SGN2002-00251 ,
~/ CITY OF T I G A R D SIGN PERMIT
4
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00251
' - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/02
EXPIRATION DATE:
BUSINESS NAME: THE SPA DOCTOR
SIGN LOCATION: 11642 SW PACIFIC HWY PARCEL: 1S136DB - 02400
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 35" X 40"
TOTAL SIGN AREA: 22 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 22 sq ft temporary A -frame sign. Sign must be placed on
private property and not in the public- right -of way. Valid 11/19/02- 12/19/02. Sign #2
MATERIALS: POLYPROPHYNE
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 1 s from validity date.
APPROVED BY: /
PERMITTEE SIGNATURE:` --)
DATE: 11/18/02
�Q� , i„ SIGN PERMIT APPLICATION
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CITY F I 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site 714r— �17t \✓OCO 2 c
Address/ Street Address Permit No.: c C7 N 2_o O Z_ - 0 O 2 S f
Location I 1 6 I--{ vu Pe.c C,_ 1/4 ‘,.1 Expiration Date:
Suite /Bldg. # - Ci it t -y / /S State (� Zip ) ,
lE 1 \ rat(— 0IZ 1 19a� Receipt #: 6 � 7 , 3 9/
Name �l Approved By: 6 -
Property R1J C --LAW1 Date: // /1/0
Owner Mailing Address Suite Map /TL #: 5/ 3 C ) 6- 6 7 -9 1 ()°
abig Sv NR„i c-A At Zoning: ( 6
City/State 02 Zip Phone
JeV \Iti,1 `9 4' Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes ❑ No
Business 'C3v S L R
Name Rev. 01 -Jul -02 hcurpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone ,
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 Ex Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign is Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboar ❑ Ba lloon El 2 copies of elevations, drawn to scale
apply) 1 (3 copies, if a building permit is required)
j. New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: '' %1
3� �f ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):� E,T ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) N j l't
(Complete all Direction Wall Faces (circle one): N'/*' NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: f LA r go', .,,.. . • Freestanding signs over 6 ft. required a
building permit.
Will sign have illu ination? Li Yes 54. No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes [x No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. -_
(OVER FOR SIGNATURES)
ir
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.
DATED this IS day of , 20 O
/
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Signature of 0 , "er /Agent
Contact Person Name Phone No.
CITY OF TIGARD 41 11/18/2002
13125 SW Hall Blvd.
M' Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200200000000004394
Date: 11/18/2002
Line Items: Amount Paid
Case No
Tran Code Description Revenue Account No
SGN2002 -00251 [SIGN] Temp Sign Perm
100 - 0000 - 437000 15.00
SGN2002 -00252 [SIGN] Temp Sign Perm
100- 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. flow Received Amount Paid
Check THE SPA DOCTOR
KJP 2106 In Person 30.00
Payment Total: $30.00
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