SGN2002-00238 CITY OF TIGARD
, SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 - 00238
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 11/5/02
EXPIRATION DATE:
BUSINESS NAME: YOUR BACK YARD PARCEL: 1S136DC -02504
SIGN LOCATION: 07301 SW DARTMOUTH ST
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X 2'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 6 sq ft A -frame sign. Sign must be placed on
private property. Valid 11/5/02 thru 12/05/02. Sign #1
MATERIALS: WOOD /PLASTIC
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�,0 days from validity date.
APPROVED BY
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PERMITTEE SIGNATURE: -
DATE: 11/5/02
III s
�,.., .i. ;fiz, 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 `` FOR STAFF USE ONLY
Site �I D U i( ���- IiA-f� SAN Zoo Z �bc�Z 3 �
Address/ Street Address Permit No.:
Location 730 I S� ,�) e M° r Expiration Date: 0
Suite /Bldg. # City /State Zip
qa Zf3JZ Q Ind, a- g72Z3 Receipt #: 0 .3'3
- Name J ( Approved By /L'
Property 4 IL ICtI (du, S Date: //l yl'°
Owner Mailing Address Suite Map/TL #: (S / 369 ix -02-50/
/15 Na) Ron-1- kit l 0 Zoning: c
City /State gizoy Zip Phone
Po p L fro ,012 C_ .) 2.ZZ -0066 Electrical Permit Required? ❑ Yes No
Tenant or Name
Y v �� - `,� Building Permit Required? El Yes p No
Business Y
Name Rev. 01 -Jul -02 is \curpin\masters \revised \sign permit app.doc
Sign
C REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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
required if ❑ 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)
Pro posed ❑ Permanent Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Oth ❑ B illboard El Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
['New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions:
4 K2 ' ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.) $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 "J NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 3- but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: 6 PA xt-c_ • Wall signs do not require site /plot plans.
Materials: Wcxyp ?( ,�A -c,- i i C • Freestanding signs over 6 ft. required a
G building permit.
Will sign have illumination? ❑ Yes E "No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External 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 /No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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
day of kolit/1/ , 20 0
/1/
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Contact Person Name Phone No.
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ii i S iP 14
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rill/ OF 11-21/410
ov al
ondi I Approved
Fr.', 'wily the welt as descri4eit in:
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13125 SW Hall Blvd. 3:34:04PM
Ast "i 0, Tigard, Oregon 97223
� (503) 639 -4171
Receipt #: 27200200000000004225
Date: 11/05/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00238 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Check No. Approval No. How Received Amount Paid
Cash YOUR BACK YARD KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (5.00)
Payment Total: $15.00
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