SGN2000-00005 1,
CITY OF TIGARD SIGN PERMIT
i,� DEVELOPMENT SERVICES PERMIT #: SGN2000 -00005
'�f I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/24/00
EXPIRATION DATE:
BUSINESS NAME: TIME OUT PUB
SIGN LOCATION: 11475 SW PACIFIC HWY PARCEL: 1S136AD 0430
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Temporary A -Board sign, to be posted for 30 days (1/29/00 to 2/29/00).
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval riata
APPROVED BY: //
PERMITTEE SIGNATURE:
DATE: 1/24/00
i ;,
CITY OF TIGARD Sign Permit Application Recd By
13125 SW HALL BLVD. Permanent or Temporary Date Recd / "/C5
TIGARD, OR 97223 Commercial or Residential Permit No.
Permit FeeJ(f AOd 6 - 0°3135-
(503) 639 -4171 Receipt No.
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project /1 there any existing freestanding or wall signs at this
Site / / mo t location, including wall signs that overlap a tenant space?
Address/ Street Address ❑ Yes ❑ No
//_ If "yes ", a list or diagram of all sign dimensions and
Location
//5/7 ��/u 6 - ) ' -c "'; % square footage must also be submitted.
Suite/Bldg. # City /State Zip v
etiz/ -& 72. z
Name NOTE: If work authorized under a sign permit has not
Property 7 -�-4_, been completed within ninety days after the
Owner . mg Address Suite issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
City /State Zip Phone 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.
Business s Na" el 42j
BUSIneSS � Signa re of Owner /Agent Date
Name /� -
M , 'er I
Sign Guci Cont i Person Name Phone
Contractor Mailing Address Suite ,470.----"K-e___. C, -3 ,�
Prior to permit
issuance, a
copy City /State Zip Phone
of all licenses
are required if
expired in Oregon Const. Cont. Board Exp. Date G .eT/= 0/7/c_
C.O.T. License # ❑ Complet
database
Proposed ❑ 2 copies
Sign ❑ 111 ❑ Freeway (3 cop
Check all that a Temporary Freestanding ❑ Electronic size r•
apply ❑ Other ❑ Wall ❑ Balloon `, Note:I
❑ Billboard . ❑ 2 copie
(3 co
[t New sign? size r
❑ Alteration to existing sign? gds / Note
Sign Dimensions: fx 3
Total Sign Area (sq. ft.): $50.00 I
Sign $15.00
Si
9 -�
Data Total Wall Area (sq. ft.) -- y
Please ' 72/C(- FROM i - —
a C Y a(- '7
C - (iV
•
complete Direction Wall Faces (circle one
each item FOR OFFICE USE ONLY:
in this N S E; W NE NW SE SW MapTTL# Zoning:cw
section
Height to top of sign (feet): 4/ / Notes
Projection From Wall (inches): Electrical Permit Required? ❑ Yes - No
Copy: 4t (7-4____ ------
Material p- d , Building Permit Required? ❑ Yes . 12
Will sign have illumination? No4 Yes ❑
Approved By: Date of Approval:
Type: ❑ Internal IZI External
Expiration Date:
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CITY OF TIGARD
Approved I I
Conditionally Approved ( 3
For only the wor�as described in:
PERMIT NO J � Dexo
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