SGN2004-00225 C ITY OF TIGARD SIGN PERMIT
..�i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00225
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/2004
PARCEL: 2S 115BA -00101
BUSINESS NAME: ADVANCE AMERICA ZONE: C -G
SIGN LOCATION: 16200 SW PACIFIC HWY 0 JURISDICTION: TIG
APPLICANT /AGENT: ADVANCE AMERICA
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary lawn sign. (2' x 3') Sign #1. Valid from 9/2/04
through 10/20/04. Must be placed outside of right -of -way.
MATERIALS: CARD /METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: C'/4461-,/L_ C �
PERMITTEE SIGNATURE X
DATE: 9 /2/2004
A. „�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
Aduanrc pt- UI/txica. FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: S 61• -7OOy - Ooc S
Location I ( P OO S U ) R;L -I C( i 1 f1)0 Expiration Dat 16 - a - o
`T
Suite /Bld # City /State Zip
0 1Topa DV C OM Receipt #: aOo`{ - 39 0 9
Name Approved By: (' ( -4-)
Property tlafF6tA Date: 9 - a - a�
/ 1 Owner Mailing Address Suite Map /TL #: o� .s / 1 5 ,S — o o / v /
10 [G V Zoning: C - 6
City/State Zip �� Phone �1 r
laid QQ Zi 77I 5b3� �
39 Electrical Permit Required? ❑ Yes xi No
Tenant or NA"' , �� nAmbocc, Building Permit Required? ❑ Yes (X No
r Business � Wa , lam
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor , _• ingAddress uite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /St- - i. Phone
licenses are
required if ❑ Completed Application Form
expire. ' he Oregon Const. Cont. Board Exp. Date
• 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 El Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 111 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: 1 r
-2 X 3 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /-Z i El $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW 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: Cordbea -d /Me4 1 • 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
❑ 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 04
AO
e ature of Owner /Agent
1,23q 3g6q
Contact Person Name Phone No.
CITY OF TIGARD 9/2/2004
13125 SW Hall Blvd. 10:12:05AM
�;,� Tigard, Oregon 97223
6 (503) 639 -4171
Receipt #: 27200400000000003909
Date: 09/02/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00225 [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
Cash ADVANCE AMERICA CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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