SGN2003-00314 CITY OF TIGARD SIGN PERMIT
k k DEVELOPMENT SERVICES PERMIT #: SGN2003 -00314
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/16/03
PARCEL: 1 S136DB -02601
BUSINESS NAME: CASH CONNECTION ZONE: C -
SIGN LOCATION: 11608 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: 720 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placment of (1) one 18 sq ft temporary banner. Valid 12/16/03 thru 1/16/04. Sign
#2
MATERIALS: BANNER
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 expir: • ays fro -. ity date.
APPROVED BY: AP `
PERMITTEE SIGNATURE: 4 ��
DATE: 12/16/03
I
A
SIGN PERMIT APPLICATION
CITY O F TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project .ND d Ay
Site
fOMO -R2V1d ? O ann ee_ FOR STAFF USE ONLY
Address/ Street Address
/ ' J Permit No.: C ] 2 r► - CAD 3 /
Location ) 14,d 5k) kei -r t"Ipd y l
Suite /Bldg. # City /State I Zip Expiration Date: I� b r� l r/p
- r 6 m 677 Z Z Receipt #: 2-- '' 3 — C `F/ 3
Names Approved By: rp
Property CAy�- • 6 nrne6h`ovl 74 ,3 -1 5- Date: / 5 ,.
Owner Mailing Address Suite
Y'O� n Suite Map/TL #:
llloa$ G1 Zoning: 6 City/State Zip / Phone
11 d 9722 5 ) aid
Tenant or Nam Electrical Permit Required? ❑ Yes 0—No
Business L 6 pi u eW07/t Building Permit Required? ❑ Yes la,No
Name Oa Rev. 8/7/2003 is \curpin \masters\revised\sign permit app.doc
Sign � >it lla-�
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
4/ issuance, a � 5 w el Gf'6 ll (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are I `I 17221 3 - 169 - / �
required if ( iq r 0 /(J ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign a Temporary Wall ❑ Electronic
(Check all that Other ❑ E] 2 copies of elevations, drawn to scale
apply) ❑ ❑ Billboard Balloon
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3; k / ,4
(� ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ' 4
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) //0 /,5 � Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this � NOTES:
section) N S E (y NE C'� -\ SE SW
Height to top of sign (feet): /Q ' • 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 15 No building permit.
Type: ❑ Internal L 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 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 I day of YGel'i/ be-4- , 20 d 3
% jjk/14/z I / /
o f u e of Owner /Agent
COlAtA-- [AIL)! az -e__ % ni, Pere7
Contact Person Name / Phone No.
E bo -,
_------A ,
\I) 7
/ R/
6
t i a-et yb
. .
. J
re 4-te -.1-det.A
. ,
CITY OF TIGARD
Approved......... .......................................................
Conditionally Approved__ ............................... [ . 1
..--.
/ , For only the vf,,as descril
/
--( 4t
7
See Letter to: Follow ............................................ [
Attach 6h.... ... . .... .. ..: ........ : ... .[
"--- Job lcidres.L1-4--C1-• 0 ( ' • l'
Z Nf
iNet h
■._ Dal
1------------------______
CITY OF TIGARD 12/16/2003
13125 SW Hall Blvd. 4:02:47PM
Tigard, Oregon 9 72 23
.--11W j 6. (503) 63 9-4 17 1
Receipt #: 27200300000000005413
Date: 12/16/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00314 [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
Cash CASH CONNECTION KJP In Person 15.00
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt