SGN2004-00314 C ITY OF TIGARD SIGN PERMIT
40 , 7, DEVELOPMENT SERVICES PERMIT #: SGN2004 -00314
' II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/2004
PARCEL: 25101 BD -00103
BUSINESS NAME: MADISON FURNITURE / SIGN FOR SUZANNE GALLAHE ZONE: I -L
SIGN LOCATION: 07805 SW HUNZIKER RD A JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32" X 48"
TOTAL SIGN AREA: 10 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) one 10.6 sq. ft. temporary sign. Sign must be placed on private
property and not in the psublic right -of -way. Valid 10 -20 -04 thru 11 -20 -04
Political sign for Suzanne Gallagher
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 validity date.
APPROVED BY:
PERMITTEE SIGNATURE: - -
DATE: 10/25/2004
__ ti FAX 5035981960 CITY OF TIGARD I
-. 1 V G;�I i ," ('1n r l'1 I � U •�.,
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A. ,
�,�l SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
niame of Development/P FOR STAFF USE ONLY
it® �
A �, ,J ,4 - c3C7:� �
Address/ Street Address Permit No.:
Location 5o s" Sv./ 1.f0N �T '!� — Expiration Date: 1 V t /o Y - // //G /o `i
suite/Bldg. 0 C¢y /State zip Q 7 223
S -- Tl � , 02 l Receipt #:
Name 4G.,4. co . Approved By: P
Property i-IAA
Jo GGC, Date: l j� S/(3,
Owner Mailing Address Suite Map/TL#: • �s / 0 130 -- O o / o3
1 5 ' A RZalsofJ S.i• # e-6B Zoning:
City /State Zip Phone
4 - f ' • 0 / (17 O 4 Electrical Permit Required? ❑ Yes No
Tenant or Name
Building Permit Required? ❑ Yes 0 No-
Business .
/
Rev. 8/7/2003 is curplMmasters\revised\s permit epc.
Name
Sign 4 " iii
Contractor Meiling Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
Issuance, a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const Cont, Board Exp. Date
City of Tlgard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed 0 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x IT
Sign la Temporary ❑ Wall ❑ Electronic ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
(Check all that other
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8'/2" x11", to 24" x 36"
9 q
Sign Dimensions: 3Z " X 4 g u ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 10.6 5F p $15.00 Fee (Temporary sign, any type)
• - Total Wall Area (sq. ft.) ,
Jurisdiction: ► City ❑ Urb
Sign Data A) •
(Complete all Direction Wall Faces (circle one): ,
NOTES•
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): 6 P7 • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Well (inches): — . sign placement.
_Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes 124 No building permit.
Vie: 0 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
issuance of the permit, THE PERMIT WILL '.
location, including well signs.that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
_Lquare footage must also be submitted. .
(OVER FOR SIGNATURES)
FAX 5035981960 CITY OF TIGARD
I hereby acknowledge that I have read this application, that the information given is
corre'bt, 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 , 20 0 C-
'
Signature o w er /Agent
cS • '7R L A ✓_ ._ co '3 , zz3 , 't t t
Contact Person Name Phone No.
v
T AMER,
' - ° i ce First American Title Insurance Company of Oregon
; ice;_ t r ;-r ': .
An assumed business name of TITLE INSURANCE COMPANY OF OREGON
-' = 1700 SW Fourth Avenue Portland, OR 97201 -5512
4..., Phone: (503) 222-3651
This map is provided as a convenience in locating property
First American Title Insurance Company assumes no liability for any variations as may be disclosed by an actual survey
Reference Parcel Number 2S 101 BD 00103
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options for the 48" x 32" lawn sign
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FOR STATE REPRESENTATIVE
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Approver . [ X)
Conditionally Approved [ ]
For only the work as described in:
PERMIT NO. 5(7 nl 2 .J — c i --
See better to: Follow [ ]
Attach
,Job Addre - 3: Z g0 _. S__, - 7,J i4 2i I� -
`- >': /� � Date,: L --US %0
A� 4 CITY OF TIGARD 10/25/2004
13125 SW Hall Blvd. 1:03 :30PM
��,r T igard, Oregon 9 72 23
(50 3) 63 9-4 17 1
Receipt #: 27200400000000004659
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