SGN2002-00233 CITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2002 -00233
- - 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/4/2002
EXPIRATION DATE:
BUSINESS NAME: MASCOLA'S SALON PARCEL: 1S135BC-00201
SIGN LOCATION: 10763 SW GREENBURG RD 120
•
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'X17' -
TOTAL SIGN AREA: 106 sq. ft.
WALL AREA: 792 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 13 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 106 sq ft permanent wall sign.
MATERIALS: ALUM /PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 da = • ign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expir- 0 • - es from vafrd• date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 11 /4/ 02
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U -q.1 SIGN PERMIT APPLICATION
CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project -_
FOR STAFF USE ONLY
Site XA it cc 1 5 $ At_ c,LJ
Address/ Street Address Permit No.: - 2.,;c:\ . Z__ — O v7- -.3
Location 10 SVV U?-eF 4.111 `nn,
Suite /Bldg. # City/State Zip K�J • Expiration Date:
Name ��szi cc �, Z Receipt #: 01..
Approved By: /` Y('
Property s 1 +- tess'?ZoPE, , ThecAE .oPWIC4-ir Date: ill v/ 2.._
Owner Mailing Address Suite Map/TL #: /..5/ ?5'49C..- —C)o Z(:.; /
21.02.0 (7TW St~. 2cc7, CC
Zoning:
City /State Zip Phone
Tenant or t �'I'�Z Electrical Permit Required? 1s ❑ No
� _. Yes �� Building Permit Required? ❑ Y o
1 A- .e> S
Name Rev. 30 - Jul - 01 i:\cu .In \masterslrevised\si•n .- rmita•..doc J
Business I% V
Sign ��"C Lei r -( S t cs.71,1S
Contractor Mailing Address • Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a 43(' Se. 17- A - __........_.------,1 (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are !� �7
required if ec9Q.TC
. m .17Z1 u 95) 23 Z L! /-2Z, 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) CZ..Z,SDo\ 3 -3O . 0 P
(3 copies, if a building permit is required)
Proposed size requirement: 8' /i x 11", or 11" x 17"
❑ P ermanent Freestanding ❑ Freeway
Sign ❑ Temporary I
(Check all all that Electronic ,�2 copies of elevations, drawn to scale
apply) ❑ Other ❑ Billboard El Balloon (3 copies, if a building permit is required)
size requirement: 8 x 11", to 24" x 36"
New sign? ❑ Alter to existing sign?
❑0�, F ee (Permanent sign, any size)
Sign imensions: ,
,, 3v
1 7 —4:3 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): C562,6
NOTES:
Sign Data Total Wall Area (sq. ft.) t yi, • Wall signs do not need to be drawn to scale,
g 71 2, 9 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
Height to top of sign (feet): • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): l3'' • If work authorized under a sign permit has not
Copy: V1 c L(744 been completed within ninety (90) days after
Materials: , rA.40" /.Pt,6 C the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes ❑ No BECOME NULL AND VOID.
Type: 11• Internal ❑ External
Are there any existing freestan el . or wall signs at this iNot all jurisdictions accept credit cards, please call jurisdiction for more information
location, including wall signs that overlap a tenant space? 0 Visa O MasterCard
❑ Yes ❑ No Credit card number / /
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) /
A. .A'
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.
day of ' 20_
DATED this y
Si. ature of Owner /Agent
`(/7Z_
6 /��� Phone No.
Contact Person Name
CITY OF TIGARD 11/4/2002
13125 SW Hall Blvd. 12:15:30PM
Away Tigard, Oregon 9 72 23
8 11 (503) 639 -4171
Receipt #: 27200200000000004202
Date: 11/04/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00233 [SIGN] Sign Permit 100- 0000 - 437000 30.00
ELC2002 -00584 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2002 -00584 [TAX] 8% State Tax 100- 0000 - 207020 4.27
Line Item Total: $87.67
Payments:
Method Payer User ID Check No. Approval No. blow Received Amount Paid
Check SECURITY SIGNS INC KJP 009103 In Person 87.67
Payment Total: $87.67
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CD Manufacture and install one (1) set of internally illuminated channel letters /wrap.
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Letters to have white faces, black returns and mounted to an exposed raceway. I11 1 Wrap to have reverse cut black vinyl graphics and mounted to an exposed
] S A L 0 .,
r aceway. Raceways to be painted to match channel and fascia color.
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DATE CLIENT CLIENT APPROVAL -
--q r — r — Uhl 436 SE 12TH AVE
PORTLAND, OR 97214 091 702 0 Copyright 2002 Security Signs, Inc.
�' ?� ✓ % `LJ ■] : � This original design and specifications are
T 503.232.4 1 72 exclusive property of Security Signs, Inc.
G i\i WWW.SECURITYSIGNS.COM
��7 The use of [here designs to produce a similar
sign u a �lW!►� PLEASE SIGN HERE
OR CCB #122809 F. 503.230.1 861 PROJECT MANAGER The without written authorization from
S AL 0 Security Signs, Inc. is forbidden.
QUALITY SINCE 1925 WASECURSIO20CF
TOM KELJO
DATE