SGN2004-00143 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00143
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 6/30/2004
PARCEL: 2S112DB-00300
BUSINESS NAME: SEARS PARTS AND SERVICE ZONE: I -L
SIGN LOCATION: 07233 SW KABLE LN 500 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 37" X 24.5"
TOTAL SIGN AREA: 6 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 temporary 37" x 24.5" A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
7/1/04 thru 7/31/04. Sign #1
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 da • �' validity dat-
APPROVED BY:
P
rAft
ERMITTEE SIGNATURE: - 4 ,
DATE: 6/30/ -
4
•
. . .
► SIGN PERMIT APPLICATION
_ „ ..... CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION _
Name of Development/Project
5e c-' FOR STAFF USE ONLY
Site r-S PA-- S -1-- Jer tilt Q
Address/ Street Address Permit No.: CP 1 (1" Oo (. j
i
Location 7 7-33 St) 6/e Cam. Expiration Date: 7/, (o' - 7 l / 3i 7c50
Suite /Bldg. # City /State Zip
D - D2 97z Z Receipt #:
Name , / Approved By:
! <i
Property ft �-4 Priv Date: 6 /341 0 ti
Owner Mailing Address suite Map/TL #:
/53 CO 5 u0%/ti �3D Zoning:
City /State A ZV Phone
2 014/41 1.-- Di2 ,c3 _ - IZ4 77 8 1 7 Electrical Permit Required? El Yes E No
Tenant or Name
S�r-S li-r� +- � � ✓tZ Building Permit Required? ❑Yes ®—too
Business
Rev. 7 /1/04 is \curpin\ masters \revised \sign permit app.doc
Name
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements) 1
copy of all City /State Zip Phone
licenses are
required if El 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)
Permanent El Freestanding g ❑ Fre ewa y q
Proposed size requirement: 8 x 11", or 11" x 17"
Sign Temporary" ❑ Wall ❑ Electronic
(Check all that ❑ Other 111 2 copies of elevations, drawn to scale
apply) ❑ Bi llboard ❑ Ba lloon (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: I? ; /X,2 � "1 111 $32.00 Fee (Permanent sign, any size)
' 251! K 19'
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: • III City E] Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W N E N W SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 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 [2 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.
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 , 20
dif
Si.. ure of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 6/30/2004
13125 SW Ha11 Blvd. 2:32:12PM
r� Tigard, Oregon 9 72 23
AL' di (503) 63 9-4 17 1
Receipt #: 27200400000000002853
Date: 06/30/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00143 [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
CreditCard JOHN W DENTON/ SEARS KJP 014931 In Person 15.00
ROEBUCK AND CO
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt
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Approved .... OF TIGARD
Co nditionally
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For only the wo k as
PERMIT NO. , described n: [ j
See Letter to: Follow., •
Job Address; Attach ............. j
By: Da