SGN2003-00136 CITY OF TIGARD SIGN PERMIT
i i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00136
67--- SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/13/03
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PARCEL: 2S 110DC -00300
BUSINESS NAME: SHURGARD OF KING CITY ZONE: C -G
SIGN LOCATION: 15700 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Valid 6/14/03
thru 7/14/03. Sign #2
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 da - sr sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 1 i .. s from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: X `^
•
DATE: 6/13/03
CITY OF TIGARD 6/13/2003
13125 SW Hall Blvd. 1:21:47PM
iiiiromp Tigard, Oregon 97223
A e. (503) 639 -4171
Receipt #: 27200300000000002483
Date: 06/13/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00136 [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 SHURGARD OF KING CITY KJP 78601304 In Person 15.00
Payment Total: $15.00
_ l -t•ii_ 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
Site
S 86/64) FOR STAFF USE ONLY
Address/ Street Address Permit No.: S 7--,Q403-- D /3 ‘, ,
__
Location f 5 SW F- 4+ /
Expiration Date: Ce Y /t/�v 3 -- 7 / j
/`-/ AO
Suite /Bldg # City /State Zip (� ��J
� K)/ � —IW Receipt #: -- - --
Name — Approved By: / K c)/
Property 5144-CAW S Al € CAS �l Date: 4 0 3
Owner Mailing Address //- �' Suite Map/TL #:
I Sic° Sw I`,L 141 Zoning: (1 -
City /State Zip Ph
116A4142/ �3 Electrical Permit Required? El Yes p No
Tenant or Name
Business S161 • 14 Cmi Building Permit Required? ❑ Yes No
Name Rev 30 -Jul -01 1 icurpinlmastersVrevised\sign permit app doc
Sign
Sl GN SKIS NOT ' - it
�--
Contractor Mailing Address • i Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit l9q 31 Av NV = NE *MI (Note: applications will not be accepted ;
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are AtatiN6ToN wA 91223 360 403 - =d
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date n
City of T'rgard•s License # N ' A �--- / [vim 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed ❑ Permanent Q Freestanding ❑ Freeway �/
Sign Temporary ❑ Wall ❑ Electronic") C7 2 copies of elevations, drawn to scale
(Chick all that ❑ Other Bi d (Balloortf +. (3 copies, if a building permit is required)
apply) ❑ size requirement: 8W x 11", to 24" x 36"
Q'New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: t / x 1 1 2r $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): /`
/Zpr—. NOTES:
Sign Data Total Wall Area (sq. ft • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete aN Direction Wall Faces (circle one): sign placement.
items in this
section) N S E W N E N W S E SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes WI/No BECOME NULL AND VOID.
Type: ❑ Internal ( 'External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information
location, including wall signs that overlap a tenant space? 0 Visa O MasterCard
Credit card number
❑ Yes [o
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted.
Cardholder signature Amount
(OVER FOR SIGNATURES)
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Shurgard of King City
SHURGARD 15700 SW Pacific Highway
Tigard, Oregon 97224
Phone 503 684 5564
Fax 503 670 1097
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Tigard, Oregon 97224
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Site Address: 15700 S'1/4) pAci Pi c..), Pne, ii-wA-L
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