SGN2013-00104 •
•
• q;'. OF TIGARD SIGN PERMIT
`. Permit #: SGN2013 -00104
COMMUNITY DEVELOPMENT Date Issued: 08/29/2013
TIGARI? . 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S111 DD00201
Jurisdiction: Tigard
Name of Cozy Nails
Business Address: 15943 SW HALL BLVD
• Applicant/Agent: Kiet, Nguyen
Work Description: Placement of one temporary a -board sign. May not be placed in the right -of -way or
vision clearance area. Valid froth 9/1- 9/30/2013. Temporary -sign 1 of 3.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No 'Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 24 "x30"
Total Sign Area: 5 •
Wall Area:
Wall Face (Direction):•
.Sign ,lieight: ft.
Projection From-Wall: in.
Illumination: •
. Materials: -
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $56.00
Conditions:
•
This, permit is issued subject to the regulations contained in. the Tigard Municipal Code, Sate 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.
•
i
Approved By: lot
Permittee Signature:
•
c2
Cozy NAILS &
•Manicure $15
•Spa Pedi $20
• Shellac Mani $25 0 (I
• Full Set $25
• Fill -Ins $17
503- 598 -6800
Walk -Ins Welcome
//
CITY OF TIGARD ��
Approved -- —
Conditionally Approved .. [
Fo o the work as descr
Pr ERMITZ:nrs U12 ) See Letter to: Follow [ 1
Att al"itl .. .... r .•..
Job Address - ��a £0 .. 1 I
By: i Date=
I N City of Tigard
= Sign Permit Application
TIGARD ,:
GENERAL INFORMATION
Name of Development /Project
/ � Nr FOR STAFF USE ONLY
Site Go � A4 -R a PPt _ t
Address / Street Address Permit No.: .I GN Zu (a -- no 1 0 I 1
Location / 514 3 S w k Alt e co i 1 H
yo / Approved By:
Suite /Bl g . City/State Zip
11G1AkI) OK q 7224- Date: C2-9 I�t�"l)
Name Fee: �; )6 W
Property R)S E N I (i 1 Ai if 6.-- - (77.1 =IYr S , t i C Receipt #: t C I 29) 05
Owner Mailing Address Suite Map /TL #:
2aDl cilk' N AU 3-30 0 Zoning:
City/State Zip Phone Allowable Total Area:
C rA- 7 Wit 1F121 20 (0-- 4414 -117R
Tenant or Name
Business N &o y N ki Electrical Permit Required? 0 Yes No
Name Building Permit Required? ❑ Yes g No
Rev. 6/24/2013
Sign 1: \CURPLN \Masters \Land Use Applications \Sign Permit.doc
Contractor Mailing Address Suite
City /State Zip Phone
REQUIRED SUBMITTAL ELEMENTS
Oregon Const. Cont. Board License # Esp. Date (Note: applications will not be accepted
without the required submittal elements)
Proposed ti Completed Application Form
P ❑ Permanent ❑ Freestanding ❑ Freeway N Sign Temporary ❑ Roof ❑ Electronic
(Check all that Wall ❑ Other ❑ 2 copies of site /plot plan, drawn to scale
apply) (3 copies, if a building permit is required)
size requirement: 8'/2" x 11", or 11" x 17"
❑ New sign? 0 Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
Total Sign Area (sq. ft.): i/ �� size requirement: 8'/2" x 11", to 24" x 36"
X 2 "r /L Application Fee
Sign Data Total Wall Area (sq. ft
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale, but
Height to top of sign (feet): must include dimensions of wall face and sign
Projection From Wall (inches): placement.
Materials: • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes ❑ No • Freestanding signs over 6 ft. and walls signs of
_ Type: ❑ Internal ❑ External which any element weighs 20 lbs. or more require a
Are there any existing freestanding or wall signs at this location, building permit.
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
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 fmancial 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 each owner of the subject property are required.
/(.41 2 q
Applicant Signature Date
/61/ -- 8U5i17r/> p ctJWei - 2q _/3
Signature of Owner /Agent Date
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
Iiii CITY OF TIGARD RECEIPT
q
p 1 3125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TLGARD
Receipt Number: 192905 - 08/29/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 -00104 Temporary Sign Permit 100 - 0000 -43115 $49.00
SGN2013 -00104 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00
Total: $56.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 401919 TLEHRBACH 08/29/2013 $56.00
Payor: Kiet T. Ngyuen
Total Payments: $56.00
Balance Due: $178.00
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