SGN2003-00321 CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00321
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/24/03
PARCEL: 2S 110DC -02300
BUSINESS NAME: CURVES OF TIGARD ZONE: C -G
SIGN LOCATION: 11515 SW DURHAM RD E -7 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X3'
TOTAL SIGN AREA: 6 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 A -frame sign. Sign must be placed on private
property andd not in the public righ -of -way. Valid 1 -6 -04 thru 2- 06 -04. Sign #1
MATERIALS: WOOD
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 10 days validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ' Air
DATE: 12/2 03
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,,i'i�° SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
Site l /l kv,,_ ,.ti / � (� j,` FOR STAFF USE ONLY
Address! et Address
Permit No.: 6J4 Al 0 3_ 0 03 a
Location 11-C7 S S u _/),.?4 ti t ee, /'
Suite/Bldg. /Bldg. # 7 City /State Zip Expiration Date: y 4 , A, _ ,� /O
../ L' - / '/ ,�`�E... 972, 2- `/ Receipt #: 7 S 3
Name Approved By: r
Property Date: / t Y/ 3
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ' No
Business 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
issuance, a (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ 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
Proposed (3 copies, if a building permit is required)
Pin ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
g Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Balloon ❑ 2 copies of elevations, drawn to scale
O ther
❑ ❑ Billboard
El New sign? ❑Alter to existing sign? (3 copies, if a building permit is required)
size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: t
3X ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /2 /Z ❑ $15.00 Fee (Temporary sign, any type)
Sign Da Total Wall Area (s ft City El Urb
Jurisdiction: ❑
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Co sign placement.
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? 1 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)
r -
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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 12/24/2003
13125 SW Hall Blvd. 1 1 :17:23AM
Al Tigard, Oregon 97223
_._.. (503) 639 -4171
Receipt #: 27200300000000005534
Date: 12/24/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00321 [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 CURVES OF TIGARD KJP 1374 In Person 15.00
Payment Total: $15.00