JUN -24, -2007 02:16P FROM: T0: 15035981960 P.3
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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 o 1 day of d 4,4„ ,20 ) 7 .
, 4 /
4110 °1111."- ,
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ci i !/LSD &/.5" -02ry
Contact erson Name Phone No. x / O a
•
i_NCITY OF TIGARD 6/29/2007
.1 13125 SW Hall Blvd. 9:34:41 AM
Tigard, OR 97223 503.639.4171
T
Receipt #: 27200700000000003012
Date: 06/29/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00113 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2007 -00113 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2007 -00114 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -001 14 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2007 -00115 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2007 -00115 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00116 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2007 -00116 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00117 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -00117 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
ELC2007- 00441 [ELPRMT] ELC Permit 220 - 0000 - 431510 160.20
ELC2007 -00441 [TAX] 8% State Surcharge 100- 0000 - 207020 12.82
ELC2007 -00442 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80
ELC2007 -00442 [TAX] 8 %State Surcharge 100 - 0000 - 207020 8.54
Line Item Total: $483.36
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard JAMES G. MIKULA KJP 035336 In Person 483.36
Payment Total: $483.36
'' cReceipt.rpt Page 1 of 1
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SEP -14 -2007 01:20P FROM: TO:15035981960 P.1/1
i mageonefld. 1 FAX Transmittal
identification specialists
125 Phyl Its Drive • Croydon, PA 19027 • Phone: 215 826.0880 • Fax 215.826.0514
•
DATE: Vii/V40 7 FAX NO:
TO : LVI �� 4 -J FROM: / _ .a X : - c
NO. OF PAGES:
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