SGN2003-00070 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00070
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/1/03
PARCEL: 2S1 12 DC -00701
BUSINESS NAME: NW RUGS ZONE: I -P
SIGN LOCATION: 15957 SW 72ND AVE BLDG -A 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: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Valid 4/2/03 - 5/2/03. Sign # 1
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 fro lidity date.
APPROVED BY: /
PERMITTEE SIGNATURE: A� / ��'�'��
DATE: 4/1/03
xs.tc.,,...;r,�, SIGN PERMIT APPLICATION
b. SIG
CITY OF.TIGARt) , :. 13125 SW Hall Blvd, Tigard, O 97223 (503) 6 .
:NERAL INFORMA o TIION IopmenUPro)ect
Ite A A PQ Ut G •
---S Permit 1\1( 3 Uc� U TO
■ddressl Street Address �} /
.ocation 1 5957 -s0i o� /ti ti.c� C�.t� -k- Expiratior Y/ 3 — z l 0 3
Suite /Bldg. # City /State Zip
r�" CG, Q O (1 (�-7 ��' ! Receipt t
lI A 4 1 �- r I `f Approves . /<__ Na a e-4- --
4 _s Date:_ � lilt c, 3 Dro pertY i Cr M a /TIA .2 5i/ L e , c 7 (3 o • ,
M ailing Address Suite p A
owner ^
Zoning:_ . -L.- p .
City /State Zip Phone
Electrica .- . .......- -, -
renant or Name rr/�� ff 1 I ^ — C Building Permit Required? [7] Yes No .
3USIneSS VU �`�l ( � �l Rev. 01- Jul-02 I: \cu •In \masters \revised\si•n •ermita.•.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 ❑ Completed Application Form
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
City of Tigard's License #
database) (3 copies, if a building permit is required)
requirement: 8 x 11 ", or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freeway s ize re q
Sign Temporary ❑ waif ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
Other ❑ Billboard ❑ Balloon
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
6ign Dimensions: 3/ 1 . ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): (.(9\ / ❑ $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 E W NE NW SE SW a 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: a Wall signs do not require site /plot plans.
Materials: a Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? El Ye s10 Type: ❑Internal ❑External , If work authorized under a sign permit has not
■ bean 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 ►: No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
P 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.
i .
r77_,
DATED this- , day of (14-7495) , 20
4' 1
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Signature of Owner/Agent
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! : Con act Person Name Phone No.
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F Condi.i.nat ly Approved
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CITY OF TIGARD 4/1/2003
13125 SW Hall Blvd. 1:16:21PM
�, Tigard, Oregon 97223
,�-
6 1„L (503) 639 -4171
Receipt #: 27200300000000001266
Date: 04/01/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00070 [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 NW RUGS KJP In Person 15.00
Payment Total: $15.00
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