SGN2003-00275 6 �
CITY TIGARD SIGN PERMIT
ar k DEVELOPMENT SERVICES PERMIT #: SGN2003 -00275
E�J1�l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/31/03
PARCEL: 1S135DD-03301
BUSINESS NAME: HD HAIR ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
. TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) temporary A -frame sign. Sign must be placed on private property
and not in the public right -of -way or visual clearance area. Valid
10/31/03- 11/30/03. sign #3
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 days fre. -- validity date.
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• APPROVED BY:
PERMITTEE SIGNATURE: • —
DATE: 10/31/03 ��
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30,,x75'
w , .,ti .�l� � 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 ft tT la_ c./- U17;_V •
Address/ Street Address Permit No.: 5 a 4 - 1 2 OO 75
Location I jt c ) P ,:Ii-1 C 1 - -•(,vy .' 1. p C / O /..3( /O 3 /�l � 3� f 0
Suite /Bldg. # City /State Zip
In C ( M G - sS qa-Z2-- 3 Receipt #:_ 20o 3 ° 5
Na" • 1 3 1 2 Approved e ,
Property r - . • A. - • '— . _ r --- Date: � 3, /61__
Owner , ailin. Ad•res DG ho(� 51. Suite Map/TL #: /S /C D� - - o.33cy
u
msr∎rsi� � Zoning:_
City/State • , Zip Phone i
• j I W A t—■ 6 a £ 3- Electrical Permit Requlreu - r - U T es - L -,
Tenant or Name
Business pN l f n , T A r ' Building Permit Required? ❑ Yes El--K•
Name Rev. 30 -Jul-01 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 required submittal elements
copy of all City/State Zip Phone without the re q elements)
licenses are
required if . ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date - •
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
P Permanent ❑ Freestanding ❑ Freeway
Sign Temporary El Wall ❑ Electronic ❑ 2 copies of elevations, drawri to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
ZNew sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: i
c 1' ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 1 L
NOTES:
Sign Data Total Wall Area (sq. ft • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) ' j S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been complete& within ninety (90) days after
Materials: • the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes No BECOME NULL AND VOID.
Type: ❑ Internal. All, , ] .External
Are there any existing freestanding or wall signs at this • Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? 0 Visa ❑Mastercard
Credit card number / 1
❑ Yes Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted: • S
Cardholder signature Amount
(OVER FOR SIGNATURES)
i
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 , �% 20 6,1_
alb
Signature of Owner /Agent
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Contact Person Name
Phone No.
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CITY OF TIGARD 10/31/2003
13125 SW Hall Blvd. 12:17:29PM
Aiat Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200300000000004801
Date: 10/31/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00275 [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
Check HD HAIR STUDIO KJP 0244 In Person 15.00
Payment Total: $15.00
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