SGN2007-00205 CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00205
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/5/2007
PARCEL: 2S110DB - 00200
BUSINESS NAME: ARBOR HEIGHTS ZONE: R -
SIGN LOCATION: 15199 SW ROYALTY PKWY JURISDICTION: TIG
APPLICANT /AGENT: ARBOR HEIGHTS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 15' X 4'
TOTAL SIGN AREA: 60 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SW
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: .NON
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 15' X 4'
MATERIALS: VINYL /WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: �I c�� -Cliff
PERMITTEE SIGNATURE:
DATE: 11 /2007
I
III I II SIGN PERMIT APPLICATION
I
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
hone: 503.639.4171 Fax: 503.598.1960 , L
r
GENERAL INFORMATION
Name of Development /Project
^ r `' .` ht ' FOR STAFF USE ONLY
O ( 14
Site - C
Address / Street Address Permit No.: jt 9oa1-0•D4O5--
Location `vlq al 12-O' Jq ( c '
Expiration Date:
Suite /Bldg. # City/State " Zip /�
Ti5Ci ,/ p t, 6 11 . 1 14 Receipt #: aOb 7 4�/ '
' �-
Name �J - Approved By: S � t
Property '1DILVt1'u l'i'6 t j (mot l 1 1'�
, ( Date: 1tIS °"7
Owner Mailing Address Suite M #: ? S1 1/ 0 D �+" (��
eV
Ikl\ MCI I n 5A 1# 20 zoning: g--a -S
City/State Zip Phone
V alli 1 Electrical Permit Required? ❑ Yes ❑/
Tenant or Name
Business Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing 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 requited submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City ofTigard's
database) Cgmpleted Application Form
Proposed Permanent osed -L'4. El Freestanding ❑ Freeway lir 22 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary NE Wall ❑ Electronic (3 copies, if a building permit is required)
(Cheek all that ❑ Other ❑ Billboard ❑ Balloon t » " 11"
apply) s ize requirement: 8 /z x 11 , or 11 x 17 "
[Y] New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 14 X Li l (3 copies, if a building permit is required)
requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.):
• $40.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft.) 19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W S E SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): iCt+ must include dimensions of wall face and sign
Copy: l" (}(I) &I placement.
Materials: U(��L r (�(�(�� • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes 21, 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 v day- of ' ` (J���� ✓' ' 9 _ 20 c
Signature of Owner/Agent
01114117
Contact Person Name Phone No.
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_0
:` ,.,: u;ti, rl;ty Approved [
t=oy or;iy the work s desq�b i
PERUIIT �tp, S(v --
See !_`.itar to: Follow -- - - - --- [ 1
Attach [ }
' toh Address: _t_S .1 �l __ CPC --yy�iJ � �
Ey II CITY OF TIGARD 11/5/22007
41 13125 SW Hall Blvd. 4:23:06PM
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000004925
Date: 11/05/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00205 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2007 -00205 [LRPF] ER Planning Surcharge 100- 0000 - 438050 5.00
Line Item 'Total: $40.00
Payments:
Method Payer User ID Acct/Check No. Approval No. How Received Amount Paid
CreditCard AMBER D CRUDELE ST 005742 In Person 40.00
Payment "Total: $40.00
cReccipt.ipt Page 1 a I