SGN2003-00251 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00251
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/03
PARCEL: 2S 110AB - 00200
BUSINESS NAME: ALPHA CLEANERS ZONE: C -
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X1'
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x1' banner. Valid 11/10/03 thrul2 /10 -03. Sign
#2
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 d s from validity date.
APPROVED BY:
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PERMITTEE SIGNATURE: �' •
DATE: 10/15/03
Oct 08 03 10:59p Shahin Sarmadi (503) 639 -5127 p.2
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C GARD
lSIpN 13125 SWFjall Blvd fgartl OR 97223 (503J 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION •
Name of DevabpmentrPro)ect FOR STAFF USE ONLY
Site LPha. Cce� � >�
Address! Strael Address Permit No_: . 5 4 /" Lti a 3 - ex) ZS /
7 c
Location / (S �4) i b 4 - •
su . * ` CRY/State • r ZIP Expiration Date: �
t I all) G3?• 1 702 6I Receipt#: ;) - Y `
j 5 7
NamC ^ ,9 Approved By & W� .
Property k\r i )l e Date: l c f/
Owner Meiling Address Suite Map/TL #: •
l ‘4 Zoning:
Ci ylState Zip Phone .
'Electrical Permit Required? Q Yes ❑ No
Tenant or Nafne
Business A � il . j ,.'" " ` Building Permit Required? 0 Yes ❑ No
- Nemo Rev 01- 1u1-02 t:tcurplremasterstrevisedlsipn permit app.doc
Sign .
Contractor Mas++a Address Suite REQUIRED SUBMITTAL ELEMENTS
(prior to permit f all Zip Phone submittal ol, h.. c1.
re' C.. L0 ✓�_- (Note: applications will not be accepted
issuance.
z,
Dopy of without the required sutal elements)
licenses are
required it ❑ Completed Application Form •
expired in the Oregon Const. Cont. Board Exp. Date
City ot rgard . e License # ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database) (3 co ies, if a building p g permit is required)
Pmposed W permanent ❑ Freestanding ❑ Freeway size require SW x 11", or 11'x 17"
Sign Temporary ❑ Welr ❑ eech.ic
tick en that ❑ other ❑ Bonnard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
eppiY)
(3 copies, if a building permit is required)
ESI New sign? ❑ Atter to existing sign? size require bent 81/2° x 11 ", to 24" x 36"
Sign Dimensions: , - ,
❑ $.39:80 Fee (Permanent sign, any size)
•
Total Sign Area (sq. R_) ' b , / 1 3i -
3 � i!. $1.04 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft_) , /t- wit /
tComptete ar Direction WFaces (circle one): P "'"' NOTES: I
items in tries
section) N S Q NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): f • " but must include dimensions of wall face and
Projection From Wall (inches): , sign placement.
Copy: + Wall signs do not require sitelplot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
❑ Internal ❑ Ex ternal • tf work k k g authorized under a sign permit has not
Type: been completed within ninety (90)
Are there any existing freestanding or wall signs at this days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
- 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)
Oct 08 03 10:59p Shahin Sarmadi (503) 639 -5127 p.3
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•
1 hereby acknowledge that I have read this application, tha the information given is
correct, that I am the owner or authorized agent of the owner, a d that plans submitted are
in compliance with the City of Tigard.
DATED this I ! day of 20
Signature of Owner/Agent
Scki .� �, S • } - 4- 3 , Zi z 7
Contact Person Name Rho e No.
•
•
•
13125 SW Ha11 Blvd. 12:46:58PM
4' "'M"NI0 Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200300000000004546
Date: 10/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00250 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00251 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -00252 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard FARID ATIGH KJP 061055 In Person 45.00
Payment Total: $45.00
Page 1 of 1 cReceipt.rpt
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CITY OF TIGARD
Approved k
Conditionally Approved
For only the work as described in:
PERMIT NO. 5 y) -�
See Letter to: Follow
Attach
Job Addres •
• Data: _.1.1,)