SGN2010-00073 '-` '':° SIGN PERMIT
11 ',': CITY OF TIGARD
M ' T Permit #: SGN2010 -00073
* DEVELOPMENT Date Issued: 05/04/2010
,:- . s.RD 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) 4' X 6' Sign #1 Valid 5/4/10 - 6/4/10
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: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 4' X 6'
Total Sign Area: 24
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: $19.00
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: Aud
Permittee Signature: lr)ti c64 Ice
May 04 10 09:16a p.1
M PERMIT APPLICA •..
in .. .IVED Cite of Tigard Permit Center 13125 J'll'/! - i(all blvd., Tigard, 0 • r r
T 1G A R D Phone: 503.639.4171 Fax: 503.598.1960
MAY 0 3 2010
GENERAL INFORMATI Owl CITY (� F i ! ia'� R D
PLANNIN./FNG' +'41=E
f1)c c lopmcnt /Psssje t
11� ^ FOR STAFF USE ONLY
Site 1 it r i )`).; .V CE 1 t
Address/ Storer Address `3/I �D/ 0 A0 D ) 3
Permit No.: —'(p c. " lJ v
Location L l (� j `nj L /Z�' Expiration Date
Suite /Bldg. # City /Stan; , � ^�
T � t j ��t'd ` Cr 1 /� ,�i -3 Recet Approved By: S • (
Property Date:_ �) / //]
Owner Mailing Address Suite Map/TL#: `d--S ( 0 ( 4 6/3 D $"0 D D
Zoning:
City /State Zip Phone
Tenant or N - Electrical Permit Required? ❑ Yes (rNo
Business . f' ) U ( �yv 7i/? V .k-,f._ Building Permit Required? ❑ Yes ('No
Name �� a[• ! '^ Rer.7 /1/U9
iAcurple \masters \land are applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
Issuance, a
copy of all City /State "Lip Phone REQUIRED SUBMITTAL ELEMENTS J I
licenses are
s quired (Note: applications will not, be accepted
expired in the Oregon Coast Con t. Board License # Cap. Date without the required submittal elements)
City ofTigerd's
database) I ZP Completed Application Form
Proposed ❑ C are
Si Si ❑ freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
g l. all that Temporary El Wall l�
wait ectronic (3 copies, if a building permit is required)
apply) ❑ Other ❑ Billboanl ED Balloon size requirement. 8 x 11 ", or 11" x 17"
a New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: L f ( (3 topics, if a building permit is required)
7.c
'� size requirement. 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft)
(Complete all Direction Wall Faces (circle one):
p $19.00 Fee (Temporary sign, any type)
items in this
ection) N S E W N E N W SE SW 0 NOTES:
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy: placement.
Materials; fl r r r( f eh • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? El Yes � , No permit.
Type: ❑ Internal 1Exte a1 • If work authorized under a sign wall signs at this location, t$° permit has not been
Are them any existing freestanding � a completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
El Yes M No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
May 04 10 09:17a p.3
1 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
I . c,,,,,,k s, _ ?.F e 7 0 - —
Contact Perso r Name Phone No.
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'-':41 * CITY OF TIGARD RECEIPT
iihi w : 13125 SW Hall Blvd., Tigard OR 97223
i„, 503.639.4171
r T1GAR9
Receipt Number: 177792 - 05/04/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00073 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00073 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 016499 STREAT 05/04/2010 $19.00
Payor: Debra Crawford
Total Payments: $19.00
Balance Due: $0.00
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