SGN2003-00285 CITY TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00285
mai ca II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/03
PARCEL: 2S102CB - 00302
BUSINESS NAME: CLINES CLEANERS ZONE: C -
SIGN LOCATION: 13185 SW PACIFIC HWY B - JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.75' X 8'
TOTAL SIGN AREA: 22 sq. ft.
WALL AREA: 150 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 22 sq ft projection wall sign. Sign must be securely attached
to building. Must be at least 8 ft from grade and not in the public right -of -way.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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 ays from validity date.
APPROVED BY: ,
PERMITTEE SIGNATURE: Tom. 5��ea
DATE: 11/17/03
,, .
„.....
,,�, 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
Address/ Street Address Permit No.: 5 ( A) 1.-.3' - C �' 53 '' S---
Location 13185 SW - PC\C,-P, e u
Expiration Date:
Suite/Bldg. #. City /State Zip
T? 5 0 ,-d_ 9 7D -D Receipt #:
Name Approved By: A-
Property 3 6s444. VI'm. Date: 11 //2 p3
Owner Mailing Address 1 Suite Map /TL #: -5/ c 0 G (2 3 v Z
•1* 1olJ Zoning:
City/State Zip P one j
t k1 �/caR 9 9 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business CI'MN$ C' 1ea 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
• issua a w ithout the required submittal elements
copy of all City /State Zip Phone 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)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ❑ Temporary iM 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'
O 1S .4 p 8 . ft , ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Areq4sq. ft.):
Q ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (ssq. Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S C9 W NE NW SE SW
Height to top of sign (feet): 10 .7 s �,G • 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: P /Ct / , c, • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal A 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.
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
4
s
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 - t \ day of 0 G-r i.c , 20 (
Signatdi6 of Owner/Agent
i
Contact Person Namb Phone No.
• j, h
7
kr)
N
5 -f-+
CITY OF TIGARD 11/12/2003
13 125 SW Hall Blvd. 10:48:38AM
- ;71, t 6 Tigard, Oregon 97223
t 'I� (503) 63 9-4 17 1 -
Receipt #: 27200300000000004950 a1
Date: 11/12/2003
Line Items:
Case No Tran 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
Page 10II
clieccipt.rpt