SGN2002-00166 CITY OF TIGARD
�Ip , DEVELOPMENT SERVICES SIGN PERMIT
PERMIT #: SGN2002 -00166
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 9/17/02
EXPIRATION DATE:
BUSINESS NAME: GAROS
SIGN LOCATION: 15917 SW HALL BLVD PARCEL: 2S111 DD - 0020
APPLICANT /AGENT: GAROS ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -Board Sign. Valid 10/17 -02- 11/17/02 Sign #3. Not
to be placed in visual clearance area or public right -of -way.
MATERIALS: WOOD
EXISTING SIGNS: 0
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 OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90 .
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
thus from annrnvalrlatP �/
i G
APPROVED BY: � ��
PERMITTEE SIGNATURE: C �
0
DATE: 9/17/02
�*�® Receipt #: 27200200000000003509 r .
Date: 09/17/2002
T I D E M A R K
COMPUTER SYSTEMS, INC .
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00166 [SIGN] Temp Sign Perm 100 -0000- 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check GAROS INC. MAS 1028 $15.00
TOTAL AMOUNT PAID: $15.00
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`rb4`la, SIGN E IT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: S'6iI/®.20. / 66
Location / C7 / � _ Uf L'L glib,
Expiration Date: //• / 7 - C�
Suite /Bldg. # City/,State Zip
l tI 9 •? 7 - f Receipt #: 0 -e=t' 2 - 35
Name p Approved By: ---,..9_,C Property
\ Ju2 _L_ iiwk l gA4- Date: - /T-
Owner Mailing t dress�r Suite ����
Ma - 2 � /��`U
I A � 2 -3 G-0 Zoning:
City /State Zip Phone /
S (-e - Q8t2( s o q75
Electrical Permit Required? El Yes No
Tenant or NameQ
Business �i ' , \ / 33 Building Permit Required? El Yes KNo
Name Rev. 01 Jul - 02 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if cRI?: 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 ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign DITemporary ❑ Wall ❑ Electronic
(Check all that ❑ Ot her El Billboard ❑ Balloon n 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2
r � $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(NW W SE SW i
• 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: o Freestanding signs over 6 ft. required a
Will sign have illumination? ❑, Yes Z-No building permit.
External o If work authorized under a sign permit has not
Type: ❑Internal
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 i*No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
i
1 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.
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 7 Z day of (� , 20 C 2
r .0 /
t
Signature of Owner /Agent
K
Contact Person Name Phone No.