SGN2006-00125 •
r ° CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00125
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/25/2006
PARCEL: 2S 113AC - 01201
BUSINESS NAME: LEVI'S ZONE:
SIGN LOCATION: 07331 SW BRIDGEPORT RD JURISDICTION: TIG
APPLICANT /AGENT: LEVI'S
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 11" X 8' - 1/4"
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 1,912 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 7.734 sq. ft. permanent wall sign.
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: )C X " %'G
DATE: 5/2006
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t, 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
Site 17/ ` FOR STAFF USE ONLY
Address/ Street Address
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Location ,y Permit No.: • 667"A 1—(30 b _ 00 (Z--,5
Suite /Bldg. # City /State Zip Expiration Date:
/e/0 % /64/M 1)4' yze,2/ Receipt #: U Ci — 3 - a 3
Name Approved By:
Property ' y / 1 &‘/7 . 64 1 e/7 �G ZL C Date: 7 Z , U
I.
Owner . Mailing Address R4 Suite
Map /TL #:
71 r .ret/ 1666- ` 49.er Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? es ❑ No
Business .�/e/%�C- `-6 Ao/e'r V iiii c Building Permit Required? ❑ Yes [110
Name Rev. 7/1/05 i:lcurpin\masters\revised\sign permit app.doc
Sign /W4 -z. ,i/fr A/ 6,
. Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a b 1 �/� ze,),/ �f/ (Note: •applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are Q ' '+
required if r T� . �K n : 97 -2 SO. .2i% J Kg expired in the Oregon n Const. Cont. Board Exp. Date ❑ C ompleted_ Appl F
City of Tigard's License #
database) t7 ie 7 • 11 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required) •
• Permanent 111 Freest El Freeway g " ,
Sign ❑ Temporary [ `,;'wall size requirement: 8 x 11 , or 11" x 17"
. (Check all that ❑ Electronic
apply) ❑ Other ❑ Billboard El Balloon ❑ . 2 copies of elevations, drawn to scale
( copies, if a building permit is required)
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D New sign? ❑ Alter to existing sign?
Sign Dimensions: / / ,� x r / ,f size requirement: 81/2" x 11 ", to 24" x 36"
❑ $38.00 Fee .(Permanent sign, any size) .
Total Sign Area (sq. ft.):
7, 73 ❑ $18.00 Fee (Temporary sign, eny type)
Sign Data Total Wall Area (sq. ft.)
/) 9 /,;2, Jurisdiction: [11 City ❑ Urb
(Complete all Direction Wall Faces (circle one): •
items in this NOTES:
section) N .6 E W NE NW SE SW
Height to top of sign (feet):. / i‘ a ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): _c • but must include dimensions of wall face and
Copy: sign placement.
Materials: 2 1 6 ryl • Wall signs do not require site /plot plans.
•
. Freestanding signs over 6 ft. required a
Will sign have illumination? JX1 Yes ❑ building permit.
No . If work authorized under a sign permit has not
Type: Ef 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 g No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
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 J/L , 20 g
Sign re of Owner/Agent
Contact Person Name Phone No.
e •
1 hereby acknowledge that 1 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 J & / /l y , 20
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Sigpature of Owner /Ag fit ° °r
jim /4rJP V .211 - c r
Contact Person Name Phone No.
`'' ` gt ? :' CITY OF TIGARD 7/25/2006
" 13125 SW Hall Blvd. 11:25:OIAM
- _? Tigard, Oregon 97223
"TIGARD" (503) 639 -4171
Receipt #: 27200600000000003723
Date: 07/25/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00122 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00122 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00123 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00123 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00124 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00124 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00125 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00125 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00126 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00126 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $195.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MULTI -LIGHT SIGN CO. KJP 39695 In Person 195.00
Payment Total: $195.00
cReceipt.rpt Page 1 of 1
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