SGN2003-00260 y
CITY TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2003 -00260
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/17/03
PARCEL: 2S 102C B -00302
BUSINESS NAME: CLINES CLEANERS ZONE: C -G
SIGN LOCATION: 13185 SW PACIFIC HWY B -4 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary sign. Sign #2. Valid from 10/18/03 through 11/18/03. •
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 days from validity date.
/
APPROVED BY:
PERMITTEE SIGNATURE: ,
DATE: 10/17/
L
"a ,. iii` SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 2i 1 S s 00c3(0 0
Address/ Street Address Permit No.: S `o Zcb 3-
Location / 3 j X 5 --4= P I Expiration Date: =!! - er -E ! �'� - .
Suite /Bldg. # City /State Zip
Receipt #: 2-- — ligUe, g'019 `f
Name Approved By: " t1
� _ " ` ' " 017/0 3
Property .�C ,p\A K 1M Date: � '; %:: /
Owner Mailing Address 5 1 Suite Map/TL #: aS I OaCB -0030
C 18 S•k1 � \MYl3V. Zoning: C�
City /State 1 Zip Phone
prtlamc Zi S gglAS N . N - ,atlil i sltli. Electrical Permit Required? ❑ Yes g--No
Tenant or Name
Business C,;1Ae.S C'eaY`eV Building Permit Required? ❑Yes E —No
Name Rev. 8/7/2003 is \curpin\masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if Q Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
Ci t of Tigard's license # [K2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 " " "
Sign ig Temporary El Wall size requirement: 8 /2 x 11 , or 11" x 17
❑ E lectronic
(Check all that
apply) ❑ 2 copies of elevations, drawn to scale
Other ❑ Billboard 111 Balloon
New sign? (3 copies, if a building permit is required)
54 g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 3 f X
4 b- • ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
14 A � E/ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 3 ft- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ 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
❑ Yes El 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)
•
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 1 .\ day of SI W1 \ 02/y , , 20 O '3.
Signature of e ner /Agent
Contact Person Na'ne Phone No.
•
,y
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n l\i'll C'4 RMENT
$ 3.'15
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1)M C LEA N Fb
A p prroveri .... .. ......... ....... .......
Gor�t3ltionally A , {,ro'4 °d ............ .......
For or�1y the work as described in::
PERMIT nl0.5G r d0
.s Letter to: Follow .... ............
Attach .... [ (3 `�
b Addres 5 - - s Date: e a
Ay
CITY OF TIGARD 10/17/2003
13125 SW Hall Blvd. 10:18:29AM
. f �� Tigard, Oregon 97223 9 .
e (503) 639 -4171
Receipt #: 27200300000000004604
Date: 10/17/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00260 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard YOUNG IL KIM CAC 017129 In Person 15.00
Payment Total: $15.00
•
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