SGN2010-00071 _' ''`' *: , CITY OF TIGARD SIGN PERMIT
t :
t 1 Permit #: SGN2010 -00071
,,.t COMMUNITY DEVELOPMENT Date Issued: 04/30/2010
TAR D IGG
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AD01900
Jurisdiction: Tigard
Name of Business: Bench Craft Company
Business Address: 16600 SW 72ND AVE B10
Applicant/Agent: Ward, Nathan
Work Description: Installation of one (1) free - standing sign, 4' x 8'.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 4x8
Total Sign Area: 32
Wall Area:
Wall Face (Direction): West
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: cedar
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $40.00
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: Permittee Signature: '
SIGN PERMIT APPLICATION
1.
.1111 q City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
1 I CARD Phone: 503.639.4171 Fax: 503.598.1960
�.t
GENERAL INFORMATION
Name of Development /Project
B1.011 B1.011 Cf ft CUwlpa►n FOR STAFF USE ONLY
Site
Address/ Street Address �� 1 ,, • -� e Permit No.: zeD I d .-- 0490 V/
Location MOO SW 1 Zyla Rome,
Suite /Bldg. # City /State Zip Expiration Date: /� e
1 ° Po 1114h d 1 S A "1119 Receipt #: / 7 9/ 9 J
Name / �Z9 s ame i�
Q Approved By: 6 -
Property I D 1` ASSoclo e1 L.�
i , Date: �j �3t� / �
Owner Mailing Address Suite Ma #: ! .5 // 3 / . 900
O. p'TL .
f .0. go)( 5 n()0 Ma b) Zoning:
City /State Zip Phone
eortIGA 0( ent /Li V
Tenant or
Name Electrical Permit Required? El Yes ONo
Business t1omAn (fi (thiwpavvy Building Permit Required? ❑ Yes 260
Name Rev. 7/1/09
is \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit I
issuance, a REQUIRED SUBMITTAL ELEMENTS
copy of all City /State Zip Phone
licenses are (Note: applications will not be accepted
required if without the requited submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent 4 Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
((:heck all that Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply) � ze re q
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 4k cut (3 copies, if a building permit is required)
size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): �`
3 1 Sq • 1 ❑ $40.00 Fee (Permanent sign, any size)
Da Total Wall Area (s ft
Sign ❑ $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): 4 ' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): la r must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: (p cl Q r • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes d 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 ( v� No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
r
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 v , 20
I D
•
\/\,)
Signature of Owner /Agent
1\1 66111i Vhi l(1 703- 27'1- 0ol1
Contact Person Name Phone No.
' 1!._ CITY OF TIGARD RECEIPT
q
_ C 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
.4 GARY
Receipt Number: 177775 - 04/30/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAD
SGN2010 -00071 Sign Permit 1003100 -43115 $35.00
SGN2010 -00071 Sign Permit - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 80396 STREAT 04/30/2010 $40.00
Payor: Bench Craft Company
Total Payments: $40.00
Balance Due: $0.00
Page 1 of 1
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