SGN2004-00260 C ITY OF TI GARD SIGN PERMIT
491 , l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00260
��� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/23/2004
PARCEL: 2S 10X8 -03101
BUSINESS NAME: M H CONSTRUCTION ZONE: C -G
SIGN LOCATION: 12950 SW PACIFIC HWY 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 ") Sign #2 Valid from
9/24/04 through 10/24/04. Suzanne Gallagher campaign sign.
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 fro validity date.
APPROVED BY:
PERMITTEE SIGNATURE: `\ \ CaCI ' CA
DATE: 9/23/2004
s
A
l ,. S IGN PERMIT APPLICATI ON
CITY 7IGARD 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 5GN aoo`�- ood(oo
Address) Street Address L Permit No.:
Location / 2 q5C S �"' L Al i Expiration Date: /0 - a q- v `f
sulteBldg. V City/State ZIP ! 7 Z 3 Receipt #: a 04 '— Q'
1 2 6 5 1 C9/4 C� Ned B : ��'
Name J1 Appr y
D � A -Q H�PssT Date: q _ �-04
Owner 1 Suite �� Map/TL#: o? S / U a ' B — 0 3 / v /
Own @r Mailing Address
1/19S / ► t Al S Zoning: C - Co
Cary /Bute Zip Phone S 0 3
_
61100 oft • 6 3 7 - 65 3 I - Electrical Permit Required? ' Yes No
Tenant or Name ` Building Permit Required? ❑ Yes . No
•
Business a r�Z ` L Rev. 8/7/2003 i :lcurpinlm2sters� rev ign permit a
Name e
Sign /VO—fr A pp 1; CA-8
Contractor Meiling Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to pew (Note: applications will not be accepted
Issuance, a
SPY of all City/State Zip Phone without the required submittal elements)
d we ❑ Completed Application Form
required expired in the Oregon ConsL Cont. Board Exp. Date
City ofTlgard's Ucenseti ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database (3 copies, if a building permit is required)
Proposed ❑ Permanerd ❑ Freestanding ❑ Freeway size requirement 8 x 11 ", or 11" X 17
Sign B Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
other ❑ Billboard ❑ Balloon
AVM (3. copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement 81/2" x 11 ", to 24" x 36"
Sign Dimensions: 32 // x u ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / 5 r IA 515.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) A Jurisdiction: /AI City ❑ Urb
(complete al Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): 6 P7' • 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.
M aterials: • 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
Are there any existing ill signs at this been completed within ninety (90) days after
9 freestandng or wall
location, including wall signs.that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be s ubmitted. "
(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 e + day of �` f , 20 0
DA Y
/
ign - it • i er Agent
M A elfruo - 0 03g - 66 3
Contact Person Name Phone No.
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''ti; 1700 SW Fourth Avenue Fortin& OR 97201 -5512
!S. . " ` Z Phone: (503) 222 -565
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Reference Parcel Number 2S102CB 03101
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