SGN2004-00292 e
CITY OF TIGARD SIGN PERMIT
'Ail DEVELOPMENT SERVICES PERMIT #: SGN2004 -00292
a�l) 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/2004
PARCEL: 1 S 136AD -06504
BUSINESS NAME: FRIENDS OF SUZANNE GALLAGHER ZONE: C -G
SIGN LOCATION: SW NO ADDRESS 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: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of freestanding temporary sign. (32" x 48 "). Must be placed outside of
right -of -way and vision clearance area. Sign #2. Valid from 10/13/04 - 11/12/04.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 0.00
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: aLI. V
PERMITTEE SIGNATURE: �' " 7'� 2 & C"
DATE: 10/13/2004
;' , Apr-27-04 02:52pm from - Norris Beggs & Simpson +503 2730256 T -197 P.G72fCr' f -569
1 A .
1 7,,. i; SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Fall Bhd., Tigard, OR 97223 (503) 639 -417! FAX: (503) 684 -77.97
GENERAL INFORMATION
Name p0`e1o °` ° cc� __R,GJMf n. FOR STAFF USE ONLY
_1
Site Y#P"/ C .
Address/ Street Add Permit No.: S C N 804, — U C).cj a
Location _ _ Expiration Date: I I - ID- - o` - -
i Sulte/Bldp.f c^vtstere r�
i T1 c -,o, OE cf ZZ3 Receipt #-. _bo y- - 1- f - Sa 8
R _ r r„e -- Approved By:, C Ca -,--,%,-.3
property y' /C L' . Date /0 /a - aq
Owner Mailing Ac+mess 1 ,/ sub : Map/TL#: IS/ 3te A 1) `E
`c 3 z s\,J £ LE . Zor:irlg; C - 6
ury /Stair Zip Pnone
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i
` i� Q a 974 Electrical Permit Required? ❑ Yes 0 No
Tenant or
Building Pernik R6qu<i' ? 0 Yes NV
BUS . Name e i • '
��, P ierrla Rev. afirzons i :scorYiF "s71a3teresevi *edlaism Permit eur. r.e
Sign O? i . , Ii CA-8
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to p (Ncte: eppl'itaVens will mat be accepted
rssuanoa, a without the required submittal elements)
I
copy of sit Clrylsase Zp Phi ,
■
pmnaes are I
required a ❑ Completed Application Form
expired in ime Oregon Cent Cont. 13osed Exp• 1:41 e
City of Tlgares License $ i 2 Copies of SiteiPlot Plan, Drawn to Scale
database},. 1 (.3 copies. if a building permit is required)
Proposed Permanent 0 Freestanding ❑ Free0 size requircrn nt S1�'" x 11 7"
ve••.�•.w .s x � or 11" x 1
Sign Temporgry ❑ Wan El Electronic 2 Copies of elevations, drawn to srate
tChedi s II that � 0 eilitloerd ❑ Balloon
1, v� __I. '-•' (3- copies, if a building permit is required)
Pil New sign? ❑ Alter to. existing sign? size requirement S' /z" x 11 ", to 24" x 36"
n Dimensions�32. K r. 1 0 $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ; . , S1$.03 Fee (Temporary tr;ttip+Drary sign, any type)
Total Wall Nee (sq. ft.) Jurisdiction: i ,City ❑ rb
Sign Data Ri • ;
C omplete as Direction Wall Faces (circle one): N[�'rES.
!tans in elle ;
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): - J 1 but must include dimensions of wall face and 1
1 Projection 'ecru Wall (inches): sign placement.
Cop - i,;r. r c;, :'__, '' .• all signs do not require si plans.
Materials: I ' v Freestanding signs ovbr 6 ft- required a
building permit_
Will sign have illumination? ❑ "'es No y F`
LTYPe: 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 (9() days after
;cC:n iG,l, including wall signs.hat overlap s tenart space'% the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes E❑ No
II yez", a tie; Or oaiagrraii wl iii air cAuf -0 ) ivr la end
s% wire footage must also be submitted.
(OVER FOR 3IGNATt1PF.S'
•
•
I hereby acknowledge that I have read this application, that the Information given is
corre .tt, that I am the owner or authori2ed agent of the owner, and that plans submitted are
in compliance with the City of Tigard.
DATED this / L- day a� , 20 O 4
___ C)316 Signature of Owner /Agent •
•
M i c k - 6 L A - 4— 4- Z—
Contact Person Name _ Phone No
•
a
•
S . AMER
,' '' f :, y First American Title Insurance Company of Oregon
' ` k' ' An assumed business name of TITLE INSURANCE COMPANY OF OREGON
- " . 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
Reference Parcel Number 1 S 136AD 06504
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options for the 48" x 32" lawn sign
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f � GHER
• \ FOR STATE REPRESENTATIVE
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