SGN2009-00088 CITY OF TIGARD SIGN PERMIT
is Permit #: SGN2009 -00088
COMMUNITY DEVELOPMENT Date Issued: 04/16/2009
IG,AAL)' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB08000
Jurisdiction: Tigard
Name of Business: The Ultimate Tan
Business Address: 14250 SW BARROWS RD 001
Applicant/Agent: Nass, Debra
Work Description: Placement of (1) one 2'x6' banner. Valid4 /15/09 - 5/15/09. Sign #1
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 2'x6'
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. 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: B /7�
Y
Permittee Signature: 1v\ / /
. Apr 10 09 11:20a p.l
I . .
SIGN PERMIT APPLICATIO
, • , .
. : Ci of Permit Center 13125 5lY/.Hall Blvd., Tigard. OR 97223
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Phone: 503.639.4171 Fax: 503.598.196 APR 0 9 2009
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'I`t ARC _ i I � ,�,.',°���' - �`'n p " e ars , CITY OF TIGARD
GENERAL INFORMATION C d ° � JC/ ✓ . teL fL 4 1 P ��� +WrENQ EO
r. N9 J, DCVO. ,pt„en�" ject� } � �j FOR STAFF USE ONLY_
Site 1/ l / fi t . ` '" / � � l� • Address/ Street Address ) Permit No.:
Location /r! / ~ J i �� � Expiration Date:
SW I G. # l � (1/ 1 : 1 e1-6 (1/ ^ .ityi State Zip ' F 3 V......5
/ G f n if 73 Receipt #:
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Name Approved By: P
Date: L/ 4 "
Property ,--5 / 6 y 0 Owner
Mailing Address Suite Map /TL #:
Zon •
hf :ih!SMte Zip Phone /
Electrical Permit Required? ❑ Yes V 1
Tenant or Name 1iti46 /; ,� Building Permit Required? ❑ Yes o
Business 0/ ��( f
Re, 7/1/07
N:rrnc is \curpin \ masters \land use applications \sihm permit app doe
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, all City/State Z+P Ph ne py a - REOUIRED SUBMITTAL ELEMENTS
copy of (Note: applications will oat be accepted
licenses are
required if without the required submittal elements)
, in the l) re, m (:r mst. C ■ me Berard License >: Esp. Date
City olTigard's ❑ Completed Application Form
database)
Proposed ❑ Permanent ❑ Freestanding ❑ Fre eway 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that .J Other ❑ Billboard ❑ Balloon size requirement: 8 /z" x 11", or 11" x 17" -
apply)
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions 1 JJ (3 copies, if a building permit is required)
g Par hart_ Q') d( 68 size requirement: 8' /2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ❑
$40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data „gf $19.O0 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SF. SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
must include dimensions of wall face and sign
Projection From Wall (inches): _ placement.
Copy: • Wall signs do not require site /plot plans.
Materials: (WI, 1 (*) e"t • Freestanding signs over 6 ft. required a building
Viill sign have illumination? ❑ Yes -f ' No permit.
Type: El Internal ,External • 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 ermit, THE PERMIT WILL BECOME
/ Yes D No NULL AND VOID.
If "yes ", a list or diagram (Wall sign dimensions and square ,
footage must also be submitted.
(OVER FOR SIGNATURES)
• Apr 10 09 11:20a p ,2
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 / ,' v day of 9 9.n. 1/ . 204
' azure of Owner /Agent
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Contact Person Name Phone No.
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14 CITY OF TIGARD RECEIPT
• q .
Q .`. 13125 SW Hall Blvd., Tigard OR 97223
• 503.639.4171
'TIGARD"
Receipt Number: 173245 - 04/16/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00088 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00088 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 016612 KPEERMAN 04/16/2009 $19.00
Payor: Debbe Nass
Total Payments: $19.00
Balance Due: $0.00
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