SGN2003-00270 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00270
Adli 6. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 10/27/03
PARCEL: 2S102AC-01704
BUSINESS NAME: A MATTER OF STYLE ZONE: CBD
SIGN LOCATION: 12720 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON: •
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 717 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) wall sign. (3' x 6') Mounted on marine board with wood trim.
MATERIALS: VINYL /TRIM
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: 6412 . (1/31.4/14 !/
PERMITTEE SIGNATURE: --- 0J"' " — Y/ 1 49 / 1 C - 9 / '�
DATE: 10/27/03 !l/���
A tit,. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Na e of Development/Project FOR STAFF USE ONLY
Site I/4 tkiZ 0l Sly k_
S treet Address �- clop 3 — T.b 7 O
Address / AA �, Permit No.: S � N �
Location � 2 - T - z o 6 ,, V J pact i'G )kit.
Expiration Date:
Suite /Bldg. # City /State Zip
44 i-1- •� e � 612_1:143 Receipt #: X003 — `f 7 of 0
Name Approved By: C ..
Property (MI CCA SUv\ VliO Date: CO - 7--8 3
Owner Mailing Address I Suite Map/TL #: cRS 1 D a A C- -0 /7 04
14544 SN 444ute ek Zoning: R L( . S
City/State �Z.Ip_ ., Phone
G���'�"6Y► 503 ,5)0 9am Electrical Permit Required? ❑ Yes 4 No
Tenant or Name
Business - ONE --ri412-J1 - Building Permit Required? iii Yes jzi No
Name Rev. 2/28/2003 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 without the required submittal elements)
copy of all City /State Zip Phone .
licenses are
reuired if
q El ' 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)
Proposed 1A1, Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Other Billboard Balloon /
(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:
® $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): r 1 $1 �• Fee r
2 ` S�. . i � �� met (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE S W •
Height to top of sign (feet): j2.5" • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): I'l a ,,, but must include dimensions of wall face and
)` sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: v j NA l • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes IA .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
BECOME NULL AND VOID.
DI Yes El No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
IF
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.
r--- /
DATED this day of 1 I , 200 3
1
4 - — / ---yk_ ii
Signature of s - - -r /Age / /
h / L_______,
-- Chu' ` ‘O kb/ v.s - "
Contact Person Name Phone No.
CITY OF TIGARD
13125 SW Ha11 Blvd.
hA�'otvoio Tigard, Oregon 97223
AINII■ ins (503) 639 -4171
Receipt #: 27200300000000004720
Date: 10/27/2003
Line Items: -
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00270 [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 A MATTER OF STYLE CAC 129 In Person 31.00
Payment Total: $31.00
5032949047
10/23/200 09:59 PREMIER PRESS - 5036390111 NO.302 901
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