SGN2006-00206 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00206
TIQARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/15/2006
PARCEL: 1 S136DD -02600
BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 24"
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -Frame sign 18" X 24" Place on private
property, not in public ROW Valid 11/15/06 - 12/15/06 Sign #2
MATERIALS:
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.
APPROVED BY:
PERMITTEE SIGNATURE(— — '�
DATE: 11415/2006
,
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III SIGN PERMIT APPLICATIO
City of Tigard Pemit Center 13125 SW Hall Blzd, Tigard OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 `C
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ts �/
GENERAL INFORMATION �Q C, � �T� 0 ?
5'
Name o£ Development/Project n
F S TAFF USE O F 0
Site Nkiiii`l a -/rl C !i , (- No cA.//1Q ( l v / e/9,
Permit No.:
Address/ Street Address 0.)-e v fe -- 00 (a 41 0
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Location /1 5 S� 6& ' /L
2 Expiration Date:
Sv /B ld g . b Ci / Staattee! �� Zip q )
T C �� ( ' Receipt # : -.1" (P 6-4-CS
Name / Approved By ,5 _72
Property ' 1 110 k1V rq (/11 P4te (Yt'? C MACJI (/1 NA/ Date: i (i I.51c7&
Owner Mailing Address Suite M /TIJt : /5 / 3( 0 63- 0
v
Zoning: it-4 U C
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, of nce a
cop REQUIRED SUBMITTAL ELEMENTS
y all City/State Zip Phone Q
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 ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary 0 wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1
appl)) ll size requirement: 8 h" x 11 ", or 11" x 17"
' New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: ,,/l x c32 / 1 (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): size requirement: 81" x 11 ", to 24" x 36"
❑ $39.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft)
Sign Data /1 ❑ $19.00 Fee (Temporary sign, any type)
(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): �; 1 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
PY ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes Zf No permit.
Type: ❑ Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location,. I completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT 'WILL BECOME
❑ Yes F No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR. SIGNATURES)
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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.
DA 1 D this / day of Ng , 20 V
nti _ •
Signature of Owner /Agent
5 - i%) 35
Contact Person Name Phone No.
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CITY OF TIGARD 1 ►/►5/2006
�� 13125 SW Hall Blvd. 1 1:58:OOAM
Tigard, OR 97223 503.639.4171
l
;TIGARD 1.
Receipt #: 27200600000000005458
Date: 11/15/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00206 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00206 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check JOHN M. CHILSON ST 649 In Person 19.00
Payment Total: $19.00
cReceipt.rpt Page 1 of 1