SGN2006-00223 i
r
7 `' CITY OF TIGARD
1 SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 - 00223
T IGAR_D. DATE ISSUED: 12/14/2006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S133AD -16200
BUSINESS NAME: QUIZNO'S ZONE: C -P
SIGN LOCATION: 12700 SW NORTH DAKOTA ST 180 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS: 20'
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 20 -foot balloon. The balloon must be secured to
building structure. Valid 1/02/07-1/12/070. Sign #1
MATERIALS: BALLOON
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. AT-1(3-52.- / /
PERMITTEE SIGNATURE: = 1 � -
V
DATE: 12/14/2906
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o SIGN PERMIT APPLICATION
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, "'£k . . s City of Tigard Permit Center 13125 SW Hall Blzd, Tigard OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site a v -2 t:` -� C
Address / Street Address
No.: J G I 6 - U O Z 2-- S
Location i27c ' `+.5c�r�- .,--i-'t ,.e x,� /f / t �
'� � Q7
Suite /Bldg. # City /State Zip Expiration Date:
i - 1 iGr�, L,( ry '72:2-3 Receipt # :
Name Approved By. it----W
Property , ; et . c-, -A<— T Pc-r-1-11 z,r Date: ► z /<< f /�
Owner Mailing Address Suite Map /TL# : I
I c ( 3o Ep..s t--s‘ , /4Q Zoning:
City /State Zip Phone
!
IC V.,,, .")"_S( Electrical Permit Required? ❑ Yes D_No
Tenant or + Name 9 9 co
Business t N'1 =c.c Li-.G ' '-= ',2)°N Building Permit Required? ❑ Yes [i_No
Name Rev. 7/5/06
is \cucpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
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 ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard Balloon 1 " 11" 17"
apply)
size requirement: 8 /z x 11 , or 11 x 17
❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): -� „c--,4_
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) E $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items m this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 20 -F_s- e Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
CopY: ♦ Wall signs do not require site /plot plans.
Materials: e Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes d No permit.
Type: ❑ Internal 2External s 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
❑ Yes [l/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.
DATED this / 1 7 . ' day of `��` -� �� , 20 G
- (
Signature of Owner /Agent
Contact Person Name Phone No.
12/14/2006
ill CITY OF TIGARD
_ _ 13125 SW Hall Blvd. 9:20:03AM
'Y Tigard, OR 97223 503.639.4171
TIGARD`
Receipt #: 27200600000000005817
Date: 12/14/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00222 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00222 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00223 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00223 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard IFTEKHAR AHMAD kjp 541565 In Person 38.00
Payment Total: $38.00
cReceipt.rpt Page 1 of 1
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