SGN2003-00058 CIT TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 00058
DATE ISSUED: 3/17/03
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 112AB - 01200
BUSINESS NAME: LSCB INC ZONE: I -
SIGN LOCATION: 07325 SW BONITA RD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24" X 32"
TOTAL SIGN AREA: 5 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary A - frame sign. Valid 3/18/03 thru 4/17/03.
MATERIALS: WOOD
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 expir: 0 -gays from v. ••ity date.
r i
APPROVED BY: '
PERMITTEE SIGNATURE: '�i'
DATE: 3/17 03
4' 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 A '
Address/ Street Address ;� � Permit No.: ,34/t.) LOCI 3 'OVoSt
Location 73 2 s SW 30 ✓ t <�� Expiration Date:
Suite /Bldg. # City /State Zip
a p C� 70Z (I Approved By: Receipt #: �� /o 5 K-fr Name �\
--- Date: 3//-2I Property /C' ii �'i G4,4 _'l f/ec $
Owner Mailing Address Suite Map /TL #: 2 5 1 2-/a -63 — (Jl "(fit
P. C, Sox- /65g Zoning: L.
L
Cit /State Zip Phone
1O/ Ice ti�GO,�
9 7 a ? sv3,.2 �/Z 12S-5- Electrical Permit Required? ❑ Yes I N No
N ame _
Business Tenant 'Sc: C Building Permit Required? El Yes Si.. [ No
Busi Name - Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign yv /A ePre.O W vt
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 ❑ 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 Xl. Freestanding El Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary El Wall El Electronic
(Check all that ❑ Other El Billboard El Ba lloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Er New sign? El Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: y li x 3.Z 4 ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): s ), $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) , /
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S OW 'NE NW SE SW N
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): . sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: t+� ♦ Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes jg. No • If work authorized under a sign permit has not
Type: El Internal El External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes 5t No
I
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. I •
(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.
(853.2 ®
816.52
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13125 SW Hall Blvd. 3:30:50PM
dii. Tigard, Oregon 97223
.��.. (503) 63 9-417 1
Receipt #: 27200300000000001025
Date: 03/17/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00058 [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 LSCB INC KJP In Person 15.00
Payment Total: $15.00
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