SGN2003-00176 CITY TIGARD SIGN PERMIT
l DEVELOPMENT SERVICES PERMIT #: SGN2003 00176
�I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/5/03
PARCEL: 1S133AD-16000
BUSINESS NAME: KEY BANK ZONE: C -
SIGN LOCATION: 12744 SW NORTH DAKOTA ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 1,000 sq. ft.
. WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign permit for 24 sq ft banner. (3' x 8') Sign #3 Valid from 8/11/03
through 9/11/03.
MATERIALS: VINYL
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:
e dt
PERMITTEE SIGNATURE: y o -Cc ea.
DATE: 8/5/03
ub /Ub /ZUU:l 1ti:4Z FAX 5U359819UU CITY OF TIGARD Q002
•• 04/09/2003 16:24 .FAX 5035981980 C2TY OF TIGARD • I j 002
.
SIGN PMiT APPLICATION .
Art i, 13125'SWHall Btvd., Tigard . OR 97223 (503) 63'P.4171 FAX: (503) 684 -7297 .
. Omr OF TIQARti S C &I ._-_, -- OW - no
• Name of Development/Project Requited 'submittal 'Elements: "
Site q. r t e Ke-ej. Fay .
Address! Street Address ,", /� / 1:1 completed application form
Location / 2 7 S7.tf 1UllY�h 2�c3�' -_ ❑ 2 coples'of site /plot plan, drawn to scale
. (3 copies, if a building permit'is'required)
suita/Bldg.il Clty /State -- - Zip size requirement: '8_1/2" X 11 "; or 11 "x 17" •
7"/',N-Gl Ok, q-7 223 ;
—.. " - tvarne ❑' 2 copies'of elevations, drawn to Seale... • -
Property , S r , *' 11)1 r Gpr+n e \_ (3 copies, if a building permit is required)
,Owner MaauingAddress sane size requirement: 8 -1 /a" x 1.1 , to 24" x 36
P, O . Bo' ' 15A 491 Notes: 'Wail signs do not Rcodrto bs drawn to scale
' Ciry/State Zip Phone scale, but must include :dimensions of wail
- PD r o A. face acid sign placemeri,t,
Tenant Or Name *Wall signs do not require site /plot.plans.
Business "Freestanding signs over 6 ft. required a
— 7 nm / Building permit
Sign P) D '7L
❑ $50.00 Fee (Purmanent•sign, any size)
Contractor Mailing Address S uit s J$15.00.Fee (Temporary sign any'type) '
Prior to permit —
lesuance, a
copy �tylState Zip PI en0 I hereby acknowledge that I have read this application, that the
of all licenaea
arm required if InfQrrnatlon given is correot, that I am the owner or authorized agent of the
. expired in Oregon Cans. Cont. Board Exp, Date owner, and that plans submitted are in compliance with the City of Tigard.
C.O.Y. License # / ' fr..re 4,
database i attire of r7wner /Agent t' to ( 3
Proposed ,rte NI
❑ P Q Freoaotanding [7] Freeway em
Sl�Sign ntact Pe n No Phone
Cheok all that a- Temporary Wall Electronic , • n .. 603
apply ❑ Other C] Billboard Balloon M i )f, GJk\y a . — 2
Et ew sign? ..
■ Alteration to existing sign?
Sign Dimensions: 3, x 0, / FOR STAFF USE ONLY: _
MapPrL# Zoning:
Total Sign Area (sq. ft. ;
Sign `� �
2.<1 r"
Electrical Permit Required? 0 Yes ❑ No ,
Data Total Wall Area (sq. ft. ,
Please / QOQ Z9.. Building Permit Required ?' D' Yee Ill No
complete Direction Wall Faces (circle one): O •
esth item ,_/ • r Date afAppmval:
section 1_ ( S . E W NE NW SE SW
Approved 8y:
'Expiration Date:
Height to - top of sign (feet): - -
Projection From Wall (inches); 0 Pcrmit'Fee:- Receipt #- •
CopY: 0? en-, f2�m, , rdeu j - _ '
Materials: Pi, 2-2+ i C- S E . N ao 0 3 - D O O 9 (e,
Will sign have illumination? NQ] Yes ❑ . NOTE: If work authorized under a sign permit has
Ty El Internal External not been completed within' ninety days after
7
the issuance of the permit, THE PERMIT
WILL BECOME NULL AND VOID.
Are there any existing freestanding or wall signs at this .
location, including wall signs thatovst,lap a tenant space? 1-\ CS ) 0?,?...n Sa y a ,
❑ Yes No • • ■ i " F ' `''�
if "ye ", a list or diagram of all sign dimensions and
square footage must also be submitted. ��- v c5\,7. f� i
l Sit.
l : \dsts \formslsignapp.doc 4/2/03
15 133 A D i/v000
CITY OF TIGARD 8/5/2003
13 12 5 SW Hall Blvd. 8:17:24AM
Aamms � Tigard, Oregon 9 72 23
.� -'��U (503) 63 9-4 17 1
Receipt #: 27200300000000003424
Date: 08/05/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
• SGN2003 -00176 [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
Check KEYBANK NATIONAL ASSOC CAC 71828449 In Person 15.00
Payment Total: $15.00
KeyBank
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