SGN2003-00123 CITY OF TIGARD SIGN PERMIT
n DEVELOPMENT SERVICES PERMIT #: SGN2003 -00123
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/3/03
PARCEL: 1 S126C0 -01805
BUSINESS NAME: BIG BANG FIREWORKS ZONE: C -G
SIGN LOCATION: 10065 SW CASCADE AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary banner for fireworks sale.
MATERIALS: VINYL
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 10 days from validity dpte.
APPROVED BY:
i
PERMITTEE SIGNATURE: ,frd-;,— - — - -
DATE: 6/3/03
y r .
A
vti 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
'� r, FOR STAFF USE ONLY
Site 13'; � ,A I� 1 f`t. +l 1F- 'p
Address/ Street dress n Permit No.: N; aoo' 3 - 00 1 a 3
Location 5 Ld cG. k 4�4(‘
Expiration Date: 7/A 3� o s3
Sw a /Bldg. # City /State Zip
T■ ecru Or /7Z13 Receipt #: a.o03 -- aam0
Name Approved By: L ..iii. . Coo.✓
Property ' 1 p 1, I S Date: 4v - 3 -03
Owner MailingAddrey i ._Suite Map/TL #: 151 al(v GU 0 1 So 5
b f 5 I 4-' < , Zoning: Ea. Mu-E
City /State Zip Phone
T►, ( Or et 1Z3 — r 3-C - � -4�4 Electrical Permit Required? El Yes [� No
Tenant or Namw Co -eA, • e
Business Building Permit Required? ❑ Yes j No
Name J Rev. 2/28 /2003 is \curpin \masters \revised \sign permit app.doc
Sign t (Pc.4 )D(
Contractor Mailing A tress E. . uite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit = (Note: applications will not be accepted
issuance, a ' 7 -)1-10 without the required submittal elements)
copy of all City /State ciipe Phone 140 C f
licenses are T�+ fi S - ,33v
required if -}� crZ 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 Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard Balloon p 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: r /
- El $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 4 v.A._ p $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 34# -.I` Jurisdiction: ❑ City ❑ Urb
1 (Complete all Direction Wall Faces (circle one) 1 NOTES:
items in this
section) N' S E W NE NW SE SW
Height to top of sign (feet): 7 }—A- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: V c ,„\ • Freestanding signs over 6 ft. required a
Will sign have i umination? ❑ Yes 4 No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
�- BECOME NULL AND VOID.
El 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 3 r J\ day of 3 Q , 2 00
_-,;
ignature of Owner /Agent
K C.4.4/ 42." 5 - (
Contact Person Name Phone No.
3 C ) -• r\ e'Ve.e - 1 tr. I' GITY OF TISlictO
_ .................. _ i
AK mweri
Condi .,. Approved ..._ _ .... I
F C • cniy the wo6 as 4escritoed in:
i 1MIT
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CITY OF TIGARD 6/3/2003
13125 SW Hall Blvd. 3:27:31PM
A t Tigard, Tigard, Oregon 97223
Atqf - (503) 63 9-4 17 1
Receipt #: 27200300000000002290
Date: 06/03/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00123 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
TUP2003 -00012 [LANDUS] Temp Use 1 -3 Mo. 100- 0000 - 438000 205.00
MISC Miscellaneous Fees & Charges - 10.0000 @ $1.0000 100- 0000 - 451000 10.00
Line Item Total: $230.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check BIG BANG FIREWORKS CAC 3254 In Person 230.00
Payment Total: $230.00
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