SGN2004-00258 ;
CITY TIGARD SIGN PERMIT
'l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00258
��j, DATE ISSUED: 9/23/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 102 DA -00401
BUSINESS NAME: FRIENDS OF THE TIGARD LIBRARY ZONE: CBD
SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary sign. Valid October 1 -2.
MATERIALS: WOOD
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: fi
DATE: 9/23/2004 /
4 4 °
.2- 1∎1 4�� ` 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
Site
FR 16 ,✓4s ON TPI 6.1 R�i9i2 -y FOR STAFF USE ONLY
t / Address/ Street Address Permit No.: j GN aoo q -- ooas"i3
Location 13 s-0 E> S (4) (-64. e- l3 L "
Expiration Date: i o- a- 0 4
Suite /Bldg. # City /State Zip
G ( 0 012. 773-7-J Receipt #: - i/ A
Name Approved By: ( . 00-(- - ,�tw�
Property (7 t o c, (3 v iZ G �' : 5 Date: 9 - ..,23 - o f
Owner Mailing Address Suite Map /TL #: c-9 "- D 11 ` o(J `10 I
l3 i-/ T S 5 I•/ V i +- fie i < <r G- L /ON /> /Z
Zoning: It-22- a, a D
City /State Zip Phone
1 e a- t l 0 pa ?7,7.7 5 o3cG3q -oqo3 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sgri---,
Contractor , .' ingAddress uite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /S - - Zi• Phone
licenses are
required if / ❑ Completed Application Form
expired it -ttSe Oregon Const. Cont. Board Exp. Date -
City of f 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: 8 x 11 ", or 11" x 17"
Sign NI Temporary ❑ Wall ❑ Electronic
(Check all that • Other ❑ 2 copies of elevations, drawn to scale
apply) ❑ B illboard ❑ Bal loon (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: , . A q ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): e ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) Jurisdiction: Ill City ❑ Urb
Sign Data v
(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): 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
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ 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
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes El 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 3 day of s � , 20 c>
Signat of O ner /Agent
G C7E.- • g 55 c 03 — ..5 -d sd,
Contact Person Name Phone No.
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il crrY OF TOGARD
. AprrIvefi
Co;„iitunally Approved i 3
Fcr on;y th€.; work as described in:
' F E R M T NO ..SG k1 D, 00 LI- — 00.15e,
Oee Letter to: Follow i l
I Attach
J:.‘b 1 .',drIress: 131,5
Date: 9 ---3-
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