SGN2003-00007 CITY OF TIGARD SIGN PERMIT
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� �I DEVELOPMENT SERVICES PERMIT #: SGN2003 -00007
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Al 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/21/03
PARCEL: 1S136DB-02601
BUSINESS NAME: CASH CONNECTION ZONE: C -G
SIGN LOCATION: 11608 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: JONATHAN WALLACE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2 X 12'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 720 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 15 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: PROPOSAL TO HANG A BANNER TO ADVERTISE TAX SERVICES.
APPLICANT TO ENSURE LETTERING DOES NOT EXCEED 24 SQUARE FEET
IN AREA.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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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) 0 days rom validity date.
APPROVED BY:
PERMITTEE SIGNATURE: 4 9 / 9 / 1.7 / 7 7 -) 0 /"
DATE: 1/21/03
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wit SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
� /p� FOR STAFF USE ONLY
Site .-ax r5ot L. /�
Address/ Street Address Permit No.: J l� 0O3j - 00
Location 1 1 le 0 6 5L Pac/'(iC H a(an /03
Expiration Date:
Suite /Bldg. # City /State Zip
i . _ . vz• Receipt #: ').003 – 150 6 /
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Name , • � T • } Approved By: 6
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Property R1 c. K 0
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Owner Mailing Address Suite Map/TL #: I S \ .1/D D.e — 0Q,&01 •
6O NE (ty b _ Zoning: C.- G_ — -- —
City/State
e� Zip Phone 1�/- .
PS TA
O -�711 b 7 Z U� UIO55 Electrical Permit Required? ❑ Yes No
Tenant or Name
Business Building Permit Required? El Yes ►� No •
Name Rev. 30 -Jul -01 is \curpin \masterslrevised \sign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
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 # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed I=1 Permanent ❑ ❑ size requirement: 8 x 11 ", or 11" x 17"
Freestanding Freewa y
Sign 2. Temporary X Wall ' ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
N, New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: r
3 X ( $15.00 Fee (Temporary sign, any type) •
Total Sign Area (sq. ft.):
3(o NOTES:
_. Total Wall Area (sq. Zb • Wall signs do not need to be drawn to scale,
Sign Data
but must include dithensioins of wall -- face and (-
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) N S E W NE e SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 1 5 ' building permit.
Projection From'Wall (inches): liti "' • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have - illumination? ❑ Yes No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this 1- Not all'jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? Visa MasterCard
Credit card number 1 1
❑ —
Yes 1Sk No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
• ' square footage must also be submitted. • - $
Cardholder signature Amount
(OVER FOR SIGNATURES) . \
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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 7 day of tf,,V1,IA bay , 20 0
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Si* r ture of Owner /Agent
L�AA_ 0A\,a, Say q60- ID lb
Contact Person Name t` Phone No.
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CITY OF TIGARD 1/21/2003
13125 SW Ha11 Blvd. 12:47:17PM
A � Tigard, Oregon 97223
.. - ��� (50 3) 63 9-4 17 1
Receipt #: 27200300000000000242
Date: 01/21/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00007 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
I ; Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check OAK BROOK FINANCIAL CORP. BMK 31020 In Person 15.00
Payment Total: $15.00
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