Loading...
SGN2004-00330 CITY TIGARD SIGN PERMIT �� ,;,I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00330 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/15/04 PARCEL: 2S 102 DA -00401 BUSINESS NAME: CITY OF TIGARD ZONE: CBD SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 3' TOTAL SIGN AREA: 24 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 A -frame sign. Valid from 11/15/04 through 12/15/04. Leaf Disposal MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: dA PERMITTEE SIGNATURE: A/(//— DATE: 11/15/04 "' SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297 GENERAL INFORMATION ( 56 n e- 0,c/ — /cQ//3 A . Name of Dev lopment/Pro ect �'�-�/ ,f FOR STAFF USE ONLY Site ( 11 t r htt ,&u Address/ StreLAddress d 777 ��✓f! ^n/��N1�� Permit No.: �0 00 DUB Location Expiration Date: (a - is 0 Suite /Bldg. # City/State Zip / G Q (' 202,23 Receipt #: .Ob`( - 00,30% i Name vJ Approved By: 0 C.u.,1.1.,- Property et - '6/ - D r 7 far(,` Date: // - /5 - DI Owner Mailing Addrets /_ v / Suite Map /TL #: d5/0�1(7 f} - °6 t f b 1 /3//3/ Zoning: cap City/State f7QJ Zip 2 Phone ?n / , � cZo r '] Electrical Permit Required? ❑ Yes ([ No Tenant or Business e C / `t- © Iria-Y‘d Building Permit Required? ❑ Yes tp No Name / Rev. 7 /1/04 is \curpin \masters\revised\sign permit app.doc Sign 41/ _ Contractor Mailing 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 Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent 0 Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign IA Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ 2 copies of elevations, drawn to scale apply) ❑ Balloon (3 copies, if a building permit is required) y L New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: 41 / ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): , /� ❑ $15.00 Fee (Temporary sign, any type) Si n Data Total Wall Area (sq. ft � 7 Jurisdiction: ❑ City ❑ Urb g (Complete all Direction Wall Faces (circle one): NOTES: items in this Q (:) se ction) ) E . W NE NW SE SW • Wall signs do not need to be drawn to scale, r Height to top of sign (feet): '9 but must include dimensions of wall face and Projection From Wall (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 M 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 c 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) 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 /S ' ~ day of Ye'Ve4 , 20 /7/7 Signature of Owner /Agent n&< Contact Person Name Phone No. i 61 -- (1 1 r ‘ • oLea:0 CrlleTio/ 1i/2�G3 - Saf -F-y fx,"4 4' 1V6 (6.3 - y✓a, 5777 514/ l 3 ' il e4-s4/(440/ ,/ g,/,( r 7 20 1/1/ ktoo,,Aphi //p/63 - A/05. CITY OF TIGARD • 13125 SW Hall Blvd. ii , i ip� � l Tigard, Oregon 9 72 23 6'' (503) 63 9-4 17 1 . Receipt #: 27200400000000004951 Date: 11/15/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00330 [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 Cash CITY OF TIGARD CAC In Person 15.00 Payment Total: $15.00 /1 cRoceipt.rpt Page 1 of 1