SGN2002-00038 CITY OF T I GA R D SIGN PERMIT
"kW DEVELOPMENT SERVICES PERMIT #: SGN2002 -00038
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/15/2002
EXPIRATION DATE:
BUSINESS NAME: TAEKWONDO
SIGN LOCATION: 10115 SW NIMBUS AVE 500 PARCEL: 1S134AA -0190(
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2 FT X 20 FT
TOTAL SIGN AREA: 40 sq. ft.
WALL AREA: 775 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 40 sq ft wall sign
MATERIALS: PLASTIC -META
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 sig e pire 30 days from approval date. A balloon sign shall expire 10
days frnm annrnval (
APPROVED BY
_ I
PERMITTEE SIGNATURE: ie"
DATE: 3/15/2002
Ali. ,
a.,,.rol, SIGN PERMIT APPLICATION
.47:14'
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION _
Name of Development/Project I aI) FOR STAFF USE ONLY
Site �� • - ---"_- , ....; 5
Address/ Street Address Permit No.: S Al OZ-- - NO
Location / d 115 0 )V /ryl.I, Uh gaa *,- P() Expiration Date:
Suite /Bldg. # City /State Zip _ ��
T-d 0 L /7 q, /)/'1 17 c9-1 a a,) -- Receipt #: a-� ^�
Name / n ! Approved By: c�U
Property
�Vtm u j 4- 4
l�i't 55e `� • Date: Sit) Z
Owner Mailing Address Suite Map/TL #:
9 6 t tilt Le, 4 t 29 i Zoning: C 6
City/State Zip Phone
97r t7 Oil Moe _e0 4 V 1/7 Electrical Permit Required? ❑, Yes ❑ No
Tenant or Na a Building Permit Required? ❑ Yes ❑ No
Business
Name y , Rev. 30 -Jul -01 iAcurpinlmasters\revised\sign permit app.doc
Sign A'U/j? //,// /91i/ 0 01 0 -10 '
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit pp 'i 9)L 31, 3 L (Note: applications will not be accepted
issuance, a without the required submittal e
copy of all City/State Zip Phone
r c g nsed are -H 7y / ` vi /_ 9 y 94
required if r e 7 / (1� 9 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 11 9 Ll / / A / — d a ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) 7 � (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed . 1F4 Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
f sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: / (
o2' )4, 10 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): i D NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this • Wall signs do not require site /plot plans.
section) S • E W NE NW SE SW • Freestanding signs over 6 ft. required a
Height to top of sign (feet): / I /1. ' building permit.
Projection From Wall (inches): i r /r • If work authorized under a sign permit has not
Copy: -- 1 - 41-P__ k 1 d IU 0 o been completed within ninety (90) days after
Materials: 1944 -s _,e. v11 47.4-4k the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have it umination? Yes ❑ No
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.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
❑ Credit card number 1 1
Yes No 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. 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 , 20
Signature o wner /Agen
4) lA /iv ,519 /0
Contact Pergon Name Phone No.
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03 -12 -2002 04:36Pl FROM-ELLIOTT ASSOCIATES, INC. . +5032283163 7 -383 P.002/ 02 F -333
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Receipt #: 27200200000000000963 ,
T I . , h. K Date: 03/15/2002 :,
DEMAR
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2002 - 00038 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check LUMINITE SIGN CRAFT INC 0 7823 $50.00
TOTAL AMOUNT PAID: $50.00