SGN2006-00110 CITY OF TIGARD
� SIGN PERMIT
-
DEVELOPMENT SERVICES PERMIT #: SGN2006 - 00110
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/5/2006
PARCEL: 2S 101 AB -01606
BUSINESS NAME: ESSENTIAL WELLNESS CENTER ZONE: MUE
SIGN LOCATION: 07355 SW BEVELAND RD JURISDICTION: TIG
APPLICANT /AGENT: ESSENTIAL WELLNESS CENTER
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 84" X39"
TOTAL SIGN AREA: 23 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 84" x 39" permanent wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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 to ry sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ' ` A
DATE: 7/5/2006
,
ti•,lt SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503).639-4171 FAX: (5(13) 689 -7297
GENERAL INFORMATION __
Name of Development/Project " -
FOR STAFF USE ONLY
Site
WS?KE_ lutLD(✓i (-1_ i °
Address/ Street Address Permit No.: _9‘.-1/U
h -0 t j / b
Location -72)51 S U(y) _ Expiration Date:
Suite /81dg # City /State Zip -
7.1\e- Ott, Receipt #: . cSU,6- ?3Y0 ' _
Name Approved By:
Property w ( ow. ICQ_ Date: 1:4
Owner A /tailing Address Suite Map1TL #:
_AvvI ice- I OO _ Zoning:. fit &(, .,
City /State Zip Phone
- 1 °17223 SO -5 7gt5`7 -21
Tenant or
Name Electrical Permit Required? ❑Yes ❑ No
Business lZ,SSioSVI -L (,-) iCvlr=SS mnlize Building Permit Required? 0 Yes El No
Name Rev, 7/1/05 i :tcurpin\masterstrewsedtsign permit app•doc
Sign OW Sit .7 Co S'T. CO,
Contractor trailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit -
issuance, a!lr j ( D (Note: applications will not be accepted
copy of ati City /State Zip Phone I without the required submittal elements) • •
licenses are ,....--
.
required if _Lt (1/L V) / 72 Z �4 1 ✓✓1 C^—
expired in the Oregon Const. Cont. Board Enp. Data CI Completed Application Form
City of Tigard's License #f •
database) 0 • _ 302 DO ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
�Pe rmanerst Freest$nding ❑ Freeway size requirement: 81/f x 11", or 11" x 17"
Sign ❑ Temporary ,Wall ❑ Electronic
(Check all that
_13;4)10 • ❑ other ❑ Billboard ❑ Balloon ❑ 2 cflpies of elevations, drawn to scale
(3 copies, if a building permit is required) •
471 sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sin Dimensions:
y X ✓1 0 00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
- _ ❑ O0 Fee (Temporary sign, any type)
Total Wall Area (sq, ft,} i
. Sign Data Jurisdiction: (^] City El Urb
(Complete al: 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 a nd
sign placement.
Copy: ' . Wall signs do not require site /plot plans.
Materials: _ j . 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 wail signs at this - the issuance of the permit, THE PERMIT WILL
!motion, including wall signs that overlap a tenant space? • BECOME NULL AND VOID. i
❑ l Yes ❑ No s i
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 3 day of ___)CA ( 20 6,&
Signature pwner /Agent
o C ( 7 - ) - 7 ( / ' 3 --- '2-(c)z-(
Contact Person Name Phone No.
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P For ERMIT NO. work as
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By: • _-etc -t," -c Date: _7 5"
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CITY OF TIGARD
" 13125 SW Ha11 Blvd. 2:32:31PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000003380
Date: 07/05/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00110 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -00110 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00111 [SIGN] Sign Permit 100- 0000 - 437000 34.00
SGN2006 -00 1 1 1 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $78.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SEQOUTA WOODS KJP 3121 In Person 78.00
DEVELOPMENT CO
Payment Total: $78.00
cReceipt.ipt Page 1 of 1