SGN2004-00087 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00087
VI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/4/2004
PARCEL: 1S136DD-02600
BUSINESS NAME: DIGITAL MEMORIES ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 36" X30" (X2)
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one permanent freestanding sign. Sign must be placed on
private porperty and not in the public right -of -way.
MATERIALS: PVC -METAL FR
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
•
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 fr r lidity date.
' /' /
APPROVED BY: / `
PERMITTEE SIGNATURE: ' „Ai/
DATE: 5/4/2004
1
r ,11 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
}� FOR STAFF USE ONLY
tJ
Site , -Fa. Nemorre5 C
Address/ Street Addr s Permit No.: JC7y 2.<) c � / _ Uv 7
Location / 1 7 0 5 G tv (-434tie
Expiration Date:
Suite /Bldg. # City /State Zip
1 a s y 7 Z 23 Receipt #: .
Name
y Approved By: i L .-,'
Property m∎1+�Tai N PaCr F; C I'� 41 etC- ,INV'/ Date: ur y /6 y'
Owner Mailing Address // Suite Map/TL #:
f ( 70S Std 6) Zoning: / it c
City /State Zip Phone -7
I !cm rd g_ ' M 63T -763S Electrical Permit Required? ❑ Yes o
Tenant or NaMV
Business Di �l ?Ted 0,le r l r e 5 Building Permit Required? ❑ Yes Lcue
Name J Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign S
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements)
copy of all City /State Zip Phone p
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 Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ❑ Other 1=1 Billboard El Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimens
ns: C +� II
'Z X) 36 3(} El $31.00 Fee (Permanent sign, any size)
Total Sign Ar (sq. )
fi r - ) ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq ft — Jurisdiction: ❑ City ❑ Urb
(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): 3 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Co py : • Wall signs do not require site /plot plans.
Materials: PVL — 01c'4 kntm,6. • 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
BECOME NULL AND VOID.
❑ Yes IF No
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 day of Inla , 20 aq
-4//4
Signature of Owner /Agent
e � �� S03 -30o- g3-75.
Contact Person Name Phone No.
CITY OF TIGARD 5/4/2004
13125 SW Hall Blvd. 2:20:42PM
PI� Tigard, Oregon 9 72 23
c'
;► (503) 63 9-4 17 1
Receipt #: 27200400000000001858
Date: 05/04/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00087 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard STEVEN J SPEAR KJP 004947 In Person 31.00
Payment Total: $31.00
Page 1 of 1 cReceipt.rpt
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Conditionally Approved I J
Fy d �s describ din:
PERMI onl NO. the wor ` eisA�Z� il 7
See Letter to: Follow C
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By: Date: 1�
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Example of Sign Elevation
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Pro ducts ; Copy duplicated
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Temporary Freestanding A -Board Sign
12 square feet
Scale: 1 = 1'
Site Address: 13524 SW Bus Lane —
Tenant/Business Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200
503- 555 -4321
Lidsts\fornu‘slgnexmp1.pti 01/13/99