SGN2011-00119 CITY OF TIGARD SIGN PERMIT
�;: Permit #: SGN2011 -00119
- COMMUNITY DEVELOPMENT Date Issued: 11/23/2011
. TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S110AA01100
Jurisdiction: Tigard
Name of Business: The Gardener's Choice
Business Address: 14240 SW PACIFIC HWY
Applicant/Agent: The Gardener's Choice,
Work Description: Placement of one (1) temporary sign (Banner) 3' X 8.' Valid 11/23/11 - 12/23/11. Sign
#1 Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): Northwest
Sign Height: ft.
•
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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.
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Approved By:
Permittee Signature: y of �,
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PERMIT APPLICATION
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° ,; ,t . A. City of Tigard Penrnt Center 13125 SW Hall Bird, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project 1 FOR STAFF USE ONLY
Site j7-e 641- ,ee-ve'•r_ no/!C-k,.- �� ZOO/ ' !�O //
Address / Street Address n , � / t/ Permit No.: /
Location / y' ,o 6,t/O, 6,t/O, /- :..i' '- l ( Expiration Date: ft -23 -` / 'r' 1 . - Z s - /(
Suite /,Bldg, k City /State Zip
72 Receipt # :
?vane Approved By
jj.� /� '7e 2 Date:_
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Owner f/J u revti G
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City/State Zi Phone 6 5 7
1 y,�� Or q722 S 03 36 3V-
Electrical Permit Required? ❑Yes 11....14i
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Name
Tenant or Buildin Permit Required? ❑ Yes
Business 774 4 , 6A4 P p)C� �J�
Name J Rev.7 /1
is \cu pin \masters \land use applications \sign permit app.doc
Sign
Contractor
Mailing Address Suite
(Prior to permit
tssuence, a REQUIRED SUBMITTAL ELEMENTS
COPY Of all City/State Zip Phone
licenses are (Note: applications will not be accepted
required if • without the required submittal elements)
expired in the Oregon Cons". Cont.. Board License N Exp. Date
City of Tigard's
database) - ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway — 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Prr Temporary ‘EA Wall Pc* e— ❑ Electronic (3 copies, if a building permit is required)
1Cbeck all that Other Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
a. ly)
New sign? ❑ Alter to existing sign? n 2 copies of elevations, drawn to scale
Sign Dimens nst / (3 copies, if a building permit is required)
lc size requirement: 81" x 11 ", to 24" x 36"
Total Sign Area (sq. It.): - n $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 7 $4, Fee (Temporaiysign, any type)
(Complete all Direction Wall Faces (circle one : SZ
items in this NOTES:
section) N S E W SE SW •
Height to top of sign (feet): s Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: reSh CA v' 51 1 S 71Te5 s Wall signs do not require site /plot plans.
Materials: ti f , I
• Freestanding signs over 6 ft. required a building
1 .
Will sign have illumination? ❑ Ye s '.No permit.
Type: ❑ Internal ❑ Extei al • If work authorized 'under a sign permit has not been
Me, there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME �
N ULL AND V OID.
\ ❑ Yes ❑ No
li ", ,list or diagram of all sign dimensions and square
e must also be submitted. (OVER FOR SIGNATURES) A
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELS W, THE APPLICANT(S) SHALL CERTIFY THAT:
o If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
• may be revoked if it is found that any such statements are false.
o The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
Applicant 'Signature Date
C
Signature 'ol Owner /Agent Date
Contact Person Name Phone No.
City of Tigard 13125 SW Ha l] Blvd., Tigard, OR 97223 503 -639
�' g � 503-639-4171 www.tigard- or.gov Page 2 of 2
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CITY OF TIGARD RECEIPT
ill 13125 SW Hall Blvd., Tigard OR 97223
. • " 503.639.4171
T16A:RD
Receipt Number: 184681 - 11/23/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00119 Temporary Sign Permit 100 - 0000 -43115 $45.00
SGN2011 -00119 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 15478 KPEERMAN 11/23/2011 $52.00
Payor: GARDENER'S CHOICE, INC.
Total Payments: $52.00
Balance Due: $0.00
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