SGN2009-00126 ' oh = , CITY OF TIGARD SIGN PERMIT
' Permit #: SGN2009 -00126
. COMMUNITY DEVELOPMENT Date Issued: 05/22/2009
TIGARD'
- . • 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S115AB01900
Jurisdiction: Tigard
Name of Business:
Business Address: 16200 SW PACIFIC HWY B1
Applicant/Agent: Bliss Nail & Spa,
Work Description: Placement of one (1) temporary sign (A- Frame) 2' X 3' Valid 5/22/09 - 6/22/09 Sing #1
Must be placed on private property, not in public right of way. Must meet visual clearance
area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 2' X 3'
Total Sign Area: 6
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90
days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign
shall expire 10 days from validity date.
/ I d i �l
Approved By: �''
Permittee Signature:
GY .
SIGN PERMIT APPLICATION
' City off Tigard Penrat Center 13125 SW Hall Blvd, Tigarc4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
N of Development/Project
Site \'I S I l( , pad FOR STAFF USE ONLY
Address/ Street Address Permit No.: will) 9 - nc
Location /62-00 S W 6,114 G [(I # B
Suite /Bldg. # City /Sta Z i� Expiration Date:
yb ( �`�� ' (�'� Receipt #: 1 73(03 ) —
Name - ` / �� Approved By. S A r
Property
Date: .$/
Owner Mailing Address - Suite Map /TL# :
Zoning:
City /State Zip Phone
Tenant or Electrical Permit Required? ID Yes [r No
Business Na A n U0 Building Permit Required? ❑ Yes ffrNo
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all Qty/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 p Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 1 Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(heck all that Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
apply)
❑ New sign? Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 0 . r (3 copies, if a building permit is required)
,c. 50. requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
' ❑ $40.00 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):
items in this NOTES:
section) N S E W N E N W S E SW ,
Height to top of sign (feet): 3 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Co py' • Wall signs do not require site /plot plans.
Materials: pIC A3t'1C, • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ 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 permit, THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
6 - 7 - (%.2- (OVER FOR SIGNATURES)
r
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.
DAZED this `f-ii.da day of kb a21 ,20 07
i
i
S tore Owner /Agent
A � ' c 4 6_m) 6 7O -7 2 78 '
Contact Person ` NName U Phone No.
.a . , 4
Mil CITY OF TIGARD RECEIPT
1 3125 SW Hall Blvd., Tigard OR 97223
503.639.4171
'TIGARD
Receipt Number: 173632 - 05/22/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00126 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00126 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
Check 1071 STREAT 05/22/2009 $19.00
Payor: Bliss Nail & Spa
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1