SGN2011-00012 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 00012
COMMUNITY DEVELOPMENT Date Issued: 01/20/2011
T1.GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S103DD00800
Jurisdiction: Tigard
Name of Business: H & R Block
Business Address: 13815 SW PACIFIC HWY 90
Applicant/Agent: Cranston, Janet
Work Description: Placement of one (1) temporary sign (A- Board) Valid 1/20/11 - 2/20/11 Sign #1 Must
be placed on private property not in public right of way. Must meet visual clearance area
requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 36" x 48"
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Plastic /Alum
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
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: 4/ ilLe6X
Permittee Signatur• •
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City of Tigard
Sign Permit App
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GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site '+' g e- 6 l o c K
Address / Street Address Permit No.: S6" t 0 Oa I ° 1--
Location 138 I S 5 ,_, Pq_ e F�c Awy g Approved By: S f e
Suite /131dg. # City /State Zip
go -
Ctc\arcl o 4rla Date: 'i ' i 1/
Name Receipt #: / O f ( /
Property S i V e 5 C ■-+, Map /TL #: ra / D3 D Q v O g--c--1) ,� a , - , ..trs n
Owner Nlailing Address Suite Zoning: (�
'I , Sw mac o,clo rn 5t._, , t e_ 3 0 1 Allowable Total Area:
City /State Zip Phone
PorkLc4 r,c) Or 11)3`i 503 . < 1 . a 3 - ate
X U° Electrical Permit Required? ❑ Yes Zr No Tenant or Name
Business Building Permit Required? ❑ Yes 12(No
Name Rev. 7/1/10
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Sign
Contractor hlailing Address Suite
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon conat. Cont. Board license # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed ❑ Permanent ® Freestanding ❑ Freeway
Sign ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Si
g rg ' Temporary ❑ Roof ❑ Electronic
(Check all that (3 copies, if a building permit is required)
apply) ❑ Wall ❑ Other size requirement: 8 x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
IN New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) • Sign Dimensions:. (o ' size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 1 . ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft $52.00 Fee (Temporary sign, any type)
Sign Data
(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.
i\laterials: p(a St's / jj/
C- ' ( • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes [ No i • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes J21
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard . I .,_ 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 � 1 � www.tigard- or.gov 1 Page 1 of 2
II/ , .- 34o.
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. 171"A
DA'Z'ED this day of \ , 20
4
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S . ner /Agent
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CA -a 4K- ._ o 3 7 zo
Conta &Person Name Phone No.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 oft
.
CITY OF TIGARD RECEIPT
g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181191 - 01/20/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00012 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00012 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 175425 STREAT 01/20/2011 $52.00
Payor: Jack B Hamil
Total Payments: $52.00
Balance Due: $0.00
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