SGN2003-00259 .
C ITY OF TIGARD SIGN PERMIT
ii DEVELOPMENT SERVICES PERMIT #: SGN2003 -00259
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/03
PARCEL: 2S 110DC -00300
BUSINESS NAME: SHURGARD STORAGE ZONE: C -G
SIGN LOCATION: 15700 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign. Must be placed outside of right of
way. Sign #3. Valid from 10/17/03 through 11/17/03.
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:
PERMITTEE SIGNATURE: (s R-6 -P)
DATE: 10/16/03
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,r,,- tal SIGN PERMIT APPLICATION
CITY TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
SIr Pn FOR STAFF USE ONLY
Site f1 " /�W /
Address/ Street Address • `/ Permit No.: Sb aoo3 -a0 ,R59
Location 1 5700 SvV� 7 Expiration Date: 1® It/ I9/0 3 _
Suite /Bldg # City /State Zip (�
�6 i — I 2-24 Receipt #: a O 03 - 1-59
- Name w /r Approved By: . C , C
Property
R-C 0 S1 A cII-S Date: / O - /t9 - 03
Owner Mailing Address Suite Map/TL #: ..S 1 DC - 00 3 0 0
Sitt SW ! ^AL 1 Aki Zoning: C ^ G
City /State Zip Ph
O2. X33 69( - s 6�
/ Electrical Permit Required? ❑ Yes jg No
Tenant or Name i / /�
Business Si-I or N 6 l.�l'Ti Building Permit Required? ❑ Yes [ No
Name Rev 30 -Jul -01 i \curpin \masters\revised \sign permit app doc
Sign 516N SSS`te-P/1S NoR -TAI ie r--* - -- - - -
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ri39 31 Sc r 4 Av.NvE- NE /
copy of all City /State Zip Phone UN rr l (Note: applications will not be accepted
issuance, a without the required submittal elements) 1
p
licenses are A- j 16 DN !NA 1 i12.2 ' 3 36D - 1j o3 - - °0y1 I
required if r`" [ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date' ry
City of Tigard's License # N /A U 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
. size requirement: 8 x 11 ", or 11" x 17"
Proposed ❑ Permanent Q Freestanding ❑ Freeway /
Sign �
Temporary ❑ Wall ❑ Electronic L'� 2 copies of elevations, drawn to scale
• (Check all that ❑ Other El Billboard Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
': •.ew sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: L P X 3 f l?( $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): /Z.QQF1 NOTES:
Total Wall Area (sq. ft.) . Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this . Wall signs do not require site/plot plans.
section) N S E W NE NW SE SW , Freestanding signs over 6 ft. required a
Height to top of sign (feet): 7 building permit.
Projection From Wall (inches): . If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: . the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes 1‘No
Type: ❑ Internal [External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information
U Visa U MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑ Yes ErNo Expires
If "yes", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $ Amount
Cardholder signature
(OVER FOR SIGNATURES)
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CITY OF TIGARD
Approved
Conditionally Approved
For only the work as described in
PERMIT NO. .S 6 N doo 3 —oc.QS 1
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Job Address: -74 S Pole; ; c
By: C , Ca Date. 19_,L/4 /u?
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Temporary Freestanding A -Board Sign
12 square feet
Scale: 1" = l'
Site Address: 15700 S PACE he: 1-41L ttVUfl
Tenant/Business Name: 1 A4 Cr' V "r Ct - ril
Sign Company: ..16/•1 -C/Cry 1 1S NC) 41 hiE57""
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CITY OF TIGARD 10/16/2003
13125 SW Hall Blvd. 3:36:06PM .
A„ 46, Tigard, Oregon 97223
e.!11 (503) 639 -4171
Receipt #: 27200300000000004594
Date: 10/16/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00259 [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 SHURGARD STORAGE CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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