SGN2004-00126 CIT OF TIGARD SIGN PERMIT
Ilk DEVELOPMENT SERVICES PERMIT #: SGN2004 -00126
AL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/3/2004
PARCEL: 2S102CB -00302
BUSINESS NAME: CLINES CLEANERS ZONE: C -G
SIGN LOCATION: 13185 SW PACIFIC HWY B -4 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary, lawn sign. (3' x 4') Must be placed outside of
right -of -way. Sign #2. Valid from 6/3/04 through 7/3/04.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: "Aervc_
PERMITTEE SIGNATURE:
DATE: 6/3/2004
4 A � 1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site C, \Wes CA e cAAAGV s
�( Address/ Street Address Permit No.:
/ \ Location l� 13185 S, S �lJ a Oo -uv 1 a (�
�aC 1i C N �Y E xpiration Date: '-] - 3 —o 4
Suite/Bldg. # City /State Zip g.
It 4- T J , tnF /c.3 Receipt #: 02 0 o y— a 3(c. 0
Name Approved By: C • 0 cw.:.t ---
Property 0 se l< v\ Date: 6 -3 - b4
Owner Mailing Address 1 Suite Map /TL #: pZS / c..1. es — as 3 o
9053 S.0. e(0611` ,____— Zoning: -
City/State
n, Zip Phone
N° sil(44 /0 0tP1 w -.,)/t- t �(�
Electrical Permit Required? El Yes p No
Tenant or Name
;
Business C � V� C \e Building Permit Required? ❑ Yes gg No
/ Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of
database Tigard's License # 111 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ID Balloon ❑ 2 copies of elevations, drawn to scale
apply)
1 New sign? 11 Alter to existing sign? (3 copies, if a building permit is required)
size requirement: 81/2" x 11", to 24" x 36"
Sign Dim: sion-. LI
3 X f- Pt ❑ $31.00 Fee (Permanent sign, any size)
• - ,•• • - rea (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
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 and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
I=1 Yes ❑ No
BECOME 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 a 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 , 20
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 6/3/20041%)
13125 SW Hall Blvd. 9:52:24AM
iii Tigard, Oregon 97223
� (503) 639 -4171
Receipt #: 27200400000000002360
Date: 06/03/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00126 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard YOUNG LI KIM CAC 003674 In Person 15.00
Payment Total: $15.00
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