SGN2004-00101 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00101
I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/2004
PARCEL: 2S 10X8 -02600
BUSINESS NAME: RODNEY'S STEAK HOUSE/ FOR BRAD FUDGE POLITICS ZONE: C -G
SIGN LOCATION: 13066 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X4'
TOTAL SIGN AREA: 8 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) temporary 8 sq ft sign. Sign must be on private property and not
in the public right -of -way or visual clearance area. Sign #1 Valid 5/6/04 - 6/6/04.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 fr m validity date.
APPROVED BY: !�?
PERMITTEE SIGNATURE:"
DATE: 5/11/2004
A„, �, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site /V/} 00l O t
Address/ Street Address Permit No.: ,Sc,') ao0 / — -
Location /1%'6'6 ...1-i(7 °' �� . « y _ 1/4/y y Expiration Date: S/� Suite /Bldg. # City /State Zip n
,^ 9�Z z � Receipt #: - "` 3 ` f ' / i
Name Approved By:
t(zti' » . / - Date:
Property
(- . ��i .,, Sics`�� -t -r r
Owner ailing Address Suite Map/TL #: C
/3066 Se-r/A- ,;.,G,‘,. Zoning:
City /State Zip Phone
p .P .7L2J .5 4. — 3s.'7- Electrical Permit Required? ❑ Yes
Tenant or Nf�'m [�No
Business /t p q'/7e Zr _' , /-4, f t Building Permit Required? ❑Yes I2
Name Rev. 8/7/2003 i:\curpin\masters\revised\sign permit app.doc
Sign 1<oP l‘ .
Contractor Mailing Address l/ Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a /- ri,‘X�r/.1 10/ 4 •e. w ithout the required submittal elements
copy of all City /State Zip Phone 4 elements)
licenses are
required if iu /(7/Q ri '70 6 7 5 3 -SZ Z�
expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign g Temporary ❑ Wall
❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
sign? (3 copies, if a building permit is required)
�$ Ne
/ g ❑ Alter to existing sign? size requirement: 81" x 11", to 24" x 36"
Sign Dimensions:
, X " ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft):
1 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
�p sign placement.
Co py: �`-'iei' /art- /- � � • Wall signs do not require site /plot plans.
Materials: �1/oa y � f/'c , • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 0 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)
1
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 /7 , 20 0
Signature of Own 4/Agent
7_ SZ Z
Contact Person Name Phone No.
CITY OF TIGARD 5/11/2004
13125 SW Hall Blvd. 4:36:42PM
i � ��� Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000001978
Date: 05/11/2004
Line Items:
Case No Tran Code Description Revenue Account No . Amount Paid
SGN2004 -00101 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received .Amount Paid
' Check BRAD FUDGE FOR STATE KJP 112 In Person . 15.00
REPRESENTATIVE
Payment Total: $15.00
Elect
15536 SW Scholls Ferry Road
a Beaverton, Oregon 97007
(503) 807 -5226
Q Fax: (503) 524 -9270
liF bfudge @sprynet.com
Representative
Sign Location Authorization
Location 13066 SW Pacific Hwy - Rodney's Steak & Barbecue
Rodney has given authorization for a temporary political sign at 13066 SW Pacific Hwy,
Tigard, Oregon.
Verbal authorization was given for Brad Fudge to execute a City Sign Application.
Brad Fudge
PROPOSED SIGNAGE
Elect
vANal[re
State
Representative
•
OF 'TIGARD
Cc cWi.Dially ro
Approved - 1
c Oilly the work as described in: ()/
4 04 1 --
See. Letts' to: r- oilow [
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CITY OF TIGARD SIGN PERMIT
4'4 Ira DEVELOPMENT SERVICES PERMIT #: ScN ��_ 0� (tea
u �l 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 570,
EXPIRATION DATE: 5 -) r /b Ay
BUSINESS NAME: Roc5 Q• > b-eA PARCEL:
SIGN LOCATION: ( 306 !o scw (DES -c�� c 4
APPLICANT /AGENT: v►a-q FJA -C._ y ZONE: (_c
BUSINESS TAX NO: JURISDICTION: -- r l � .1)
7
SIGN
PERMANENT: FREESTANDING: X FREEWAY:
• TEMPORARY: x WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2. y
TOTAL SIGN AREA: $ sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: 1\)
DESCRIPTION OF SIGN: P( ° '� 5i f � e kcz,:Q a�
MATERIALS:
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: PO
BUILDING PERMIT REQUIRED: (
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: 3 I
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval riata
APPROVED BY: r ��
PERMITTEE SIGNATURE: •
DATE:
� N�j�' CITY OF TIGARD RECEIPT
DEVELOPMENT SERVICES s
�/nNP01 13125 SW Hall Blvd., Tigard, OR 97223 DATE: / 6 / /
A- 41�I (503) 639 -4171 JURISDICTION: : 1 13 ,
LINE ITEMS:
Case No. Fee Description Revenue Acct. No. Amount Due
s % 0 200 , 1- 0 ► (3\o 4 (3,D s; P S
fn ��vni -� / � 37 06 0
Total Due: (3- ❑ SEE ATTACHED FEE SCHEDULE 1
PAYMENTS:
Method Payer Initials Check No. Confirm No. Amount Paid
Gkt.ck_ �ro.J Ifv,J1 c K-P 11 . j.S
Total Paid:
B/S