SGN2003-00309 CITY OF TIGARD SIGN PERMIT
44 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00309
Ag- , :�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/8/03
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: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
•
DESCRIPTION OF SIGN: Placement of one (1) temporary, 8 ft A- frame. Sign #3. Valid from 12/8/03 through
1/8/04. Sign must be placed outside of right of way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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._
e/t14
APPROVED BY:
PERMITTEE SIGNATURE: / «
DATE: 2/8/03
5036847
10/06/2003 14:23 FAX 5036847297 City of Tigard 0 001
al■
. 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 Moun; j ThUVtc Mica -flu
/
Address/ Street Address /] ,,, Permit No.: S G N ao 0 3 - b o3 o 9
Location ; ( 1 O S S W fig' ( ' Z Expiration Date: I - 0 - v `
Suite /Bldg. # C it y /State Zip
& l pg `' 7-2—i3 Receipt #: a 0 Sa 7 7
- Name l ' 1 Approved By: C , t J
Property
"Dc 1A) 1 T 14- Date: /a - 6
Owner Mailing Address Suite Map/TL#: 15/3(a D P 0 A(000
11 S SI4 Co ES '` kve Zoning: M u '/=
-
City /State Zip Phone
'(icyAe-n Of `1322.3 So3 39.3635 Electrical Permit Required? ❑ Yes K No
Tenant or Name
Business a(old,si 74 J Pti etc M t4 &-2y Building Permit Required? ❑ Yes No
Rev. 8/7/2003 i:\curpin \masters\revised\sign permit app.doc
Name
Sign
C REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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 En Completed Application Form
expired in the Oregon Const. Cant. 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: 81/2" x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ® 2 copies of elevations, drawn to scale
apply) (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: / 4 1 if K gar ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): Scb Fe..e-t $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W S E S W
Height to top of sign (feet): 3 pt- • Wail signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: 1,40QD • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ®' 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 Vt-,t or diagram of all sign dimensions and
square foc iage must also be submitted.
(OVER FOR SIGNATURES)
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 day of 20
Signature of Owner /Agent
Contact Person Name Phone No.
, . • .,g'
-4-
-
----- •\;-)c) -r
-2, ce
+
0 , <
.,
. If I ou
.1: c.
1 4
4
' ' I
,, l'--- ---- Ni
.. .
1
•,._ 1 ‘ ., ! .) ••--- J
/ -3
• \ ,
r
A°
t j ' ')
:. ', • r
Q.i
(
.,'
J
......) , 1 1 --i)
...___)
. ,
\r
z_) .)
• , A ..,
. ci • ,_)- \
4 1
N i
5
5 / AbDe Ss : // 765 1 (;)i. 0 S n
711( t i A)p--1-7111 1 (-Tic- •/(0
h} ed Ai7 ! S--ciA-A 1 .
f ck, 7
— t„, o s , , 0 i
1- -/D - 3 Cc.c q —07 09
)
wi)
121 d, n p ? 1 1 1? 0 1,1) "Xi I 0/7 ft! 15119
oic; 7 /
( 172 s
2J 0 - jj (-.)! 1 )2F cm _ ) )J.qd
,‘ •5 c
Q
)V 7 -1-c
:\.) 1
)
1
?7) ;\ (; ,71 j I
Cf t) ) <1 ) )
\
f •
CITY OF TIGARD 12/8/2003
13125 SW Hall Blvd. 12:1 1:41PM
ANSI IpOiI Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200300000000005277
Date: 12/08/2003
Line Items: •
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00309 [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 CAC 8068 In Person 15.00
MACHINERY
•
•