SGN2005-00144 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00144
.1� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/20/2005
PARCEL: 1 S 135DD -03301
BUSINESS NAME: PLAZA BARBERS ZONE: C -
SIGN LOCATION: 11945 SW PACIFIC HWY 215 JURISDICTION: TIG
APPLICANT /AGENT: PLAZA BARBERS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: P
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from
approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: W) ( • OCA w'a
PERMITTEE SIGNATURE: cr
DATE: 5/20/2005
„, - .4-, 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
� FOR STAFF USE ONLY
Site ! ? 1 et}rA ?/Doss
Address/ Street Address Permit No.: j 6N a oS - 0014
Location 1 C r 1C Expiration Date: Cv - — E.
Suite /Bldg. # City /State Zip
< Receipt #: 2 o°5 - a a 9 1
Name <<� 0 g-002.3 Approved By: C C a-
Property Ni,: kw b r 6 tb-v 0 Date: S o2 u - 0 S
Owner Mailing Address Suite Map/TL #: 1S t3 l) D -- 033 U i
Zoning: C - c'
City /State Zip Phone
Electrical Permit Required? ❑ Yes IX No
Tenant or Name
Business -tA-o I ^ , vc ° Building Permit Required? ❑ Yes No
Name I Rev. 1/3/05 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 w ithout the required submittal elements)
copy of all City /State Zip Phone q
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date 111 Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
p ❑ P ermanent ❑ Freestanding ❑ F reeway size requirement: 8 x 11 ", or 11" x 17"
Sign R Temporary ❑ Wall ❑ Electronic
(Check all that Other 111 Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
3 &
2
X g ,, rlQf___ ' ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External 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 overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 of Owner /Agent
1k\ - tf-E( 5 3
Contact Person Name Phone No.
CITY OF TIGARD 5/20/2005
13 12 5 SW Hall Blvd. 12:59:42PM
ek , , , ��,�� Tigard, Oregon 97223
(503) 63 9-417 1 •
Receipt #: 27200500000000002281
Date: 05/20/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00144 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00144 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2005 -00145 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00145 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $34.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Check PLAZA BARBERS CAC 2104 In Person 34.00
Payment Total: $34.00
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