SGN2003-00161 CITY TIGARD SIGN PERMIT
4,1 4900 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00161
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED:
PARCEL: 2S 2511 112AC -02700
BUSINESS NAME: CLUB K -9 INC ZONE: I -L
SIGN LOCATION: 07360 SW BONITA RD BLDG #1 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign valid for 7/9/03 to 8/9/03. Sign #3. Must be placed
outside of city right of way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty
Codes and all other applicable laws. 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:
I
PERMITTEE SIGNATURE: - - —
DATE: 7103
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11g9l,e SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION •
Name of Development/Project
FOR STAFF USE ONLY
Site _1‘,1) (- r
Address/ Street Address Permit. G N -20 0 3 -0o i (o _
Location 7 3 G v S iJ gvr: 1 (' - Expiration Date:
Suite /Bldg. # City /State Zip •
I
a cl 7 2 Z4 Receipt #:
Name Approved By: • -
Property Z •• c c-r-•. C c 0.0^-• - . Date:
Owner Mailing Address Suite Map/TL #:
- 7 - 3 Lo') EvJ Con• -c i Zoning:
City /State Zip Phone •
i . mac g72Z II SuS -23(.9 SSt,7 Electrical Permit Required? ❑ Yes El No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 2/28/2003 is \curpin \masters\revised \sign permit app.doc
Sign _ -
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
• issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are .
required if • ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding El Freeway size requirement: 81/2" x 11", or 11" x.17"
Sign Temporary Wall ❑ Electronic •
(Check all that ❑ ❑ ❑ 2 copies of elevations, drawn to scale
apply) Other Billboard Balloon
(3 copies, if a building permit is required)
® New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: '
o. x 3 ❑ $30.00 Fee (Permanent sign, any size) -
- Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E CO NE NW SE SW • •
Height to top of sign (feet):
. Wall signs do not need to be drawn to scale,
Projection From Wall (inches): 2.40 but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes Ej No building permit.
Type: • ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
• BECOME NULL AND VOID.
❑ Yes No . •
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. _
• . - (OVER FOR SIGNATURES)
"e•Tr
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 7 NO -3 day of J J y , 20 0
Signat re o4Owner /Age
Contact Person Name Phone No.
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CITY OF TIGARD 7/9/2003 ,� I
13 12 5 SW Hall Blvd. 12:23:58PM
AMoil, Tigard, Oregon 9 72 23
L 6 11.. (50 3) 63 9-4 17 1
Receipt #: 27200300000000002945
Date: 07/09/2003
Line Items: •
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00161 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
•
Payments:
Method Payer User. ID Acct. /Check Approval No. How Received Amount Paid
Cash CLUB K -9 INC CAC In Person 15.00
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Payment Total: $15.00
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