SGN2001-00074 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00074
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/18/2001
EXPIRATION DATE:
(NESS NAME: SEE-ZER PROPERTIES
BUS PARCEL: 2S102BA-00801
SIGN LOCATION: 12155 SW GRANT AVE
APPLICANT/AGENT: SEE-ZER PROPERTIES ZONE: I-P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 32"X 48"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTIONI:
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1)Temporary A-frame sign. Not to be placed in visual
clearance area or public right-of-way.
MATERIALS:
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 work ' e done in accordanc w' h approved plans. A sign permit shall expire 90
days from approval date. A tempora sign hall expire 30 day fr a proval date. A balloon sign shall expire 10
riavc from annmval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 04/18/2001
;r
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX:(5 03) 684-7297; ?'"
:J\ DE�tT LC�r �f�j
GENERAL INFORMATION
Name of Development/Project
1�
Site
Address/ Street Address :
Location z�151 co-f-a,44-�S —
Suite/Bldg.# City/State Zip
L-TiAlg,d O2 'l-7Z2
Name
Property POV4 Dennis
Owner Mailing Address Suite # /ID/
I qq(,C)5U,1rFtt4rShCf IvedId(,
City/State n Zip Phone
Tenantor Name
Business S
Name
Sign
Contractor Mailing Address
(Prior to permit
issuance,a
copy of all City/state Phone REQUIRED SUBMITTAL ELEMENTS
Ncenses are
required (Note: applications will not be accepted
expired in the Oregon;Pdrist.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's Licerg #
database .Cr"L �.,�
(� ompleted Application Form
Proposed E] Permanent Freestanding ❑ Freeway V2 z Copies of Site/Plot Plan, Drawn to Scale
Sign Q Temporary ❑ wail ❑ Electronic (3 copies,if a building permit is required)
(Check all that ❑ Other ❑ Billboard p Balloon size requirement: 81h"x 11",or 11"x 17"
apply)
(] New sign? ❑ Alter to existing sign? 2 copies of elevations,drawn to scale
(3 copies,if a building permit is required)
Sign Dimensions: 1/ X ya �5 1 size requirement: 8%*x 11",to 24"x 36"
Total Sign Area(sq.ft.). t , / $50.00 Fee (Permanent sign, any size)
' C act 1 S�G $15.00 Fee (Temporary sign,any type)
Sign Data Total Wall Area(sq.ft.) 0M
(Complete all Direction Wall Faces (circle one):
Items in this NOTES:
section) N S E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale,
Height to top of sign (feet): j 14ebut must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: t ♦ Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ® No building permit.
If
Internal External • work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that ove p a tenant space? BECOME NULL AND VOID.
El Yes [ No
If"yes",a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
square footage must also be submitted.
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 422& day of e 20�
Sig ature of Owner/Agent
k
Contact Person Name Phone No.
Gond ( }
Fpr
0
EI E COPY
Sign Elevation
�2'r
SPACE
FOR
'
LEASE
duplicated on other side
000-000-0000
000-000-0000
Temperary Freestanding A-Board Sign
32"x 48"
10.67 sq ft each side
Site address: 12155 SW Grant St.
Tigard, OR 97223
Partnership name: See-Zer Properties
(Mailing address: 14960 SW Tualatin-Sherwood Rd., Suite 106
Sherwood, OR 97140
#503-628-2013
Receipt #: 27200100000000001638
_... Date: 04/18/2001
T I D E M A R K
COMPUTED SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00074Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check SEE-ZER PROPERTIES 0 3105 $15.00
TOTAL AMOUNT PAID: $15.00
S
SEE-ZER PROPERTIES
14960 S.W.TUALATIN-SHERWOOD RD.,SUITE 106 31 5
SHERWOOD,OR 97140-8367
DATE a� 96 811218
PAY
TO THE �`� /s�co
ORDER OF
WES OAST BANK DOLLARS
NEWBERG BRANCH
3500 PORTLAND ROAD
NEWBERG,OR 97132
FOR r
000 3 10 511' 1: 2 3 2000881: 0 L60000 20411'