SGN2003-00111 CITY OF TIGARD SIGN PERMIT
4 i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00111
� DATE ISSUED: 5/16/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD-03301
BUSINESS NAME: HD HAIR STUDIO ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 204 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign. Sign #1. Valid 5/19/03 through 6/19/03. Sign must be
placed outside of city right of way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 0.00
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 from validity date.
APPROVED BY: (Z��C eoc
PERMITTEE SIGNATURE:
DATE: 5/16/03
.,,,tl, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
J +�(( ���� FOR STAFF USE ONLY
,�
Site .� /..J
Address/ Street Address N c=1°°3 -- D 0 I ■ Permit No.:
Location !� / p '
I s u g /�Idg. 441 A t G IM �l Expiration Date: — / 9 - 03
lI l4 /A °1a-2Z� Receipt #: a? O O .3 - /' 9 3
Name Approved By: - ea-L)
(��J Date: S )C9- D 3
Owner Ma d d ess ��� i te C Map/TL #: )S) 35 0 0 -- 033 Z>
fO6 Si SIAocD $ . Zoning: C' Q
//
City/State /, Zip Phone
b ; / u w ;P f oX 6 � '— 5
Tenant or Name Electrical Permit Required? ❑Yes ] No
Business _Doti Building Permit Required? ❑ Yes V No
Name Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc
Sign -
Contractor Mailing Address - Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance,
copy of ll 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)
Pro Proposed size requirement: 8Y2" x 11 ", or 11" x 17"
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ❑ 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: 81/2" x 11 ", to 24" x 36"
New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: f , / cf
1( ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft. :
NOTES:
Sign Data Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this
section) ♦ Wall signs do not require site/ lot plans.
section) N S E W NE NW SE SW g q p p
Height to top of sign (feet): • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): • 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
Are there any existing freestanding or wall si Exter al
ns at this " No t all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ID 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)
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 5 / day of fTiG{Gl , 20 6
i
Signature of Owner /Agent
Wenh'/Le r so ?-,)
Contact Person Name Phofle No.
Example of Site Plan
Parking
O
L
r",
Driveway
4ll •
Retail c!
Building
Parking
• —
M
{�
la' ` U
reestanding
7 7 7 _ •7''"'• 7 1 ora Sign
' Concret - ' alkway
f 35'
SW Commercial Avenue
Site Address: 13524 SW Business Lane
Tenant/Business Name: A Better Office Products Company N
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503 -555 -4321
*Visual clearance area dimensions are drawn for this example only.
i:Wm1t«msksigncxmpl.ptt 01/13/'99 For correct dimensions, consult the Community Development Code.
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5/16/200:
13125 SW Hall Blvd.
wor Tigard, Oregon 9 72 23
9:03:46AN
(503) 63 9-4 171
Receipt #: 27200300000000001998
Date: 05/16/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -001 11 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2003 -001 12 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. Flow Received Amount Paid
Check HD HAIR STUDIO CAC 0201 In Person 45.00
Payment Total: $45.00