SGN2007-00099 MP CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00099
TIOARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/30/2007
PARCEL: 1 S135DD -03301
BUSINESS NAME: KATHY'S BASIC APPAREL ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 206 JURISDICTION: TIG
APPLICANT /AGENT: KATHY'S BASIC APPAREL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X3'
TOTAL SIGN AREA: 245 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 8' x 3' temporary banner. Valid 6/5/07 - 7/5/07. Sign #1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
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.
41-7-
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 5/30/2007
4
Ill _ II SIGN PERMIT APPLICATION
City of Tiga ,'Pernat Center 13125 SW Hall BIu1, Tigaw1 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site .--- ,/ i T / f �/ / g i /; x)iQC4 FOR STAFF USE ONLY
Address/ Street Address / Y �� U (�
Location // 9 �S SGT /�/�Gi/ r Pe r No ,. �( l� �f - /
Expiration Date: (o / 7 /o 7 - 7/ Y/7
Suite /Bldg. # Qty/State Zip /
-2k 77 P, O.4 92a..7_3 Receipt # : a. cs u � - 2-3 5 L/
Name / Approved By. l�'
- /
Property 6/��d �fi 2,, Date: °/s/J--)
Owner Mailing Address Suite M /TL# :
1 di/ e*G y Zoning: r 6)
City/State Zip Phone
. !)/)/OC Pvch; a Electrical Permit Required? ❑ Yes LSO
Tenant or Name
Business ./�9�yy s /C 1��A itf Building Permit Required? 11 Yes Q
Name Rev. 7/5/06
is \curpin \ masters \land use applications \sign pernut app.doc
Sign is / C 4) l2a /L
Contractor Mailing Address Suite
(Prior permit
issuance, 1 / 1 ��
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if T -64,∎, p %) g7....7-3 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 Temporar El Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon 1
apply) d size requirement: 8 /z" x 11 ", or 11" x 17"
. 21 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: , ,, (3 copies, if a building permit is required)
. / 3 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
��-- ' / ❑ $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):
items in this NOTES:
section) N S O 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
placement.
Copy ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes X 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.
(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 , 209 3
Signature of Owner /Agent
Coact Person Name Phone No.
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Approved CITY OF TIGARD
Conditionally Approved... _. •
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For only the wo k as described in: [
PERMIT NO. _ 0 3 i)
See Letter to: Fol ow
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CITY OF TIGARD " "" """
s , � 13125 SW Hall Blvd. 10.32:3
Tigard, OR 97223 503.639.4171 .
T IGARD
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Receipt #: 27200700000000002394
Date: 05/30/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00099 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00099 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard JOANN KISH KIP 027122 In Person 19.00
Payment Total: $19.00
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