SGN2006-00165 C ITY OF TIGARD SIGN PERMIT
" ° DEVELOPMENT SERVICES PERMIT #: SGN2006 -00165
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/2006
PARCEL: 2S112DD -00701
BUSINESS NAME: MATTHEWS GALLERIES ZONE: I -P
SIGN LOCATION: 15800 SW UPPER BOONES FERRY RD A -300 JURISDICTION: TIG
APPLICANT /AGENT: MATTHEWS GALLERIES
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 26" X 30"
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 12 s ft A -frame sign. Sign must be placed on private
property and not in the public right -of -way. Sign #3 Valid 9/8/06- 10/8/06
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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. f�� d/Le APPROVED BY: . at "
PERMITTEE SIGNATUR .
D E: 9/8/2006
a ft ) ' ° •) flV COO.E
9 ( JE1a � "I .
A SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX:: (503) 684 -7297
GENERAL INFORMATION - -
Name of Development/Project
Site MA ro-Owf l =E FOR STAFF USE ONLY
Address! Street Address / No.: <� n) lrUw - CID 1(os
Location is f�oioovEf fe/gy
Suite /Bldg. # City/State 7 4Ql�rp Expiration Date:
3 o 'L.xit'C%Ctjr i(60 ' 7703$- Receipt #: 0 ` q-3
" Name Approved BY:
- "Y1-- I
Property
Pie T2VfT Date: q l'f 0 (-
Owner Mailing Address f b t u e l a,DX 1euite Map/ TL #: ? - S 1 1 a-I - 1 . ) O - 10 1
/.s3 so Sw 3Qa Zoning: l P
City/State Zip Phone
POlfl t►r / 17 t 5 -b 2Y-77e
Electrical Permit Required? ❑ Yes E6
Tenant or Name
Business Building Permit Required? ❑ Yes No
Name Rev. 30-Jul-01 i:lcurptn\masters\revisedlsign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ 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)
Pro Proposed size requirement 81 x 11 °, or 11" x 17"
P ❑ Permanent ❑ Freestanding ❑ Freeway
Sign 8,Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other El Billboard ❑ Balloon ( copies, if a building permit is required)
apply) size requirement 81" x 11 °, to 24" x 36"
A New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: rx 3Q a x Z i/ $15.00 Fee (Temporary sign, any type)
24 Total Sign Area (sq. ft.): 61 , 36 , r -T"
NOTES:
Sign D ata Total Wall Area (sq. ft.) �, • Wall signs do not need to be drawn to scale,
g but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle ne): We. sign placement.
items in this
section) N S E W 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): OOP 2 Vz building permit.
Projection From Wall (inches): "//#4 • If work authorized under a sign permit has not
Copy: N/f been completed within ninety (90) days after
Materials: p /AS77X - the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes isi No BECOME NULL AND VOID.
Type: ❑ Internal X External
Are there any existing freestanding or wall signs at this / Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? O via 17 MasterCard
Credit card number 1 /
❑ 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. $
t Cardtolder signature Amount
(OVER FOR SIGNATURES)
r . I
Il
ii SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tigard, OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
-
Name of Development /Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.:
Location
Suite /Bldg. # City /State Zip
Expiration Date:
Receipt # :
Name Approved By:
Property Date:
Owner Mailing Address Suite Map /TL# :
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes DI No
Business Building Permit Required? El Yes ❑ No
Name Rev. 7/5/06
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to pemut
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. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed El Permanent El Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign all that El Temporary El Wall El Electronic (3 copies, if a building permit is required)
apply) ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): size requirement: 81/2" x 11 ", to 24" x 36"
El $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) NS E W NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
s placement.
Materials: ♦ Wall signs do not require site /plot plans.
♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes El No permit.
Type: El 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
El Yes El 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.
DAZED this day of , 20
ver
ll�ar
Signature of Owner /Agent
S 6447 3
Contact Person Name Phone No.
CITY OF TIGARD 9/8/2006
'Pi 'I 13125 SW Hall Blvd. 11:54:33AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004443
Date: 09/08/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00165 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00165 [MISC] Misc Fee 100 -0000- 451000 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MATTHEW W GERBER ST 9936 In Person 19.00
Payment Total: $19.00
cReceipt.rpt Page 1 of 1