SGN2002-00066 CITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2002 -00066
+r °__.... 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 5/1/02
EXPIRATION DATE:
BUSINESS NAME: MAIN STREET VILLAGE PARCEL: 2S102AC -0020
SIGN LOCATION: 12650 SW MAIN ST OFFICE
APPLICANT /AGENT: MAIN STREET VILLAGE ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 18 sq. ft. temporary banner.
Valid 5/1/02 thru 5/30/02
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign s - pire 30 days from approval date. A balloon sign shall expire 10
rlays from annrnval data /
APPROVED BY: .
PERMITTEE SIGNATURE: l7-f
DATE: 5/1/02
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411r, 1 e I 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 MGov T
S'rwvT 1f Ik -Q ��
Address/ Street Address Permit No: A- " 000
Location / a 40S 5(-4) MA/^) JFI s
Expiration Date: ,.?/// cz bolO Z.
Suite /Bldg. # City /State Zip
4 /o-ARD 9'72 3 Receipt #: 2c0- dS�fS�
Name �/� Approved By: /C 9
Property l�lka rat ay( ' " I��I tQ, Date: CI /gcoZ
Owner fM��d iling /� Address Suit Map/TL #: ='_ 5 / v / L — CSQ2v 1
T o QOX 5 6e p� Zoning: C d D
City /State Zip Phone
�O l Or 4.0 24 Z 2 - 3 Electrical Permit Required? ❑ Yes VA No
Tenant or Name
Business 7724,") sh V j e Building Permit Required? ❑ Yes yf No
Name V
/r Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
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)
Proposed size requirement: 8' /z" x 11 ", or 11" x 17"
Pro
p ❑ Permanent ❑ Freestanding ❑ Freeway
Sign tgl Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
51 New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: .3 )( ko ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): i NOTES:
Total Wall Area (sq. ft.) • • Wall signs do not need to be drawn to scale,
Sign Data �� ( 1/ 1 Of but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) 0 S E W NE NW SE 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 IX 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? visa ❑Mastercard
❑ Yes No Credit card number / /
Ex p ices
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. S
Cardholder signature Amount
(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 l Q _ , 20 0 t --
_C.I.AA A Q1_9- - CAJ (4 4.
Signature of Owner /Agent
'a-Me _ 0 ( So3) (,03—o523
Contact Person Name Ph a No.
•
Receipt #: 27200200000000001595
_�.•�_..®. Date: 05/01/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 - 00066 [SIGN] Temp Sign Perm 100 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CITIZENS FOR THE NEW TIGARD LIBRARY KJP 1021 $15.00
TOTAL AMOUNT PAID: $15.00
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