SGN2003-00246 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00246
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 10/7/03
PARCEL: 1S136DD-02600
BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY ZONE:
SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 41" X 28"
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 8 sq ft A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area.Valid
10 -7 -03 thru 11 -6 -03. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
• TOTAL PERMIT FEES: $ 15.00
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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 m a y s a from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: Y. .
DATE: 10/7/03
r- - ' 50368147297
10/067012003 14:23 FAX 5036847297 City of Tigard 0 001
, it. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION —
Name of Development/Project FOR STAFF USE ONLY
Site !Amu.; TA1 Nj Mcir(C MAC-MA/ea-1
I
Address! Street Address / Permit No.: S Gid Di 0 0 . `r
Location , tt� S SW 6,g 6,g / . – / /
Expiration Date: 10/ -7 /03 t ! (o/ B3
Suite /Bldg. # City /State Zip -i - y Z.--7 ,r 6 - A gb i Og c - Receipt #: J
Name Approved By: /�(g
Property
. D A r VI/ kd111-14-- Date: 'VV. 3
' Owner Mailing Address ,� _ / Suite Map /TL #: 15 '13 GAD - OZ ' &
I1�CJ`, /� €- Zoning: PI 4 C
City /State Zip Phone
-ri�Ntb,oc_ 9 503-6,39.3633 Electrical Permit Required? ❑ Yes -No .
Tenant or Name
Business Mot(A) TA Id MACH 4CH l/`/
L2 Building Permit Required? ❑ Yes o
Rev. 8/7/2003 i:\curpin \masters \revised \sign permit app.doc
Name
Sign •
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if KT 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 ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑other ❑ Billboard ❑ Ba 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: 41 1( )4 r-' ❑ $31.00 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 W NE NW SE SW
Height to top of sign (feet): 3 F� • Wail signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): • sign placement.
Copy: - • Wall signs do not require site /plot plans.
Materials: 1,400b • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes []' No building permit.
a pe: ❑ Internal El 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 l'st or diagram of all sign dimensions and
square foc cage must also be submitted.
(OVER FOR SIGNATURES)
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19/06/2003 14:23 FAX 5036847297 City of Tigard 12002
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 1 day of (( (O 5 SO-- -- , 20 Q2'
1?
Signature of Owner /Agent
\T ( LS-0 60 3- 6,3q
Contact Person Name Phone No.
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Approved
Conditionally Approved [ I -_-)
For only the worAt as des( :: .i:t in:
PERMIT NO.
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CITY OF TIGARD 10/7/2003
13 125 SW Hall Blvd. 11:31:18AM
iio, :mM, m I iN Tigard, Oregon 9 72 23
' (503) 63 9-4 17 1
Receipt #: 27200300000000004429
Date: 10/07/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00246 [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 MOUNTAIN PACIFIC KJP 7864 In Person 15.00
MACHINERY INC
Payment Total: $15.00
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