SGN2005-00382 4,. CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2005-00382
_.�II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/23/20055
PARCEL: 1S136AD-04000
BUSINESS NAME: URGENT MONEY SERVICE ZONE: C-G
SIGN LOCATION: 11523 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT/AGENT: URGENT MONEY SERVICE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 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 banner. (2'x 3') Sign #1. Valid from 12/23/05 through
1/23/06.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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.
APPROVED BY: N'u: 't.L..„ i
PERMITTEE SIGNATURE:`l'4 1,t) -e_4,
DATE: 12/23/2005
A,it SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site d$4 r 1 c rvt riltbvt .-/
Address/ Street Address Permit No.: 56 Ki .R 6 ._003 L3)
Location /2
1 '23 6vC� Pet.C4, t-1 y
1 Expiration Date: 1' 3 -CC%
Suite/Bldg.# City/State Zip .
Ti Ciar0( d e ' 712 5 Receipt#:
NameI Approved By: 0 - 00_2;.. .-,.
nr
Property /11 rf ) 5 1 )-eve lit.lit. 5 Date: is-.A3 r
Owner Mailing Address Suite Map/TL#: ISI A-12 ULE-o;,
(o Z l S LJ 1140(fjam z31) } Zoning: C "G
City/State ' Zip Phone
(
'(dO 17266 ��7 27,-31.31 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business V i,I P kir 1/ X1(4 Building Permit Required? ❑ Yes ❑ No
Name J i Rev.7/1/05 is\curpin\masters\revised\sign permit app.doc
Sign -- — -- -
Contractor Mailing Address Suite I REQUIRED SUBMITTAL ELEMENTS III
(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 l
City of Tigard's License# I ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
' Sign 2Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required) I
, ,New sign? ❑ Alter to existing sign? I size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 2 X 3i 11
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq.ft.): /
•
9 ❑ $18.00 Fee (Temporary sign, any type)
Sign Data I Total Wall Area (sq.ft.) Zb t'r> i. Jurisdiction: EICity EIUrb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this —
section) N • S E W NE) NW SE SW I,
Height to top of sign (feet): I 1 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): I ! 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 ❑ 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 wall_signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
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 , 20
Signature of Owner/Agent
Contact Person Name Phone No.
4iCITY OF TIGARD 12/23/2005 .
13125 SW Hall Blvd. 11:32:23AM
34-i i � Tigard,Oregon 97223
-ii. (503) 639-4171
Receipt #: 27200500000000006478
Date: 12/23/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005-00382 [SIGN]Temp Sign Perm 100-0000-437000 16.00
SGN2005-00382 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct./Check No.Approval No. How Received Amount Paid
Cash URGENT MONEY cac In Person 18.00
Payment Total: $18.00
cReceipt.rpt Page 1 of 1
G1TY OF TIGARD
Approved
Conditionally Approved. [ I
For only the work as described in:
PERMIT
See Letter to: Follow [
Attach '
Job Address: 15;t 4.3ct P -t-1,1
By: Date:.._
Urgent Money Se Ice
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