SGN2010-00130 • ° CITY OF TIGARD SIGN PERMIT
?:. < : Permit #: SGN2010 -00130
°! , _ n ' - COMMUNITY DEVELOPMENT Date Issued: 08/19/2010
.I%IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB08000
Jurisdiction: Tigard
Name of Business: Ultimate Tan & Spa
Business Address: 14250 SW BARROWS RD 001
Applicant/Agent: Crawford, Debbie
Work Description: Placement of one (1) temporary sign (Banner) 2' X 6' Sign #2 Valid 8/19/10 - 9/19/10
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: 2 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 2' X 6'
Total Sign Area: 12
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Cloth
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
/
Approved By: c
Permittee Signature: (?) '
Aug 18 10 04:03p p
Ms City of Tigard RECEIVED
t f
Sign Permit App AUG 18 2010
� { ; CITY OF TIGARD
PL.ANt4lt4GfENGINEERIt' G
GENERAL INFORMATION
It of Development /Project .
d ��� � FOR STAFF USE ONLY
Site C 67 �U !J ' 6U / 'j6
Address / Street Address
PPermit ut No.: c 7
Location IL c(� SU) &I/011,05 P r r Approved 3v: t-
Suttc ,
Bldg # w IY/sea . �j p. � r4 t "I 7 Da te: .
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Name Receipt #: f - 1q 19
Property Map /TL# 2$ 1 O %. 1 6/ 0 $ooa
Owner Mailing Add= u Suite Zoning. C�
Allowable Total Area: `Z S . F`
Cit ; State Zip Phone FA X-
' Electrical Permit Required? ❑ Yes o
Tenant or �r l3arnc
Business Vj l ► (,.
f ,LL 7 , `) J DQ h )r r oilding Permit Required? CI Yes No
acne Rev. 7/1110
i : \curplo \masters ;and use applications \ sign permit appdoc
Sign
Contractor Mailing Address Suite
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon (jon.t. Cont. Board License # Exp, Date without the required submittal elements)
Completed Application Form
Proposed LI Permanent T'rccsttodi ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
P
Sign H' Temporary. ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that Wall Other t » » 11" 17"
❑pplp) size requirement: 8 /z x 11 , or 11 x 17
❑ 2 copies of elevations, drawn to scale
c Ef New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: ca x L size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. Et.): ❑ $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. fr) di $52.00 Fee (Temporary sign, any type)
Si Data _ /
(Complete ail 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, but
Projection From Wall (inches : must include dimensions of wall face and sign
Materials: ,S 4L i o � placement.
x (/ • Wall signs do not require site /plot plans.
Will sign have illumination? a Yes 42 No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal External permit.
` Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
0 Yes ❑ No
If `eyes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 -718 -2421 I www.tigard- or.gov I Page 1 of 2
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.
r �}
DATED this J day of , 201 V
Signature of Owner /Agent
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Gra)n-\_L, Sc - e 7 ea)
Contact Person Name Phone No.
City of Tigard ; 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 f www.tigard- or.gov I Page 2 oft
Z d d90:170 01 91. 6nV
1
�` CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
= - 1 - a 1 - 1 ,,, 9; 503.639.4171
� TlG A RD .
Receipt Number: 179142 - 08/19/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 - 00130 Temporary Sign Permit 1003100 $45.00
SGN2010 -00130 Temporary Sign Permit - LRP 1003100-43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 016649 016649 KPEERMAN 08/19/2010 $52.00
Payor: Debra Crawford
Total Payments: $52.00
Balance Due: $0.00
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