SGN2004-00309 A
CITY OF T I G A R D SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00309
° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/2004
PARCEL: 2S101 BA -00300
BUSINESS NAME: VACANT ZONE: C -G
SIGN LOCATION: 12105 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT: FRIENDS OF SUZANNE GALLAGHER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32" X 48"
TOTAL SIGN AREA: 11 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary sign. (32" x 48 ") Election sign for Suzanne
Gallagher. Must be placed outside of right -of -way. Valid from 10/21/04 through
11/21/04.
MATERIALS: WOOD
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 from validity date. ^
APPROVED BY: ���' D •C (& . fg,1
PERMITTEE SIGNATURE: e ` 00.1 C ' �
DATE: 10/25/2004
FROM : ABR INCORPORATED FAX NO. : 503 620 1842 Oct. 18 2004 02:26PM P1
CITY SIGN PERMIT APPLICATION
OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
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GENERAL. INFORMATION
Name of Development/Project "`
Site
FOR STAFF USE ONLY
Address/ Street Address
Permit No.: SC--N 004- - DO 30
Location ..1 2s 1 01 64_ 00 5 00
Suite/Bldg. City/State zip Expiration Date: 1 I �-� 1 - 0 .
Name i ra iM4 , OR_ ��L Receipt #:_ J pooh — - q
Approved By: 6 . C�,
Propert go r - b D,/` 5.. fad- Li t Date: 10—..? I- 04
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Owner Mailing Address suite — MapITL #: 02 S / 0/ 8 A — 0 30 0
: i ry 5 6 al 2 wJ I
A e e , a Z a- G
f (Fa ra C . 513 6av a ? Electrical Permit Required? ❑ Yes 0 No
Tenant or Ntrne
Business Building Permit Required? ❑ Yes ❑ No
Name Rev, 7/1/04 i; \ curpin\masters�revised \ sign permit app.doc
Sign jo 4,0piicA81_ _ _
Contractor fling Address Suite - REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a • without the required submittal elements)
copy of all Clty/State Zip Phone .
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const Cont. Board Exp. Oate
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: 81/2" x 11", or '11" x 17»
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
ja New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24° x 36"
Sign Dimensions: 30 ' 48111 LI $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq, ft.): 1 , u p S r yf $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft) N A Jurisdiction: IX City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Heigh top of sign (feet): 6 • Wall signs do not need to be drawn to scale,
Height
t tion From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 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.
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If "yes ", a list or diagram of all sign dimensions and .
. . . . . ... .
FROM : ABR INCORPORATED FAX NO. : 503 620 1842 Oct. 18 2004 02:27PM P3
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1 hereby acknowledge that I have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this _ 1 day f C G.O '0 •e. �^
v ,2o
Signature of Owner /Agent
G0e40 Old S
Contact Person Name Phone No.
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options for the 48" x 32" lawn sign
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FOR FOR STATE REPRESENTATIVE
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CITY OF TIGARD 10/25/2004
13 125 SW Hall Blvd. 1:03:30PM
/tau dit ,� Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000004659
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Date: 10/25/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00309 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2004 -00313 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00314 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check FRIENDS OF SUZANNE CAC 1109 In Person 15.00
GALLAGHER
Check FRIENDS OF SUZANNE CAC 1110 In Person 15.00
GALLAGHER
Check FRIENDS OF SUZANNE CAC 1107 In Person 15.00
GALLAGHER
Payment Total: $45.00
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cReceipt.rpt Page 1 of 1