SGN2003-00127 CITY OF TIGARD SIGN PERMIT
�I/i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00127
c � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/9/03
PARCEL: 1 S133AD -16000
BUSINESS NAME: KEY BANK ZONE: C -P
SIGN LOCATION: 12744 SW NORTH DAKOTA ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
•
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 1,000 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq ft banner. Valid 6/10/03 thru 7/10/03. Sign
#2
MATERIALS: BANNER
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 expir s from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: C '
DATE: 6/9/03
i
06/06/2003 16:42 FAX 5035981960 CITY OF TIGARD 2002
04/0/2003 16:24 FAX 5035981960 CITY OF TIGARD • lil 002
•
4 ro.v SIGN PERMIT APPLICATION .
- w: ,13,125'SW,NaI7Blvd., 7,'Fgard OR 97223 (503) 639 -4171 FAX: (503) 684 - 7297
CI1Y OF 7IOD ..5 �
AR
/ a 0 do3 - Q ).7
Name of Development/Project Required'Subrnittal Elements'
Site qlf-t.t..enkebr Ked' F'Ac.� ✓
Address/ Street Address "// ❑ Completed' appliostion•form
Location / . Tyr c5W /110141 Da" a _ ❑ 2 coples'of site/plot plain, drawn to scale
(3 copies, if a building permit 'is'required)
Suite/Bldg.dt Clty /state - Zip size requirement: - 8 -1/2" x li ", "x 17"
7 a.,c Ok q -222 3
Name ❑' 2 copies of elevations, drawn to shale
(3 copies, if a building permit is required)
Property j , SS 0 - / - 1" Mr lai +Y>'e ■�/ Owner Mailing Address Suite size requirement: 8 -1 /2" x 1 ", to 24" x 36"
P, 0 . Bo x laq 4 9/ _ Notes: '`Wall signs do not need..to be drawn to scale
' CliylState Zip Phone scale, but must include dimensions of wall
) rf -ild OA. face arid sign placement,
Tenant Or Name "Wall signs do not require site /plot,plans.
Business "Freestanding signs over 6 ft, required a
-Verne Building permit.
P)dfriC_ •
Sign ❑ $50.00 Fee (Permanent sign, any size')
Contractor M A.ddresa Sults C; $15.00. Fee Tem • ora sl o n, an • e '
Prior to permit
issuance, a
copy City /State Zip Phone I hereby acknowledge that 1 have read this applicat30n, that the
ar ic InfQrrnsdon given is correct, that I am the owner or authorized agent of the
stttr m reequired iced if -
expired in Oregon Const. Cant Board Exp. Oats owner, and that plane submitted are In comRllanoe with the City of Tigard.
0.0.1'. Licenee #
database i• ature of Owner /Agent mete tfr c ' l — 0 —
Proposed t �7 Permanent ❑ Freestanding El Freeway r' r '
Sign 0 .ntact Pe .•n Narno Phone
Check all that 4 Temporary Wall Electronic
aPp1Y Li Other Billboard Balloon (\11 Y 1/N)1 (L SO 3 1 - 16_
ET ew sign? 1 .
■ Alteration to existing sign'?
sign Dimensions: 3 • X / FOR STAFF USE ONLY:
Total Sign Area q. ft. �� Map/TL#t Zoning:
Sign 2
Electrical Permit Required? ❑ Yes , ' No
Data Tut21 Wall Area (sq. ft. ,
Please / 00 S4•'r> Building Permit Required?' ❑, Yes IN No
complete Direction Well Faces (circle one): 4)
each item 6y: `r ' Dace oFAp- royal:
section Si E W NE NW SE SW • fi _
Expiration Date:
Height to - tap of sign (feet): 1° o o — o
Projection From Wall (inches): 0 Permit•Feh__ 3 w Re. -lpt #-
CoPY: O f)at~tt rdct.r, _
Materials: P l s c... S G ti a.o o 3- D O U `= (o
Will sign have illumination? No] Yes ❑ . NOTE: If work authorized under a sign permit has
Type: ❑ I nternal Ex t e rnal not been completed within ninety days after
T
YP the issuance of the permit, THE PERMIT
WILL BECOME NULL AND VOID.
Are there any existing freestanding or wall signs at this -- _____
location, including wall signs that a tenant space? --1 I,Q. : ..1 Sa& ✓A,
El Yes No 1
If "yes ", a list or diagram of all sign dimensions and �
s • uare foota t e must also be submitted. . " + 1 ' \e- 5Ot 0 cyv.. "� ,Cep
cam— C it.„....ct ,,,,e‘,
l : \dsts \formslsignapp.doc 4/2/03
CITY OF TIGARD 6/9/2003
13125 SW Hall Blvd. 3:15:48PM
A04 Tigard, Oregon 9 72 23
R.2.4 (503) 63 9-4 17 1
Receipt #: 27200300000000002387
Date: 06/09/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00127 [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 KEYBANK NATIONAL KJP 71828449 In Person 15.00
ASSOCIATION
Payment Total: $15.00