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SGN2013-00040
71 CITY OF TIGARD SIGN PERMIT ■ Permit #: SGN2013 -00040 COMMUNITY DEVELOPMENT Date Issued: 03/27/2013 T I G AR I D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DA01400 Jurisdiction: Tigard Name of Business: Bikram Business Address: 15350 SW SEQUOIA PKWY 300 Applicant/Agent: MacReynold, Douglas Work Description: Temporary banner 3 x 8 for Bikram Yoga at 15350 SW Sequoia Pkwy #300. Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: Yes A- Board: No Sign Dimensions: 3 x 8 Total Sign Area: 24 Wall Area: 680 Wall Face (Direction): East Sign Height: 8 ft. Projection From Wall: 0 in. Illumination: No Illumination Materials: Fabric Banner Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $54.00 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: (Q Q,f Permittee Signature: li _ • City of Tigard Sign Permit Application TIGARD Application l GENERAL INFORMATION Name of Development /Project �� FOR STAFF USE ONLY Site O r-ect�p � (? + Si tiGS5 F.A. r 1 r � -- Sr. ddress/ Street Address (.) Permit No.: S( -7N 2-o -,. � y1 D Location S s S $ 4 ) Approved By: it Suite /Bldg. # City/State p q f _( , 0 fi C qeti4 Date: 'mil i 1 3 Na e m � e Receipt #: `' t 0 i Z Property T G. , -rvS Map /TL #: 2 1 2 , DG ©D 1 Owner Mailing Address Suite Zoning: (— P , f (S 3 50 5' S � ' � e c • . ?(i 4 -^') J Allowable Total Area: ZTS f City /State Zip ( Phone Tenant or N Electrical Perm Requ ❑ Yes No Business Z knit .. w- ( rS2 Building Permit Required? ❑ Yes (� i�o Name ,� 7 Rev. 7/1/12 A is \curpin \ masters \land use applications \ sign permit app.doc Sign Si KS /v614 Contractor Mailing Aa ess , Suite City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS T' ..r; p ( � a 2_2., 5°3_ 4 Z4* 0401- (Note: applications will not be accepted OregConst. Cont. Board License # Exp. Date without the required submittal elements) [Pr Application Form Permanent Freestanding Freeway Proposed ❑ ❑ g ❑ y l: 2 copies of site /plot plan, drawn to scale Sign Temporary El Roof El Electronic (3 copies, if a building permit is required) (Check all that apply) ❑ Wall ❑other size requirement: 8 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: 3j, 3xg size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ❑ $171.00 Fee (Permanent sign, any size) Si Data Total Wall Area (s ft.) o [1454.00 Fee (Temporary sign, any type) 3'd �! )c 2.O -1- o (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S 6` W NE NW SE SW Height to top of sign (feet): ? • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign Materials: .. 4,4 4 .41, r placement. • Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes gr No ♦ Freestanding signs over 6 ft. required a building _ Type: 0 Internal ❑ 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. APPLICANT'S: 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 APPLICANT(S) 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 eac er of the subject property are required. -a — 13 Applicant Signature Date ature of Owner /Agent Date o-o �< f cc�Z e-ta S 3 - .7 - —001 Contact PerS Name Phone No. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2 1,11 CITY OF TIGARD RECEIPT ■ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 190782 - 03/27/2013 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2013 -00040 Temporary Sign Permit - LRP 100 -0000 -43117 $7.00 SGN2013 -00040 Temporary Sign Permit 100 - 0000 -43115 $47.00 Total: $54.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 022824 AKOWACZ 03/27/2013 $54.00 Payor: Douglas MacReynold Total Payments: $54.00 • Balance Due: $0.00 Page 1 of 1