SGN2004-00294 1
1 1
C ITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00294
X11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/2004
PARCEL: 2S 102AA -04100
BUSINESS NAME: FRIENDS OF SUZANNE GALLAGHER ZONE: CBD
SIGN LOCATION: 12230 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32 "X48"
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 (1) one temporary 10.6 sq ft sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Valid 10/13/04
thru 11/12/04. Sign #2
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.
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APPROVED BY: p L a. () y1 <
PERMITTEE SIGNATURE:
DATE: 10/13/2004
04/'9/2004 1)8:52 FAX 5035981960 CITY OF TIGARD q1002
.. l, 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 FOR STAFF USE ONLY
Site SGtJ� ooq- cpo.)-
Address/ Street Address '/ Permit No
Location j az30 5k.N /14-/IJ ��d- / • Expiration Date: ii - a - 01 -
Suite /Bldg. # City /State
1 - T'/ GA,2D C� � f q 2 O O - L-15,2 � Receipt #: `f
Name Approved By: e_ • e
�/ -�- /.40 - /3 - D `f
Property Mail ings � e / �s � Date: /, Suite Map/TL #: ,...2S/()-?AFl - by w
Owner
ZZ /30/ ►J3i0.e. Zoning: - R Q
Glty /State Zip Phone
Gi'LQdC i 0 Electrical Permit Required? ❑ Yes p No
Tenant or Na,., me
Business 1h4rJ /
Building Permit Required? El Yes ® No
Nam
Rev, 8/7/2003 i:lcurpinlmasterebev pe app,doc
+ / /
Sign tVO � `s CA-8 L
Contractor Meiling Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
Issuance, a without the required submittal elements)
ropy of all City /State Zip Phone
r equires are Completed A lication Form
required if ❑ p App
expired in the Oregon Const Cont. Board Exp. Date
City of Tigard's License # 1 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.
Sign Temporary El Wall ❑ Electronic
(Check all that ❑ Omer ❑ Bi llboard ❑ Balloon 2 copies of elevations, drawn to scale
apply) (33 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 32 X 4 g u ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): yf $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) ki Jurisdiction: ❑ 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): , PT • 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: SVu� o6f�i' h" / ♦4) Wall signs do not require site /plot plans.
Materials: ,P l 4 4 , c7 H. Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ICI No building permit.
_Type: g 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
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
s • uare foota t e must also be submitted. .
(OVER FOR SIGNATURES)
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1 hereby ecknowtedge that I have reed this eppilcstk• : 1 the information given Is
corrupt, that I am the owner or authorl2ed agent of the o nd theft plans submitted are
in compliance with the City of Tigard. : 1 .'
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q A M E R
,,� 5 First American Title Insurance Company of Oregon
,z.., - • y 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 2S 102AA 04200
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options for the 48" x 32" lawn sign
$
A ' GHER ' ER
FOR STATE REPRESENTATIVE
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