SGN2004-00259 1 i
C ITY OF TIGARD SIGN PERMIT
pt I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00259
lll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/23/2004
PARCEL: 2S 102 B D -01900
BUSINESS NAME: ZONE: C -G
SIGN LOCATION: 12900 SW PACIFIC HWY 310 JURISDICTION: TIG
APPLICANT /AGENT: FRIENDS OF SUZANNE GALLAGHER
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32" X 48"
TOTAL SIGN AREA: 11 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 freestanding sign. (32" x 48 ") For Suzanne
Gallagher campaign. Sign #1. Valid from 9/24/04 through 10/24/04.
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 date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from alidity date.
APPROVED BY — �
PERMITTEE SIGNATURE: C 1 9 j 01 _ C_S
DATE: 9/23/2004
,, • ...„ , ,
A►,. APPLICATION
. / -' 41 SIGN PERMIT
CITY O TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION ,
Name of Development/Project FOR STAFF USE ONLY
Site
Address/ Street Address n Permit No.: S CA aooy -- OOaS 1
Location f ,� O( 6'w P E xpiration Date: 10 _a - 0
SulteBld9. l City/State Zip 7223
# - 5 I0 1 �� O2 Receipt #: , 00q 4,2,?, g
�' Approved By: 0; • ecx �
Nam J ri n/S �� � / 9 - G i
- — . /v( -P. Dat e: , 9 -a cf
Property suite Map/TL# �� / 0,9‘ f; D - 01! ov
Owner M Address
11Th S w / 4 4 - 4 A . 1 -- � 1, Zoning: C - v
C ity /State Zip 6
77640?-4(3 Q( 637 — 551., Electrical Permit Required? ❑ Yes ❑ No
— Tenant or - N
Business 1 Cam -
( Building Permit Required? El Yes ❑ No
Rev. 8/7/ZOU3 i:lcurpinlm2slersbevieedlsiQn permit aPD•d� •
Name
Sign 1\10-M604 -8 i
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to pema (Note: applications will not be issuance, a without the required submittal elements)
copy of all C:lry /Brans Zip Ph°ne
ficenses are
required it ❑ 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: 81/2° x 11 ", or 11" x 17°
Sagn Temporary ❑ wall El Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other ❑ Billboard ❑ B alloon
2PPIY) (3. copies, if a building permit is required)
la New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 3Z " u ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): io.6 sr p. $15 -00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) Jurisdiction: O. City E] Urb
Sign Data
(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): �7 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
building permit.
Will sign have illumination? 111 Yes - 0 No • If work a under a sign permit has not
Vie: ❑ Internal 0 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
_t_quare footage must also be submitted. (OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this 1 day of , , 20 0
Si. . at re Ow er /Agent
. C39 -533
Contact Person Name Phone N .
options for the 48" x 32" lawn sign
( c)U2anile
N _ ,•
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FOR STATE REPRESENTATIVE
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-.y First American Title Insurance Company of Oregon
'' r:' "\ An assumed business name of TITLE INSURANCE COMPANY OF OREGON
��_.: Le v 1700 SW Fourth Avenue Portland, OR 97201 -5512
Phone: (503) 222 -3651
This map is provided as a convenience in locating property
First American Title Insurance Company assumes no liability for any variations as may be disclosed by an actual survey
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