SGN2007-00121 Vp i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00121
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/2/2007
PARCEL: 1 S127DD -00100
BUSINESS NAME: SHANE CO ZONE: C -
SIGN LOCATION: 09730 SW CASCADE AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 22' X 6' 2"
TOTAL SIGN AREA: 136 sq. ft.
WALL AREA: 6,567 sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: 33 ft.
PROJECTION FROM WALL: 3 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 22' X 6' 2"
MATERIALS:
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.
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APPROVED BY: ,0 .���► �
PERMITTEE SIGNATURE: �1.
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DATE: 7/2/2007
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. . I I '2 SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigart OR 97223 , .h
Phone. 503.639.4171 Fax: 503.598.1960 • I l i o
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GENERAL INFORMATION { 1 , ' ' ' i ; .,'/ P ` ' ,
�i "n:
Name of Development/Project
Site
FOR STAFF USE ONLY
C��� � co
Address / Street Address^ PermitNo.: ' t)-2 " '
Location ' 5,3c) C�3 e C0 9.o
'�° "'� Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #:
•
Name Approved By. S• . i l
Property • Date: LP 1 7
Owner Mailing Address Suite M p /TTL# : ( f ? 1' JD ( OD
Zoning: CCU
City /State Zip Phone
Tenant or Name Electrical Permit Required? !Yes ID No
Business Building Permit Required? ❑ Yes 1?(No
Name Rev. 7 /5/06
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issuance, a „� , { ) l �l
copy of all City /State Zip Phone
SUBMITTAL ELEMENTS
equuiired « ,� Er a ! ( 4 - 7 - a) , €_ 7.I izi (Note: applications will not be accepted
1 J `7w without the required submittal elements)
expired in the Oregon Const. Cont. oard License # Exp. Date
City of Tigard's {{
database) 20Vi
❑ Completed Application Form
Proposed ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P Permanent Freestandin
Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1 " » 11"
apply)
size requirement: 8 h x 11 , or 11 x 17 "
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 4 -7 , r e I 1 (3 copies, if a building permit is required)
rte- D size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): , QQr ,,
1 V ❑ $39.00 Fee (Permanent sign, any size)
Sign Data
Si Total Wall Area (sq. ft.)
g , ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this �� NOTES:
section) N ( S >E W NE NW SE SW
Height to top of sign (feet): (0 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): If must include dimensions of wall face and sign
placement.
pY ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
Will sign hav= ''rumination? Yes lli 1 No permit.
Type: • Internal Exte -.al ♦ If work authorized under a sign permit has not been
Are there any existing frees L -nding 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 El 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
J:1
Signature of Owner /Agent
P,C. c
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Conta Person Name Phone No.