SGN2011-00074 ,, CITY OF TIGARD SIGN PERMIT
II 2 .; Permit #: SGN2011 -00074
COMMUNITY DEVELOPMENT Date Issued: 07/01/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S102AD02700
Jurisdiction: Tigard
Name of Business: Tigard Auto Body & Paint
Business Address: 8970 SW BURNHAM ST
Applicant/Agent: Tigard Auto Body & Paint,
Work Description: Placement of (1) one permanent 40 s.f. freestanding monument sign.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 10'x4' •
Total Sign Area: 40
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $164.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: .e _0,4_7 -�,.�t .. '�
Permittee Signature: U o(�� -�
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SIGN PERMIT APPLICATI�. * , 1\1 .`3
, , N „� x ,• v 1 City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 2
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,,,71,*„.. fi Phone: 503.639.4171 Fax: 503.598.1960 3
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GENERAL INFORMATION
PLRNF�!INGN N�ER
Nam Development /Project
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• / p 4 FOR STAFF USE ONLY
Site � ( �,{ `t� 2� ` + , 7 Address/ Stree d d Permit No.:
/°
Location g. # C (! �/J ll ,✓c
1� Approved By: � 1� "�`�( r-..
Swte /Bld # C ity State Zip 6t2 �i�
L
p�1 t (01? 972-23 Date:
i, Name 1 Receipt #: J 33°
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Property - /( A -C.1∎” Map /TL #:
Owner Mailing Address / ite Zoning: M e -C ( t)
•y " a7 S .Sa �-'/►r2:E_ ' r- L) Allowable Total Area: 7 O c.a. / 1.,-, 4,,,_
City State Zip Phone
" "J arl 17 Electrical Permit Required? es ❑ No
Tenant or Na
' • Business 11 0 AL ICJ � 3 .J Building Permit Required? ❑ Yes IP14o
. Name Rey. 3/3/2011
4.�S [ � ',u$ i \ curpin \ masters \land use applications \sign permit app doe
Sign
' E -Mail: da /� o
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Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (� !� /)° n i / 3 (Note: applications will not be accepted
copy of all City /,Sta ' Zip Phone without the required submittal elements)
licenses are
required if 51-7, - / DR-- q 7Z1R '3 ??c "//Y) ❑ Completed Application Form
expired in the Oregon Const. Cont. Board License # E xp ate
City of Tigard's 6(,/ ?33 Y 7 � / / ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) ZC
(3 copies, if a building permit is required)
Proposed Permanent 13g Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign 111 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: / 0 r i• (/ 1
•
�C ❑ $ 164.00 Fee (Permanent sign, any size)
Total Sign Area (sq• ft.):
VQ ❑ $52.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) NOTES:
(Complete all Direction Wall Faces (circle one):
items in this • Wall signs do not need to be drawn to scale, but
section) N S E W NE NW SE SW
must include dimensions of wall face and sign
Height to top of sign (feet): 6 t placement. .
Projection From Wall (inches): ♦ Wall signs do not require site /plot plans.
Materials: • • Freestanding signs over 6 ft. require a building
Will sign hat9 hat illumination? Yes ❑ No permit.
Type: Internal b External
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space? •
❑ Yes ki No
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application.
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
♦ If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and
limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the applicants so
acknowledge that any permit issued, based on this application, may be revoked if it is found that any such statements are false.
•
♦ The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for
approving or denying the application. .
•
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the ow • or authorized agent of the owner, and that plans submitted are in compliance with the City
of T ard.
licant's Signature ate
,
Signature of Owner /Agent Date
Contact Person Name Phone No.
•
•
Monument Sign • 4'x 10' Ground Mount • Tigard Auto Body & Paint
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CITY OF TIGAR®
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onditionaliy Approved I I - -fi —a.,% ; _ . a` ..e :1: :-,
)r only the work as described in:
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A Monument Sign • Typical Section ¶ ; 1. I ,� _
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Client Name: Sales Rep:
0 Clark S grjs Tigard Autobody & Paint Dave Clark
PO Box 1 1 13 St. Helens, OR 97056 Location: Client Approval Designer:
503.543.5242 Fax 503.543.51 41 8960 SW Burnham Rd Dave Clark
www.clarksigns.com • MEMBER O
Tigard, OR Landlord Approval 04
m.... LISTED
Monument Sign • 4'x 10'Ground Mount • Tigard Auto Body & Paint
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Client Name: Sales Rep:
IN Glark $iggs Tigard Autobody & Paint • Dave Clark
PO Box 1 1 1 3 St. Helens, OR 97056 Location: Client Approval Designer:
503.543.5242 Fax 503.543.51 41 8960 SW Burnham Rd Dave Clark
www.clarksigns.com
• MEMBER U
Tigard, OR Landlord Approval �_ 0
.— LISTED
TIGARD AUTO BODY & PAINT
8970 SW Burnham Rd
SW Burnham Rd
1 30' 1
Driveway
5 '
Sign Location
Building 75
230'
35'
70'
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IN CITY OF TIGARD RECEIPT
t 13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
TIGARD
Receipt Number: 183089 - 06/29/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00074 Sign Permit 1003100 -43115 $143.00
SGN2011 -00074 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 665950 KPEERMAN 06/29/2011 $164.00
Payor: Clark Signs 3
Total Payments: $164.00
Balance Due: $0.00
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