SGN2007-00143 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00143
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/2007
PARCEL: 2 S 112 DC - 00701
BUSINESS NAME: NW RUGS ZONE: I -
SIGN LOCATION: 15957 SW 72ND AVE BLDG - JURISDICTION: TIG
APPLICANT /AGENT: NW RUGS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X2' -
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way. Valid 8/4/07 - 9/4/07. Sign # 1
MATERIALS: WOOD
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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This permit is issued subject to the regulations contained in the Tigard Munidpal 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: C -'
DATE: 8/6/2007
i
SIGN PERMIT APPLICATION
1 \ ,\ \'4,
City of Tigard Permit Center 13125 SIV Hall Blvd, Tigard, OR 97223
4 ` \\\ Phone: 503.639.4171 .Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
N n FOR STAFF USE ONLY
Site 1 2�
Address / street Address s Permit No.: `� � 2 -4D- - 7 2 -4D- - 7 --0D / L{ /
Location 1595 - 1 S " 12— � a is<- N I °� q I y /�
Expiration Date:
Suite /131dg. # ' Ciry /State Zip
TI CfircZ D R 9'1 a-).-`+" Receipt #: z2 5 7
Name Approved By: 1 �.L
Property ... C1.- 6 - -17 v S=t Date: S 13 ay
Owner Mailing Address Suite Map /TL #: Z S}} ..: I L •t) �%
"' - b 0701
(53 Sv-> on;ar . 300 Zoning: Y
Cite /State Gip Phone
TiefAr-el ell 2.2'1 5b3 -1.24 - - I'16 - '1
Tenant or Name (� Electrical Permit Required? ❑ Yes 1E
(\) t� U 9 S Building Permit Required? ❑ Yes Q...Ko
Name Rev. 7/1/07
is \curpin \masters \land use applications \ sign permit app.doc
Sign
Contractor Marling Address Suite
(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. Cnt. Bard License # Exp. Date
City of'ligard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ® Temporary ❑ Wall ❑ I::Icctronic (3 copies, if a building pertnit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon t ' 11"
apply) size requirement: 8 /2 ' x 11", or 11 x 17"
❑ New sign? ❑ Alter to existing sign? ill copies of elevations, drawn to scale
Sign Dimensions: a X I G7 11 (3 copies, if a building pernut is required)
size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. Et.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wa Area (sq. ft.) 19.00 Fee (Temporary an ; r
g El $19.00 sign, � type)
(Complete Idl Direction Nall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE S\V
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Cop} o Wall signs do not require site /plot plans.
Materials:
o Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes k] No permit.
Type: ❑ Internal ❑ External o 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 K 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.
3
DATED this day of 20 0 7
f �n
Signature of Owner /Agent
mlA _14 ■Sh o"- 503__ 5 62 - 3
Contact Person Name Phone No.
Ca/ rn
phon-e 5°
CITY OF TIGARD 8/6/2007
13125 SW Hall Blvd. 8:46:59AM
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Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000003597
Date: 08/06/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00143 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00143 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash NW RUGS kjp In Person 19.00
Payment Total: $19.00
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