SGN2004-00151 CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00151
c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/9/2004
PARCEL: 2 S 113AD -01800
BUSINESS NAME: WESTERN TOOL SUPPLY ZONE: I -L
SIGN LOCATION: 16700 SW 72ND AVE B -16 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'X 3' A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
7 -9 -04 thru 8/8/04. Sign #1
MATERIALS:
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 dat�gn permit shall expire. A temporary sign shall expire 30 days from validity
Ai
date. A balloon sign shall expire 10 a s fr validify_date.
APPROVED BY: /►
PERMITTEE SIGNATURE: A •�L L ./G/I/'
DATE: 7/9/2004
�p , SIGN PERMIT APPLICATION
; �y. �11i
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/project
l FOR STAFF USE ONLY
Site k ? /V 7 5 0P
Address/ Street Address '' I Permit No.: -S /A.) / 2A Q --(_70 IS/
Location /b7Ov 6-4e 72 �i
Suite /Bldg. # City /State Zip
Expiration Date: 7/ 2 /o y 5' /g /Of
7 /6/7i 92723 Receipt #: 0o ' �5 6 .
� P Approved By: /
Property "T Date: 7 a
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
- Electrical Permit Required? ❑Yes
Lf–No
Tenant or Name
Business , . ��L Building Permit Required? ❑ Yes LLN.o
Name � Rev. 7/1/04 \curpin\ masters \revised \sign permit app.doc
Sign �� A �� C�'(/ y _I-
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
l
(Prior to permit /6 � G „ 1 (Note: applications will not be accepted
issuance, a vv � ?Ztz without the required submittal elements)
copy of all City /State Zip Phone
licenses are 7 _ _ 1
required if / 9�� � �/ ❑ 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 1
❑ Freestanding ❑ Freeway s ize requirement: 81/2" x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboa ❑ Balloon 111 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
ZNew sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions:
3., 3 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
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,
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 XNo building permit.
Type: ❑ I nternal xternal • 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
Sig ature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 7/9/2004
13125 SW Hall Blvd. 10:38:37AM
Tigard, Oregon 97223
� -++r► IL (5 0 3) 63 9-4 17 1
Receipt #: 27200400000000002969
Date: 07/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00151 [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
Check DONALD DEWALD KJP 1006 In Person 15.00
Payment Total: $15.00
6''/U /Uci