SGN2007-00092 rp g CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00092
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/2007
PARCEL: 2S 110AB -00200
BUSINESS NAME: FOXY'S ZONE: C -G
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 94" X 20"
TOTAL SIGN AREA: 13 sq. ft.
WALL AREA: 475 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Illuminated Wall Sign
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED:
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: `"f ' ` /WA
PERMITTEE SIGNATURE: `�/ HILL �� ∎
DATE: 5/18/2007
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Er SIGN PERMIT APPLICATION
City of Tigard Peinit Center 13125 SW Hall Blul, TigcrcI OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
of Development/Project
Site pt 2e) FOR STAFF USE ONLY
Address/ Street Address 1(la951 Permit No.: S GNI W01 — DOOR
Location 5 Expiration Date: l
W v►
Suite /Bldg. # Ci /State Zip
�_�'� 97L;-21
7 G Z Receipt # : ZZA S
Name Approved B . sue.,
Property Q C -,\I C— l Date: cS l.--
Owner Mailing Address Suite Map /TL# : S y 4 D 70'2 -0th
( , Zoning: C-' L1
City /State Zi Phone Td i D / � L� 533 / I ']
Electrical Permit Required? X Yes ❑ No
Tenant or ��
Business I'--c l — G' Building Permit Required? ❑ Yes %No
Name Rev. 7/5/06
/�
� � , i \cuspin \masters\1and use applications \sign permit app.doc
Sign ` C J 1
Contractor Mailing Address I Suitt
(P permit 1 43 Std3Yv_ P
issuance to , a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS 1
licenses are
(Note: applications will not be accepted
required if l l a -1 4 36L-Y&'87 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
aty of s
database) NE Completed Application Form
Proposed ermanent ❑ 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
applO ❑ Other El Billboard ID Balloon size requirement: 81/2" x 11 ", or 11" x 17"
. New sign? ❑ Alter to existing sign? i It. 2 copies of elevations, drawn to scale
Sign Dimensions: a t /i ao // (3 copies, if a building permit is required)
1 size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
I 3 i yl $39.00 Fee (Permanent sign, any size)
Si Total Wall Area (sq. ft.)
Sign Data y 7 , ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N se W NE NW SE SW
Height to top of sign (feet): 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ( /1 must include dimensions of wall face and sign
QTY: C4� �` L , placement.
• Wall signs do not require site /plot plans.
Materials:
l'N■ p3U
I • Freestanding signs over 6 ft. required a building '
Will sign have illumination? ❑ Yes ❑ No permit.
Type: l' 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 o NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and s
g g square
q
footage must also be submitted.
(OVER FOR SIGNATURES)
ir 4
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 1 ' day of n A.A. , 20 0 l
4 , -:,:,. - : , ..,
4a
Signature of Owner /Agent
( 7- L.A.4, 1 Lp cl i,) s t,26 go87
Contact Person Name Phone No.
s'
s
Er CITY OF TIGARD 5/18/2007
13125 SW Hall Blvd. 11:10:1 1 AM
Tigard, OR 97223 503.639.4171
T I GARD
Receipt #: 27200700000000002215
Date: 05/18/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00092 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -00092 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00091 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2007 -00091 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $78.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CANTERBURY SQUARE EAE 8319 In Person 78.00
Payment Total: $78.00
cReceipt.rpt Page 1 of 1