SGN2006-00092 v CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT #: SGN2006 -00092
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 6/212006
PARCEL: 2S 110AD - 08801
BUSINESS NAME: PACIFIC CREST ZONE: R -12
SIGN LOCATION: 10695 SW MURDOCK ST OFFICE JURISDICTION: TIG
APPLICANT /AGENT: ASPEN SQUARE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of Balloons. Sign #1 Valid 6/5/06 6/15/06
MATERIALS: BALLOON
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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, 0 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: r
PERMITTEE SIGNATURE: ,������
DATE: 6/2/2006
1 N I
,�..i 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
0/\ FOR STAFF USE ONLY
Site Vt Vi e_ �
Address/ S e etAddress Permit No.:15 -401 - 6 c tCj
Location t0l e c7 1 - ) Q AD rflL A Expiration Date:
Suite /Bldg. # City /State Zip
"1j_ (-) QQ Receipt #: ,��o L-7 5-3 Name �1'' pproved By: r.
Property `'7' l Date: 4 ( 0 i
Owner Mailing 'ddress Site Map /TL #:
j L> .,. 0( V Zoning:
City/State Zip Phone � �
J
1 � " iti ' �� "`� j Electrical Permit Required? ❑ Yes EF
Tenant or Name
Business `J Building Permit Required? Yes o
_it) Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc
Sign i'if i
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit Q (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone , ' —e without the required submittal elements)
licenses are '3 4A
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 ❑ E ctronic
(Check all that ❑ Other ❑ Billboard Balloon ❑ 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 Dimensions:
❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 City El 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): • 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: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ 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 0 il of , 20
Ski q C,
Si7r ure of Owner /Agent
Contact Person Name Phone No.
17111 CITY OF TIGARD 6/2/2006
" 13125 SW Ha11 Blvd. 1:47:19PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000002758
Date: 06/02/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00092 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00092 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard JENNIFER A FLOOD KJP 783570 In Person 18.00
Payment Total: $18.00
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