SGN2012-00095 III CITY OF TIGARD SIGN PERMIT
■ P ermit #: S GN2012 -00095
COMMUNITY DEVELOPMENT Date Issued: 05/22/2012
T f G AR - 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DCO2504
Jurisdiction: TIGARD
Name of Business: Great Clips
Business Address: 7275 SW DARTMOUTH ST 120
Applicant/Agent: Great Clips,
Work Description: Balloon - temporary sign.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: Yes
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: 8 ft.
Projection From Wall: in.
Illumination:
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: CA/20)/(_ a-- ( C=w- o
Permittee Signature: j (.Q
11 , 1 1
City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
N e of Development /Project
��Q �\ ` � � FOR STAFF USE ONLY
Site
Address/ Street Address I Permit No.: 5C N WO .2 ocoR5
Location 721 7 Su- Cl Q�1('+"YYY O u- 5 I
Approved By: C • C C .. A2. —.
Suite /Bldg. # City/State Zip
1 10 Tlard of ci1 Z-/-y Date: 5" -a.a -1a ,.
Name Receipt #: / S6 8.3 $
Property 5-4(11(___ Map /TL #: 1 3 ,C — C. 5d ci
Owner Mailing Address Suite Zoning: i '� C. � - PIA
/v
Allowable Total Area: r)
City /State Zip Phone
Electrical Permit Required? ❑ Yes Ni No
Tenant or Name
Business (_ , QO k C\ \ � Building Permit Required?
� ❑ Yes X No
Name / l Rev. 7/1/11
is \eurpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Permanent ❑ Freestanding ❑ Freeway
Proposed y ❑ 2 copies of site /plot plan, drawn to scale
Sign Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply) ❑ Wall ❑ Other size requirement: 8 /z" x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ! ❑ $165.00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft) _ o ❑ $52.00 Fee (Temporary sign, any type)
o,
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but .
Projection FroR Wall (inches): must include dimensions of wall face and sign
placement.
Materials: l?) 0. \l h�� ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ❑ No ♦ Freestanding signs over 6 ft. required a building
Type: El Internal p External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square
(OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2
•
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANTS) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
♦ The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
/ l ^
Applicant Signature Date
Signature of Owner /Agent Date
50 9 ?Ae a - 5�
Contact Person Name Phone No. /,n VX1
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
1,11 CITY OF TIGARD RECEIPT
a • 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TEGARD
Receipt Number: 186838 - 05/22/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2012 -00095 Temporary Sign Permit 100- 0000 -43115 $45.00
SGN2012 -00095 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 5610 CCAINES 05/22/2012 $52.00
Payor: Tokatee Holdind, Inc.
Total Payments: $52.00
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD SIGN PERMIT
C : Permit #: SGN2012 -00095
COMMUNITY DEVELOPMENT Date Issued: 05/22/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S136DCO2504
Jurisdiction: TIGARD
Name of Business: Great Clips
Business Address: 7275 SW DARTMOUTH ST 120
Applicant/Agent: Great Clips,
Work Description: Balloon - temporary sign.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: Yes
Banner: No A- Board: No
Sign Dimensions:
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: 8 ft.
Projection From Wall: in.
Illumination:
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions: s e[-fLz/
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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:
Permittee Signature: ��
Record Details Page 1 of 2
Record ID: SGN2012 -00095 •
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File Date: 05/22/2012
Application Status: Closed
Application Detail: Detail
Application Type: Planning /Sign Permit/NA/NA
Address: 7275 SW DARTMOUTH ST 120, TIGARD, OR 97223
Owner Name: AMERICAN INDUSTRIES INC
Owner Address: 1750 NW FRONT AVE STE #106, PORTLAND, OR 97209
Application Name: Great Clips
Description of Work: Balloon - temporary sign.
Parcel No: 1S136DCO2504
Contact Info: Name Organization Name Contact Type
Great Clips Applicant
Licensed Professionals Info: Primary License Number License Type
Job Value: $0.00
Total Fee Assessed: $52.00
Total Fee Invoiced: $52.00
Balance: $0.00
Application Spec Info.: Name of Business: Great Clips
Total Number of Signs: 1
Permanent ?: No
Temporary Sign #: 1
From: 06/01/2012
To: 06/11/2012
Freestanding:
Wall Mounted:
Billboard:
Freeway Sign:
Electronic:
Balloon: J
Banner:
A- Board:
Dimensions: _
Total Area:
Wall Area:
Wall Facing: _
Sign Height: $
Projection:
Illumination: _
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Record Details Page 2 of 2
Materials: _
Electronic Permit Required: No
Building Permit Required: No
Workflow Status: Task
Application Submittal
Completeness Review
Staff Review
City Council
Land Use Board of Appeals
Final Processing
Condition Status: Condition Name Status
Application Comments: View ID Comment
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