SGN2007-00120 R P CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00120
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/2/2007 PARCEL: 1S127DD -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): SW
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.
APPROVED BY: _ _
-
PERMITTEE SIGNATURE: _n
DATE: 7/2/2007
Sr SIGN PERMIT APPLICATION
City of Tigard Pemit Center 13125 SW Hall BM, Tiga� OR 97223 °r y (,4' l .
Phone. 503.639.4171 Fax: 503.598.1960
UN �I c
, . 2007
GENERAL INFORMATION P CAhl, I IVG/ %7N/ ' r �
6�
Name of Development/Project '"
Site FOR STAFF USE ONLY
Address/ Stre r ess —CO
'I � SO �J. 9J � V����i �� Permit No.. -�p 0 ,)66 / D"l' I o�D
Location `.
Expiration Date:
Suite /Bldg. # City/State Zip
Receipt #:
Name Approved By <-. T'
Property • Date: fe (0 1
Owner Mailing Address Suite Map /n# : /51700— b I C0
Zoning: C �P
City/State Zip Phone
Tenant or Name Electrical Permit Required? 2r<ies ❑ No
Business (7 : 4t 1 CC.) Building Permit Required? ❑ Yes to
Name Rev. 7/5/06
is \curpin \masters \land use applications \ sign permit app.doc
Sign 302 C )
Contractor Mailing dress t o
(Pnua ce, a mit 2 I � ( Q `` ^ ( 'RD \
issuance, a '— '4 t�� {� l
copy of all City/State Zip Phone c z 2. ) s REQUIRED SUBMITTAL ELEMENTS
licenses are � (Note: applications will not be accepted
required if +�� 1 ( (�2 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) 4 1 `22gY
❑ 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 1
apply)
size requirement: 8 /z" x 11 ", or 11" x 17"
New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: z x, / 1 D 2 rr (3 copies, if a building permit is required)
l size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ,
laD ❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) L` $1 9.00 Fee em ora sign, any e
111 (T P n' g Y tYP )
(Complete all Direction Wall Faces (circle one): •
items in this nE NOTES:
section) N W 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 : Ali 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 have illumination? Yes ❑ No permit.
Type: Internal External ♦ If work authorized under a sign permit has not been
Are there any existing freesta d or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overl 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.
DAZED this day of , 20
11 —
ignature of Owner /Agent
� Si) 963
ntact Person ame Phone No.