SGN2010-00172 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00172
• COMMUNITY DEVELOPMENT Date Issued: 10/29/2010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S103DD00800
Jurisdiction: Tigard
Name of Business: Baby and Me
Business Address: 13815 SW PACIFIC HWY 10
Applicant/Agent: Baby and Me,
Work Description: Placement of(1)one temporary A-frame sign. Valid 10/29/10-11/29/10. Sign must be
placed on private property and not in the public right-of-way or visual clearance area.
Permanent: Yes Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 3'x4'
Total Sign Area:
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: wood
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: , dililli i,
Permittee Signature: /� l� / iL/ ...'
0 II City of Tigard
Sign Permit Application
GENERAL INFORMATION
Name of Development/Project
l /�,� FOR STAFF USE ONLY
Site i '`"J� -1
Address/ Street dies ' ,/ I { Permit No.: c Z.0_1 0 ~ O O , 7 Z.
Location I SW C� 1,'CAv J�-. Y
Suite/Bldg.# City/State 'Zip Approved By:
/0 c6 d Ok Date: I Q124 it C)
Name j Receipt#: .,� C
Property Map/TL#: 9"S 3 1)A - 00 YV d
Owner Mailing Address Suite Zoning:
Allowable Total Area:
City/State Zip Phone
Electrical Permit Required? ❑ Yes [ No
Tenant or Name
(73,))
Building Permit Required? ❑ Yes [}"l<ro
Name Rev.7/1/10
is\curpin\masters\land use applications\sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const.Cont.Board License# Exp.Date without the required submittal elements)
❑ Completed Application Form
Proposed ❑ (� Freestanding ❑ Freeway ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
l� Permanent
Sign E.._Temporary ❑ Roof ❑ Electronic (3 copies,if a building permit is required)
(Check all that
apply) Wall ❑ Other size requirement: 81/2"x 11", or 11"x 17"
n 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies,if a building permit is required)
Sign Dimensions: size requirement: 81/2"x 11", to 24"x 36"
Total Sign Area(sq. ft.): ❑ $164.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area(sq. ft.) I = n $52.00 Fee (Temporary sign, any type)
g °
(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.
Materials: • Wall signs do not require site/plot plans.
Will sign have illumination? ❑ Yes (21, No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal D- External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
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 I 503-718-2421 I www.tigard-or.gov I Page 1 of 2
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 OGjir)/-)0Ar , 20 /0
!,)
}e, r,
Signature of Owner/Agent
•
(Jar -/-7�� (/eq eq
Contact Person Name Phone No.
•
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503-639-4171 I www.tigard-or.gov I Page 2 of 2
II CITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503 639.4171
TIGARD
Receipt Number: 180187 - 10/29/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010-00172 Temporary Sign Permit 1003100-43115 $45.00
SGN2010-00172 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
Check 3237 KPEERMAN 10/29/2010 $52.00
Payor: Baby and Me Inc.
Total Payments: $52.00
Balance Due: $0.00
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