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SGN2010-00007 CITY OF TIGARD SIGN PERMIT Permit #: SGN2010 -00007 COMMUNITY DEVELOPMENT Date Issued: 01/19/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S115AB01900 Jurisdiction: Tigard Name of Business: Business Address: 16200 SW PACIFIC HWY E Applicant/Agent: Beeler, Cassie Work Description: Temporary banner (3' x 8') to be placed on face of building. Valid from 1/19/10 - 2/18/10. Sign permit #1. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 3' x 8' Total Sign Area: 24 Wall Area: Wall Face (Direction): North Sign Height: ft. Projection From Wall: in. Illumination: Materials: Vinyl Banner Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $ I oo Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: 0 • C �t� Permittee Signature: Pte-) i SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 —a . ; ` Phone: 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site Cr, /� C` t Address/ Street Address Permit No.: 5 j h of O — OO O0 7 Location (0 zoo W OcAct c;c_ Expiration Date: a ^ I8 -,2o/ O Suite /Bldg. # City/ate Zip 50..�.e F T tcl,t rd ck on. ZZ ` Receipt #: Name Approved By: 0 . C 0, - '-"./ -1 Property Date: / _ /`1 -/0 x Owner Mailing Address Suite Map /TL #: c 2S /15 4(3 - 0/900 Zoning: C G City/State Zip Phone Electrical Permit Required? ❑ Yes 01 No Tenant or Name A Business C-Nrk.ukA `-^ j p ' , LA 5 Building Permit Required? El Yes ® No Name Rev. 7 /1/09 is \curpin \ masters \land use applications \ sign permit app.doc Sign 5 Ni pn per-:i ej Par-IvNe,sh;,4 Contractor Mailing Address L Suite issuance, permit 1 142' l� t� S 141-104 .sT copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if T 1141 A d O IZ 97.10 S without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City t Tigazd's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17" apply) ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale )( Sign Dimensions: 3, X 2) , (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" k Total Sign Area (sq. ft.): -24 ,- t7 _ -r4 . 111 $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: U �( pit_(\(\Q,r ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ❑ No permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes 1=1 No 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 l , 20 1. ______s_a_Ut_ Alli _ 11111 i i ,• if Signa Owner /Agent iril[33) (13.59.--QS)--- ()3 1 3 3q- 9 Contact Person Name Phone No. t 1 0 ajj-5 e:A=J , 019 . CITY OF TIGARD RECEIPT 11 3 g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 176618 - 01/19/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2010 -00007 Temp Sign Perm 1003100 -43115 $17.00 SGN2010 -00007 Temp Sign Perm - LRP 1003100 -43117 $2.00 Total: $19.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 197 DADAMSKI 01/19/2010 $19.00 Payor: Casandra L Beeler Total Payments: $19.00 Balance Due: $0.00 Page 1 of 1