SGN2003-00096 r
CITY OF TIGARD SIGN PERMIT
it DEVELOPMENT SERVICES PERMIT #: SGN2003 -00096
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/2/03
PARCEL: 1S133AD-16000
BUSINESS NAME: WELLS FARGO 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: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
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: Temporary banner. Sign #1. Valid dates 5/9/03 to 6/9/03.
MATERIALS: 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 100 ^ days from validity date.
APPROVED BY: 6 ' � . ( 1 )
PERMITTEE SIGNATURE:
DATE: 5/2/03
04/09/2003 16:24 FAX 5035981960 CITY OF TIGARD [a 002
• • SIGN PERMIT APPLICATION
� n _ Iv , + a .13125 SW Hall Blvd., Tzgard, OR 97223 (503) 639 -4171 FAX :: (503) 684 -7297
CITY OF TIGARD
Name of Development/Project Required 'Submittal Elements
Site q - L41 cnX;t 1 IC e-ei 00-44-k-- ✓
Address/ Street Address /110.4--k) ❑ Completed application form
Location / 2 7 J 5 Da ❑ 2 copies'of site /plot plan, drawn to scale •
(3 copies, if a building permit is required)
suite/Bidg.# CIty/State zip size requirement: 8 -1/2" x 11",• or 11 "x 17"
7 -d..DYE,
Name ❑ 2 copies of elevations, drawn to scale
Property 3 copies, if a building permit is required)
Pro
p Y /1/� j s o /'�� CO � e fid e � L size requirement: 8 -1/2" x 11", to 24" x 36" •
y` Owner Melli A ddress �1 Suite I
•1?. 0. Be x. 1O 4 91 r Notes: *Wall signs do not need. to be drawn to scale
City /State Zip Phone scale, but must include dimensions of wall
PO r— j cl / 0 face and - sign placernent.
Tenant or Name *Wall signs do' not require site /plot. plans.
Business . *Freestanding signs over 6 ft. required a
Name Building permit.
Sign 11 Di
Mailing Address Suite ❑ $50.00 Fee (Permanent sign, any size)
Contractor g J $15.00. Fee (Temporary sign, any type) •
Prior to permit
issuance, a
copy City /State Zip Phone I hereby acknowledge that I have read this application, that the
of ail licenses
are required Information given is correct, that I am the owner or authorized agent of the
expired in Aragon Const. Cont. Board ' bate owner, and that plans submitted are in compliance with the City of Tigard.
C.O.T. License #
database i ature of Owner /Agent ��ate�
Proposed El Permanent ❑ Freestanding El Freeway C' , ,,�
t l l
Sign Temporar ❑ Wall ❑ Electronic ontact Pe on Name Phone
Check all that
apply ❑ Other ❑ Billboard ❑ Balloon Man N ie) - 5VYa_6_ 6o 3 11()-
[''New sign?
El Alteration to existing sign?
Sign Dimensions: 3 . x / FOR STAFF USE ONLY:
•
Total Sign Area (sq. ft.: Map/TL# Zoning:
Sign 2`f - F7 — Electrical Permit Required? ❑ Yes ❑ No
Data Total Wall Area (sq. ft. •
Please '/ 0 0 0 £ Q. f Building Permit Required? ❑ Yes ❑ No
complete Direction Wall Faces (circle one): U
each item J �
in this �.J S. E W NE NW SE SW Approved By: Date of. Approval:
. section
Expiration Date:
Height to top of sign (feet): •
•
Projection From Wall (inches): 0 Permit 'Fee:. Receipt #.. •
Capy_ OP `5;4,1"ls V'dct -r,) --- .
Materials: PIKE -ic.- 3 a 1,i avo 3 - 0009 co
Will sign have illumination? No;E Yes ❑ • NOTE: If work authorized under a sign permit has
not been completed within ninety days after
Type: ❑ Internal y External 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 ove p a tenant space? r I kir 0?-2!•1 5a- ,-� ;
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. - c5ok 0 6V ►
cb-- g ait
1: \dsts \forms \signapp.doc 4/2/03
CITY OF TIGARD 5/2/2003
13125 SW Hall Blvd. 9:19:16AM
Tigard, Oregon 9 72 23
° U. (503) 63 9-4 17 1
Receipt #: 27200300000000001762
Date: 05/02/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00096 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. Flow Received Amount Paid
Check KEYBANK NATIONAL ASSOC CAC 71828083 In Person 15.00
Payment Total: $15.00