SGN2001-00139 r
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00139
13125 SW Hall Blvd.,Tigard, OR 9722 3) -4171 DATE ISSUED: 08/08/2001
COPY
EXPIRATION DATE:
BUSINESS NAME: TAEKWONDO WORLD o PARCEL: 2S11ODC-0230
SIGN LOCATION: 11535 SW DURHAM RD C-4
APPLICANT/AGENT: TAEKWONDO WORLD ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 3'
TOTAL SIGN AREA: 12 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of(1)a-board sign. Not to be placed in visual clearance
area or public right-of-way.
MATERIALS: PLYWOOD
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 will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A to o ry sign shall expi 0 days from approval date. A balloon sign shall expire 10
rinvc from annrnval data
APPROVED BY.
PERMITTEE SIGNATURE:
DATE: 08/08/2
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
Address/ Street Address FOR STAFF USE ONLY
Location !15 35 S W PJ Permit No.:
Suite/B1dr'# City/State Zip t
C Li —r arj O(Z Expiration Date:,61 ai 10 4
-A- N=
Name Receipt#:
Property N o r Y S V Q vi S Approved By: in
Owner Mailing Address
X ' Suite 7 d Date:
la v T p
u �
City/State Zip Phone - '
PQr (A VV e q12 .5-�zz-3-3171 Zonin g:
Tenantor Name
Business I eU K ko ►^cV.> I.Jo to d Electrical Permit Required? ❑ Yes No
Name Building Permit Required? ❑ Yes [�,No
Sign Rev.12/1/2000 i:\cu In\masterskevisefti n permit a .doc I _
Contractor Mailing Address Suite
(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
City of Tigard's License# without the required submittal elements)
database
Proposed Permanent ❑ Freestanding Freeway E] Completed Application Form
❑
Sign Temporary ❑ wall ❑ Electronic ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
(Check all that Other Billboard Balloon (3 copies,if a building Permit is required)
a
size requirement: 8� "x 11",or 11"x 17"
New sign? ❑ Alter to existing sign?
Sign Dimensions: El2 copies of elevations,drawn to scale
9 (3 copies,if a building permit is required)
size requirement: 81h"x 11",to 24"x 36"
Total Sign Are .): (4 ' -1)
❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area q.-ft.) 1 D, V$15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): �( N
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): L4 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: ♦ Wall signs do not require site/plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes M No building permit.
Type: Internal 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
❑ Yes ❑ No BECOME NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
square footage must also be submitted.
MY Of Vic e va
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Receipt #: 27200100000000003262
-AA� Date: 08/08/2001
T I D E M A R K
COMPUTER SYSTEMS, (NC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00138 [SIGN]Temp Sign Perm 100-0000-437000 $15.00
SGN2001-00139Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TAEKWONDO WORLD 0 1040 0 $30.00
TOTAL AMOUNT PAID: $30.00
TAEKWONDO WORLD 1040
11535 SW DURHAM RD STE C4
KING CITY,OR 97224 24-2271230 3211
639-1191 Date
- 0914112412;1
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