SGN2004-00232 C ITY OF TIGARD SIGN PERMIT
4414( DEVELOPMENT SERVICES PERMIT #: SGN2004 -00232
R 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/2004
PARCEL: 1 S 136CD -01401
BUSINESS NAME: AMERICAN BOOT CO. ZONE: C -G
SIGN LOCATION: 11652 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: AMERICAN BOOT CO
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 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 banner. (8' x 3') Sign #2. Valid from 10/14/04
through 11/14/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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:
PERMITTEE SIGNATURE: mites
DATE: 9/10/2004
f • a
'
�1 SIGN PERMIT APPLICATION
1 �
CITY OF TIGARD 13125 SW Hall Blvd., Tigard OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site
FOR STAFF USE ONLY
Address/ Street Address Permit No.: SG h �? ooy-- b- Dt a
Location 1 ‘.52.9,J aC.'4 C. 14 W , /
7 Expiration Date: I 1 — H - ° 4
Suite /Bldg. # City /State Zip
- T - Gird o r gr(zz.3 Receipt #: ,.�o0y —
Name r Approved By: 0_- 0_,- _
/ Property IV Pro f e 2S C Date: o - 04
Owner Mailing Address Suite Map/TL #: 1 S i 3' CO -- 0141 0$
Z& s o Ce clitr fii t (S Z Z Zoning: C., - G
City /State Zip Phone
gl/'f _ oR, gt(005 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business Arne rj CaV) Boo f C O Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all C tate Zip Phone
licenses are
required if ❑ Completed Application Form
expire. ' the Oregon Const. Cont. Board Exp. Date
C of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
•atabase) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freeway s ize requirement: 8 x 11", or 11" x 17"
❑ Freestanding y ,
Sign )6VTemporary ❑ Wall ❑ Electronic
(Check all that El 2 copies of elevations, drawn to scale
apply) Other ❑ Billboard ❑ Balloon
(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: R ( X 3
❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,24 i ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S 0 W NE NW SE SW
• o Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but but must include dimensions of wall face and
Projection From Wall (inches): ,5-00 sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: $ p yter o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ,J External o 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 b 4
i/ (t,
Signatur f Owner /Ag::S t
nclra poirKS C5Q3) 6zo --2z
Contact Person Name Phone No.
CITY OF TIGARD 3: / 9/10/2004 /
13125 SW Hall Blvd.
iiiM\ Tigard, Oregon 97223
l (503) 63 9-4 17 1
Receipt #: 27200400000000004018
Date: 09/10/2004
Line Items: Paid
Case No Tran Code Description
Revenue Account No
SGN2004 -00231 [SIGN] Temp Sign Perm
100 - 0000 - 437000 15.00
SGN2004-00232 [SIGN] Teinp Sign Perm
100 - 0000 - 437000 15.00
SGN2004 -00233 [SIGN] Temp Sign Perm
100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User II) Acct /Check Approval No. How Received Amount Paid
Check AMERICAN BOOT CO
CAC 4425 In Person 45.00
Payment Total: $45.00