SGN2003-00184 •
CIT OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00184
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/03
PARCEL: 1S136DB-02400
BUSINESS NAME: SPA DOCTOR ZONE: C -G
SIGN LOCATION: 11642 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X16'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: 1,395 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 8 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 32 sq ft permanent wall sign. Banner must be framed.
MATERIALS: BANNER /FRAME
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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 a from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: bk
DATE: 8/12/03
s:�, SIGN PERMIT APPLICATION
CRY OF TiGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
—
' Name Of Devetopment/Project
FOR STAFF USE ONLY
Site - /6 ��
•
Address/ - limit Address Permit No.: S. 4 4 -1 --- -0 c 3 -- O`, / P l
Location I I (, ` :s k4 P i cL 14,A) .Y Expiration Date:
SuitelBldg. # City /State Zip 3 — , . �' ?�
3 ri \ U, - a '1-72-7-3 Receipt it: G
Name J Approved By: i "('
Property 7.0 i ' l C• 1 '1 c1 vvt p t c -e Dater 8 I + p - 3 .
Owner Madmg Address suite Map/TL#: J5f 3 S° 460. - OD- y U
10 4Z Sin; ('CU.Sic.. i{w 1 Zoning: C C
City/State Zip Phone
(% ^ • Electrical Permit Required? ❑ Yes I No
Tenant or M
Business S . Bu ilding Permit Required? 0 Yes No
Name P T = > �: Rev. insumnimasterstrevisedlsign permit epp dnc
Sign U�
Contractor Marine Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prier to pe rmit (Note: applications will Z be accepted
issuance, a
copy of ell City/State Zip P hones without the required submittal elements)
licenses are
required If ❑ Completed Application Form
expired in the Oregon Co . .. Board Exp. Date
Crly ��
r d's , _ ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
•
-..._ (3 copies, if a building permit is required) •
Proposed OPermanem ❑ Freestanding ❑ Freeway size requirement 81 /2" x 11 ", or 11" x 17"
Sign Ell Temporary . i Wall ❑ Electronic
(Check all that ❑ cow ❑ Billboard ❑ ► 0 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required) •
❑ New sign? ❑ Alter to existing sign? Size requirement 8 x 11 ", to 24" x 36" .
Sign Dimensions: -
_ Z fit' X I b � F ❑ $3t:ee• Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): a ad
H- ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wtaila (sq. ft.) I 1 S Sci, '- Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
Items In this NOTES: .
won) N S a W NE NW SE SW •
Height to top of sign (feet): g F} • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): ; :,,,,,e, sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: I � ;�� �;�. • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes r 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
1:1 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)
y 07/29/2003 14:42 FAX 5035981960 CITY OF TIGARD 1003
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 ° - ° 3 day of , 20 3
4 010 0 fr
ignature" Owner /Agent
Contact Person Name Phone No.
1 i bff
C12_ i
.2---
—
4...--
r--------
' .,......_-
&el) r cy-S
.. ,
• . si'-‘-' ,,
(.3\ c Ci ■
---.)
(-
, . .
*13
Pc; CA.C.),<-
, I ,
v-
. —
--...
-- St
CITY OF TIGARD
Appro ............. .. ................... . [ X ]
r:onditionally Approved .................... 1 1
For only the wor as described in:
----..--_,_
PERMIT No. a-<-1•1 - CKS ■ P
----.
See Letter to: Follow ....................... [ ]
-...,..., __.
Attach ........... 4, ]
Job AjdOss:
...
Hy: &X40-4L..) Date:
06 i
•
CITY OF TIGARD 8/12/2003
13125 SW Hall Blvd. 4:10:05PM
1 44M s \ Tigard, Oregon 97223
►,`4'' :' (503) 63 9-4 17 1
Receipt #: 27200300000000003588
Date: 08/12/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00184 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check TODD KRUSE KJP 58 In Person 31.00
• Payment Total: $31.00
•
•
•
•
•