SGN2003-00284 S
CITY OF TIGARD
SIGN PERMIT
.,., 1 DEVELOPMENT SERVICES PERMIT #: SGN2003 - 00284
c� l 13125 SW Hall Blvd., Tigard, OR 97223 (503).639 -4171 DATE ISSUED: 11/14/03
PARCEL: 2S 10X8 - 00302
BUSINESS NAME: CLINES CLEANERS ZONE: C -
SIGN LOCATION: 13185 SW PACIFIC HWY B - 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: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary sign. Sign must be placed on private property and
not in the public right -of -way or visual clearance area. Valid 11/19/03- 12/19/03.
Sign #3
MATERIALS:
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 1 days from validity date.
APPROVED BY: ,
PERMITTEE SIGNATURE: t7;J
DATE: 11/14/03
_..
A 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
Site C I C s ceo�rneAv S FOR STAFF USE ONLY
Address/ Street Address Permit No.: , tJ ?mac., .3 D0 $
Location X31 gs ‘5_, ii.) , PC∎ ' Q c H ii ' Expiration Date:
Suite /Bldg. # City /State Zip
e— A — t T f afr:R Q 23. Receipt #:
Name Approved By:
Property 1/'1 Date:
Owner Mailing Add Suite Map/TL #:
9,033 5.1,J , AY O\Y )Sv- Zoning:
City/State Zip Phone9 /,
Tenant or Na �Y a/612A.92i1 `� Electrical Permit Required? ❑ Yes ❑ No
Business C 1; J C 1eo►ers Building Permit Required? ❑ Yes ❑ 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
issuaoc a w ithout the required submittal elements
copy of all City/State Zip Phone q elements)
licenses are
required if LI 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 ❑ Permanent ❑ Freestanding Er Fleeway - size requirement: 8 x 11", or 11" x 17"
Sign a Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 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: , f,
3 x it ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 9t,
1 ') ❑ $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 S
Height to top of sign (feet): 3 (2 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Co py . • 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 in day of Nov ew,\ J ,20 03
Sig -ature of O - /Agent
SosejQrN
Contact Person f lame Phone No.
CITY OF TIGARD 11/12/2003
13125 SW I -]all Blvd. 10:48:38AM
- Tigard, Oregon 97223
e' '� I (503) 63 9-4 17 1
Receipt #: 27200300000000004950
Date: 11/12/2003
Line Items:
Case No Fran Code Description Revenue Account No Amount Paid
SGN2003 -00284 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -00285 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $46.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard YOUNG IL KIM KJP 012665 In Person 46.00
Payment Total: $46.00
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