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SGN2002-00252
CITY OF TIGARD SIGN PERMIT xwtil ,h ' 14, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00252 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/02 EXPIRATION DATE: BUSINESS NAME: THE SPA DOCTOR PARCEL: 1S136DB-02400 SIGN LOCATION: 11642 SW PACIFIC HWY 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 12/20/02- 1/19/03. Sign #2 MATERIALS: PILYPROPHYNE 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 da or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expi 0 ays from validity date. APPROVED BY: PERMITTEE SIGNATURE: 6'� 0-7°`"(.._' DATE: 11/18/02 . A .., t,, SIGN PERMIT APPLICATION CITY F T TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name '' of `` Development/Project FOR STAFF USE ONLY Site �WL_ �1 \1o2_ Address/ Street Address r l Permit No.: c C7 --04::3 2 - b(3 2 S Location 1 ( 6 Lt - `� W PAc C —:� Y _� Expiration Date: Suite /Bldg. # City /State Zip J 2 Receipt #: `o d a� (j3 y Name Approved By:, Property t �.c& _ . Date: 11 !l© Owner Mailing Address I Suite Map/TL #: S/ 3 c )6- Z Vv d 1.16' Sv t. p G fAc Zoning: r �7 City/State o p_ Zip Phone `i <T1m Electrical Permit Required? ❑ Yes ❑ No Tenant Building Permit Required? ❑ Yes No Business Na .0 10'e -S Name Rev. 01 -Jul -02 iAcurpin \masters \revised \sign permit app.doc Sign I° Contractor Mailing Address Suite i 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 a Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign Is Temporary ❑ Wall ❑ ' Electronic (Check all that El 2 copies of elevations, drawn to scale ❑ Other ❑ Bil lboard ❑ Ball apply) (3 copies, if a building permit is required) , I. New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: , // 3 X�iO El $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): , aali El- ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) N i ' (Complete all Direction Wall Faces (circle one): N/r NOTES: items in this section) N S E W NE NW SE SW a 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: a Wall signs do not require site /plot plans. Materials: �p o,�t o Freestanding signs over 6 ft. required a 1 r I building permit. Will sign have il ination? ❑ Yes rg, No o 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 Lk No 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 day of , 20 Signature of 0 '' er /Agent Contact Person Name Phone No. 002 CITY OF TIGARD 11/18 11/18/2/2 02 13125 SW Hall Blvd. M Tigard, Oregon 97223 61,L, (503) 639 -4171 Receipt #: 2720020000000000439 Date: 11/18/2002 Line Items: Case No Amount Paid Tran Code Description Revenue Account No SGN2002 -00251 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 1 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. How Received Amount Paid n 30.00 Person Check THE SPA DOCTOR KW 2106 In Payment Total: $30.00 1 0 > 4 \ TH 1! 6op(6 1 r y_____ 1\ off \ ) Oki P ...._ ) r .. i.. , il t. .4 ( t L- f D,._ • -13 ,1 ,, „. „ ,Iiii ., .,..; t ;� 1 ,, 4 App roe ed... [ PITY OF l aA Cond1,i...n...ry Approved...__ Fo c.nly the wort, a. described in: FcAMIT NO. _5��?� a�2.4i.? Se,; Lett,:r tc• Follow....... i J a. 0 r rp • poi' / %,I .. `� b y• — fit► .. . .._.� _ Datf4.. t -im o'L� F S , r c -,,, �. 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