SGN2006-00162 r t
M P CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00162
TI_GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/1/2006
PARCEL: 2S1 10AC -00100
BUSINESS NAME: SUNSET PIONEER CEMETERY ZONE: R -12
SIGN LOCATION: 13620 SW PACIFIC HWY PARKING LOT JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) permanent freestanding sign. 2' X 4'
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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: 0 _ -
PERMITTEE SIGNATURE: . Q���
DATE: 9/1/2006
ivi i ii i,. SIGN PERMIT APPLICAT , N�
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 4
L - ,-) 0
i 2006 -
GENERAL INFORMATION n, C/
Name of Development/Project . 4 91NA// '' 1 lo, 6 r,
FOR STAFF ?b •
Site SW JS T PiONEE.2. ' CEn-t &Tetley - v ER.,,�
Address/ Street Address Permit No.: •a CoAJ -(�(Q— °vie' } G .
Location 130,20 ,S PACAP(C. i WY -
Suite /Bldg. # City/State Zip Expiration Date: _
) Crik21D Receipt #: ; ''f 3 s /
Name Approved By: - T Z e47' •
SU,4S6 i P) 0/v ir &/< C
Property 6F'> -t t 2 V Date: afi /0(4
Owner Mailing Address N Suite Map/TL #: . 9-
/ 10 4 1 crt)
P.aci Iii c 1-1 Lk-"/ Zoning: f? 1 e)-
City/State Zip Phone
n C -..D Electrical Permit Required? ❑ Yes E d ry°
Tenant or Name
Business 3j' P /OAJE . C 1C V Building Permit Required? ❑ Yes No
Name Rev. 30 -Jul -01 is \curpin\masters\revised\sign permit app.doc
Sign C.1- .!<l t L - -16 - A ► S YS / E-/
Contractor Mailing Address • • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to perm 7800 S
1Q 20 a (Note: applications will not be accepted
Dl.-1 fa-
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are . D g722-
required if T ic! —s 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 t o
database) (3 copies, if a building permit is required)
Pro Proposed size requirement: 8r /2" x 11 ", or 11" x 17"
P Permanent Freestanding ❑ F
Sign Temporary ❑ Wall ❑ Electronic / 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other 1:1 Billboard ❑ Balloon
apply) size requirement: 8 /f x 11 ", to 24" x 36"
0 New sign? ❑ Alter to existing sign? , ❑ $a��00 Fee (Permanent sign, any size)
Sign Dimensions: I /
o)- ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): v Q
NOTES:
Sign Data Total Wall Area (sq. ft.) �/ • Wall signs do not need to be drawn to scale, Pc but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) ;N S E 0 NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 4' building permit.
Projection From Wall (inches): ®vi/ A • If work authorized under a sign permit has not
Copy: �-- - /9.7 - 01_C_H €95 , been completed within ninety (90) days after
Materials: Ft LV( vtrt 1 rvLie 1.°t^ - the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes " No BECOME NULL AND VOID. ,
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this (- Not all jurisdictions accept credit cards, please call jurisdiction for more information .
0
location, including wall signs that overlap a tenant space? Visa 0 MasterCard
El Yes card number / /
Yes No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(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 / 7 day of 20 0
Signature of E f!Agent)
(-(? r ` , � r c.k 503 (03 7 • Co S
Contact Person Name Phone No.
6
CITY OF TIGARD
Conditionally 4111
Freestanding Sign
'''''''''''''''''' - '''' ............. 1
2' x 4' sign panel with vinyl detail
For only the
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Job Address: i ............ _
- st4.1-,,,2rei-A-E4€0,4, For Business Identities
Sunset Pionee --sc Date: WI ak,
C 6/26/06
e metary Client:
_ Tigard
M a i ntained
by: Breakfast
_
Tigard Breakfast Rotary Rotary
Contact:
Sue Wirick
GRADE
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Please initial & date
Colors:
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Graphics:
Dated:
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These plans are the exclusive properly of Classic Sign Systems and the result of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these
plans or to purchase from Classic Sign Systems a sign manufactured according to these plans Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a
similar sign Is expressly forbidden In the event exhibition occurs, Classic Sign Systems expects to be reimbursed $5(X) for time and effort In creating these plans Scale: 0" = 1'0"
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Community Development F
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Er CITY OF TIGARD 9/1/2006
13125 SW Hall Blvd. 8:50:22AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004351
Date: 09/01/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00162 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00162 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
Line Item Total: $39.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CLASSIC DIMENSIONAL ST 13500 In Person 39.00
GRAPHICS INC
Payment Total: $39.00
cReceipt.rpt Page 1 of 1