SGN2004-00388 C ITY OF T I GA R D SIGN PERMIT
E I I I
D
13125 EVELOPMENT / Tigard, SERVICES ) 639 -4171 DATE PERMIT
S ISSUED: ED: 112/28/0 0388
2004
PARCEL. 2S 112AD -00200
BUSINESS NAME: ACTION USA INC ZONE: I -P
SIGN LOCATION: 06830 SW BONITA RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2 EA 4'X8'
TOTAL SIGN AREA: 64 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: • NON
DESCRIPTION OF SIGN: Placement of (1) one freestanding permanent 64 sq ft sign. Sign must be placed
on private property and not in the public right -of -way or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 si. n permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 day -fr.:lidity d. e.
fir
APPROVED BY:
PERMITTEE SIGNATURE: -
DATE: 12/28/200
.. .
'...,1,- SIGN PERMIT APPLICATION
.1.^ =.111
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project 11 11
Site METCO &A,A149 FOR STAFF USE ONLY
Address/ Street Address J Permit No. ;5 0 y LC 3,83
Location (0$10 S(#3 16 Expiration Date:
Suite /Bldg. # City /State Zip
i
ci7),dl9 Receipt #: �- }' °q 5 $ -2_5
Name Approved By:_
i_ Date: / Property ?pa) StYleA - 5 . -- 7/6 V
Owner Mailing Address W Suite Map/TL #:
f COO Loa y.gA Zoning: P
City /State Zip 1 _ li.ne
fu xe '?ico .- (D1 I Electrical Permit Required? ❑ Yes p—fcto
Tenant or Name
USIA 1V Building Permit Required? ❑Yes 0A}
—o
Business
1 Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign SICV 00
Contractor MailingAddre Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit Ito se In �" �� (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone5c,3
licenses are
required if ,�� 0� �� 23L -52� ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed .gir Permanent Er Freestanding ❑ Freeway size requirement: 8 1 /2" x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic 1
(Check all that El copies drawn to scale
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
XfNew sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimension i ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ( 111 $15.00 Fee (Temporary sign, any type)
�-1
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): (' but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes No BECOME 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
�ignat� re of • ner /Agent
Contact Person Name Phone No.
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CITY OF TIGARD
Approved [ }
Conditionally Approved [ 3
For only the work as described in:
PERMIT NO.
See Letter to: Follow [ ]
Attach [ )
Job Address: -
By: Date:._ .._ __. _
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