SGN2004-00012 CITY TIGARD SIGN PERMIT
d ,1r DEVELOPMENT SERVICES PERMIT #: SGN2004 -00012
l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/16/04
PARCEL: 2S 113AD -01900
BUSINESS NAME: RELOCATION COORDINATORS ZONE: I -L
SIGN LOCATION: 16620 SW 72ND AVE B -10 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 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 metal sign. (3' x 4') Sign #1. Valid from 1/17/04
through 2/17/04.
MATERIALS: METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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: ' ' (7Y ®.2-
DATE: 1/16/04
_>'Aii SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site C terf0 13 'S /11 °SS ":4'VK
Address/ Street Address Permit No.: .5 C. A1 a 00 ki d bo 1 a-
Location/1/061 5 i zi.
Expiration Date: a.- Is 1-7- 9 `1
Suite /Bldg. #f9 1 City /State Zip
1 /'a P Q7aaf Receipt #: oZ OP `f 70455"
O 455
Name , c Approved B y : . e '��
• Property Pa i • �p 14c / • Date: , - ii, - 0
Owner Mailing Address Suite Map/TL #:
JS3S0,/)s olq # 31d Zoning: 1- - .
City/State ZiPitriw Phone a S 1 1 3 A n 0 a 4
17f9/! V • .303 - $14311 Electrical Permit Required? ❑ Yes 0 No
Tenant or Na a /1 PP Q ,AQ . r /e �1/Q/ /
Business , Building Permit Required? ❑ Yes [ No
ii to 0„),L, /hdolixr�„ i
Name Arp e - r n Rev 2/28/2003 iAcurpin\masterarevisedlsipn permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a n
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's 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 Br Temporary Wall ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
q New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:.
// 4 -A / 2 ❑ $8 3 9-90 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): A 5//
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(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,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: "7,,,./ /s 1 /30a rd • 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
BECOME NULL AND VOID.
❑Yes TE1 No
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/�
Signature of Owner /Agent
Contact Person Name Phone No.
-/
/i-17'41911'