SGN2001-00136 t
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00136
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LAINUM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/3/01
EXPIRATION DATE:
BUSINESS NAME: SCRAP IT ALL
PARCEL: 2S102AC-0070
SIGN LOCATION: 12540 SW MAIN ST 120
APPLICANT/AGENT: ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4 FT X 2FT
TOTAL SIGN AREA: 8 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of(1)one temporary 4ft x 2ft sign. Sign shall be placed on private
property and on in the public right of way. Date for sign 8-4-01 thru 9/3.
MATERIALS: WOOD
EXISTING SIGNS:
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 i s II expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE: �`C�GZS '
DATE: 8/3/01
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
Site FOR STAFF USE ONLY
Address/ Street Address ,
Location �� �7 Permit No.: C -�a
3
Suite/Bldg.# City/State Zip
7,2�3 Expiration Date:
Name Receipt
Property & W Approved Bt
Owner Mailing Address Suite Date: t3
Map/TL#: A61 O a' AG- D U 7 oo
City/State Zip Phone Zonin
Tenant or Name
Electrical Permit Required? El Yes ElNo
Business
Name
Building Permit Required? El Yes E] No
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4
a
/ Rev.12/1/2000 i:\curpin\masters\revised\sign permit app.doc
Sign /
Contractor Mailing Address ite
(Prior to permit
issuance,a
copy of all City/State. Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License#
database
Proposed Permanent El Freestanding ❑ Freeway Completed Application Form
Sign Temporary 2 Coes oan,
Wall Electronic Copies Site/Plot Plan, Drawn to Scale
ra ❑ ❑ �
(Check all that Other ❑ Billboard ❑ Balloon (3 copies,if a building permit is required)
a ' e requirement: 81/2"x 11",or 11"x 17"
❑ New sign? existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: /X 4/-/ _ (3 copies,if a building permit is required)
size requirement: 81h"x 11",to 24"x 36"
Total Sign Area (sq. ft.):
❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq.ft.) E� $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: car z ♦ Wall signs do not require site/plot plans.
Materials: Cd 0.a.D Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: El Internal El External ♦ If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL-
BECOME NULL AND VOID.
❑ Yes �No
If"yes",a list or diagram of all sign dimensions and jOVER 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 day of 720
r
Signature of Owner/Agent
Contact Person Name Phone No.
Receipt #: 27200100000000003200
.Ak _..�. Date: 08/03/2001
T�o1M DT EER SM SA R INC.K
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00136Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check SCRAP IT ALL,INC 0 1135 $15.00
TOTAL AMOUNT PAID: $15.00
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