SGN2010-00156 " 1 CITY OF TIGARD C SIGN PERMIT
ith
Permit #: SGN2010 00156
x,'', ? COMMUNITY DEVELOPMENT Date Issued: 09/21/2010
,TIGAAD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104BB08000
Jurisdiction: Tigard
Name of Business: The Ultimate Tan
Business Address: 14250 SW BARROWS RD 001
Applicant/Agent: Crawford, Debra
Work Description: Placement of one (1) temporary sign (Banner) 2' x 6' Sign #3 Valid 9/21/10 - 10/21/10
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: 3 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:
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: L 1 LLL&.al
Permittee Signature: (s afpliM
Sep 21 10 02:55p p.1
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Sign Permit A pplication ,� �- ��'
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GENERAL INFORMATION
Na F Devdop ` m ' en t t /Pmjecr G � FOR STAFF USE ONLY
Site \ WS c r V" g191 i � G
Address/ S
tt Address Permit No.:
Location l `l a / S 1I Ili/WS , d . Approved By: S - - T �i14-r -
Suite /Bldg. Ft City/State Zip / 1 1 1
t 6 d f Date: 1 11
't✓ r / L /i
isamc . Receipt #:
Map /'U- #: r7 I D` B13OE00 -0
Property
Owner Mailing Address Suite. ' Zoning:
Allowable Total Area:
ar.a State zip Phone
Electrical Permit Required? ❑ Yes �I�,d
Tenant or v . o 1f' r / Q 4
Business 7 Building Permit Requited? ❑Yes No
Name Rev. 711/1C
i \curpin\,masxws \and use applications \sign permit app.doc
Contractor Mailing Address Suite
City/Stut ' %ip Phone REOUIRR71 SUI3MITTAI F.i.F.MFNTS
(Note: applications will not be accepted
Oregon cont s Cont. soars r�ceusc #P [?ate without the required submittal elements)
E7 Completed Application Form
Proposed ❑ permanent ❑ Rree.,tanding ❑ Freeway 11 2 Copies of Site /Plot Plan, Drawn to Scale
Sign -8' Temporary ❑ Roof ❑ rieoKonie (3 copies, if a building permit is required)
(Check ell chat ❑ wall ❑ h« t
aPpl� y - size requirement: 8 /Z" x 11", or 11" x 17"
Nu 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: e. Q v . L size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ix UI $164.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) [$52.00 Fee (Temporary sign, any type)
Sign Data =
(Complete all Direction Wall Faces (circle one):
items in this NOTES: 1
section; N 5 E W NE NW SE SW
Sleight 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.
Materials: eA • Wall signs do not require site /plot plans. •
Will sign have illumination? ❑ Yes [i 7No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal WExterna] permit.
Arc there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ,7No
If "yes ", 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 1 503 - 718 -2421 1 www.tigard- or.gov 1 Page I of 2
Sep 21 10 02:56p p.2
I hereby acknowledge that 7 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 1 1 S day of , 20 0
Signature of Owner / Agent
3.53 7 !
Contact Person Name Phone No.
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City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard- or.gov j Page 2 of 2
gi144 CITY OF TIGARD RECEIPT
4 ; : 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179535 - 09/21/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00156 Temporary Sign Permit 1003100 -43115 $45.00
SGN2010 -00156 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 012859 STREAT 09/21/2010 $52.00
Payor: Debra Crawford
Total Payments: $52.00
Balance Due: $0.00
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