SGN2009-00013 •
' ■ CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00013
DATE ISSUED: 1/15/2009
TI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
—it PARCEL: 1S136CD
BUSINESS NAME: CASH CONNECTION ZONE: C -
SIGN LOCATION: 11705 SW PACIFIC HWY Y JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X6'
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: Placement of (1) 12 sq. ft. temporary banner. Valid 1/15/09 - 2/15/09. Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: C
PERMITTEE SIGNATURE:
DATE: 1/15/2009
a • SIGN PERMIT APPLICATION
PLICATION
® City of Tigard Permt Center 13125 SW Hall Blzd, Tigctrc4 OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
- / /_ FOR STAFF USE ONLY
Site = - %?....rJ ) f-' Ji-i2/`G'i iG-✓ J
Address / Street Address Permit No.: — i.6L "C'Ce
Location 117E '> :a (_z; r " - , L;, -.C. ) . . - Z ' —
Suite /�B # City/State Zip Expiration Date _ . ='
Y / t 4-,.r) (2 ' 7 .-? 3 Receipt # :_ _ . •7.-cs_J� -/
Name Approved ] AC- sP
Property Date: C: ' /1 / 10Jc � ' +
--
Owner Mailing Address Suite Map /TL# : J_ c ' kt D--
Zoning: C C7 -
City/State Zip Phone — --- ' - -__-
Tenant or Name Electrical Permit Required? ❑ Yes ['rNo
Business L /1-S i � O.YJ UJ J`c;; ,' 0...,./ Building Permit Required? ❑ Yes a
Name Rev. 7/5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Ivlailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database)
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ® Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard ' g p erm q )
aPPIY) ❑ El ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
❑ New sign? ❑ Alter to existing sign? E 2 copies of elevations, drawn to scale
Sign Dimepsions: - (3 copies, if a building permit is required)
) `' size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): y a
El $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ,/
[] $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
terns 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, but
Projection From Wall (inches): must include dimensions of wall face and sign
s placement.
Materials: e Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal ❑ External e If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety- (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
El Yes ❑ No NULL AND VOID.
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 27 )4 - day of • ) A A 4 , 20 U 6
Signature of 'er /Agent
Contact Person Name Phone No.
-Fv I'1 �iZ009
� CITY OF TIGARD
1: o F 13125 SW Hall BM!. 1:1 2: 30PM
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R
,. s d Tigard, OR 97223 503.639.4171
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Receipt #: 272009000000000001 14
Date: 01/15/2009
Line Items:
Case No Tran Code Description Revenue Account No Amoun( Paid
SG N2009-00013 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2009 -00013 [LRPF] LR Planning Surcharge 100- 0000- 43S050 2.00
Line Item "Total: $19.00
Payments:
Method Payer User II) Acct. /Check No. Approval No. I - Iow Received Amount Paid
Cash CASH CONNECTION kjp In Person 19.00
Payment Total: $19.00
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