SGN2001-00213 •
° CITY OF TIGARD SIGN PERMIT
thooNril� DEVELOPMENT SERVICES PERMIT #: SGN2001 -00213
r �' I 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2001
EXPIRATION DATE:
BUSINESS NAME: TIGARD GRANGE PARCEL: 2S103DD -0060
SIGN LOCATION: 13770 SW PACIFIC HWY
APPLICANT /AGENT: TIGARD GRANGE ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: 2,714 sq. ft.
WALL FACE (DIRECTION): S °
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) banner sign. Valid 12/18/01 - 1/18/02 (Sign #2)
MATERIALS: BANNER
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 OR. Specialty Codes
and all other applicable laws. All „ k will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A ter • o - sign shall exp 30 %ays from approval date. A balloon sign shall expire 10
days frnm annrnval rtatP
/
APPROVED BY: /- � A '
PERMITTEE SIGNATURE: Way ,1
4&/
DATE: 11/14/2001
-. A
4 tys,.l , SIGN PERMIT APPLICATION
1 I II (
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 f A rl c,,,, Irk) i ,c,,,, , --d CG,^ct, ✓i G L_ —0(1.-11
Address/ Street Tess J 1 Permit No.: S � ZOO
Location / 3 7.7 0 «S c .) PcLCi / c /7wy I D- l_ C) I — I 1 D I
Expiration Date:
Suite /Bldg. # ' City/State Zip
'T75a rcr g 7 z 23 Receipt #: 0 0
Name Approved By: pip 01
Property `1 / ci rc( raliq 2. Date: 1 l /1 �/�
Owner Mailing Address Suite Map/TL #: L.5 I 0 3 bD " W(?W
67Z/62 NL A;ri Zoning: C, ---
City /State Zip Phone" l
PoiS +lcr1�' C. 5.72/Y /V AID-7)e
Electrical Permit Required? ❑ Yes [ No
Tenant or Name ,utd,
Business //'/' Sx ()a rns Si ucire 19 wri c� Cw 1. , El Building Permit Required? Yes No
Name 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 x 11 ", or 11" x 17"
Pro
p ❑ Permanent ❑ Freestanding ❑ F reeway
Sign ® 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: 81/2" x 11 ", to 24" x 36"
0 New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 3 /,• , 1 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): / NOTES:
Sign D ata Total Wall Area (sq. ft.) a 7 � • Wall signs do not need to be drawn to scale,
9 `� but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N 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): /Q ' building permit.
Projection From Wall (inches): d • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: Jj /, ,Q cc n vier • the issuance of the permit, THE PERMIT WILL
J BECOME NULL AND VOID.
Will sign have illumination? ❑ 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 / /
❑ 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. $
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 0`
,%./ L in)
Signature of Owner /Agent
Contact Person Name Phone No.
. •
Vii P Y Sign Elevation ®., f7
Tigard Grange North. Side
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, . 100':'- - ■
4 ►I ;
• 23'.
15`
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pF Pi�� ; .
q Dance Lessons
Square _ a �� � � _ [ ] < : _
T - Gondiiny ly APprovM�d ._.- zi [ 1. -
Fra only t -;rte: [ 1
Call: 503- 281 -9030 PtFt NO. _ (� - -
Sec let.kkr to: Follorci _.. _ . .... [' ) '
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Site Plan
•
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driveway Gravel an Grass Parking
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+ '_ - __ '_ _ .. -. - - '.. ;tr ^
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= - Tigard Gran ..
- r , _- - - _ . '.13770 SW Pacific Highway
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' ! y am 4 - - `_ ' _ • 3'x6'.Banner . _
• V f' r •
• Driveway' . : _ _, .,
} .;;Gravel- and :.Grass Parking
•
Receipt #: 27200100000000004508 •
Date: 11/14/2001 -
TIDEMA
COMPUTER 'SYSTEMS; INC. _
Line Items: -
Case No Tran Code Description Revenue Account No Amount Due •
SGN2001 -00212 [SIGN] Temp Sign Perm 100 - 0000 = 437000 $15.00
SGN2001 -00213 - [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00 •
Payments: .
Method Payer. Bank No Acct Check. No Confirm No. - • Amount Paid
_ ..
Cash TIGARD GRANGE 0 0 - $40.00
Change TIGARD GRANGE 0 0 0 ($10.00)
' TOTAL AMOUNT PAID: $30.00 .
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