SGN2014-00006 CITY OF TIGARD SIGN PERMIT
III I - Permit#: SGN2014-00006
COMMUNITY DEVELOPMENT Date Issued: 01/21/2014
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: Bauter, Felicia
Work Description: Temporary banner sign 8'x 3'for 30 days from 1/22/14-2/20/14.
Permanent: Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 8'x3'
Total Sign Area: 24
Wall Area:
Wall Face(Direction):
Sign Height: 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, 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 s -II expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: /17 I. <l
lL
Permittee Signature:
r -'
N --• " City of Tigard
Sign Permit Application
TIGARI)
GENERAL INFORMATION
Name of Development/Project
�VP (. FOR STAFF USE ONLY
Site e.�
Address/ Street Address Permit No.: S C ti ZGl l 6
Location
Stutc/73 7atc 7;p Approved By: >
1m 7Tra, c4 Date: 14 -Ft7
Name Fee:
Property N `Ca \ 0SMes1(�(-• Receipt#: / 7Y& /
Owner 'Mailing Address Suite Map/TL#:
l) V W 1Nic )LC 4---\0(1)
Zoning: C - 6-
City/State Zip Phone �, Allowable Total Area: 21 S P
N( M, 0 �� i'--?::'
Tenant s n\Y ,�,
Business IL'J�`` Electrical Permit Required? 0 Yes EffrNo
Name Building Permit Required? ❑ Yes , No
/' Rer.10/21/2013
Sign J:\CURPLN\Masters\i and Use Applications lSign Pennit.doc
Contractor Mailing Address Suite
City/State Zip Phone
REQUIRED SUBMITTAL ELEMENTS
Oregon Const.Cont.Board License# Exp.Date
Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway El 2 copies of elevations on 81/2"a 11"or 11"x 17"
Sign Temporary ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
(Check all that Wall
apply) s— ❑ 2 copies of site/plot plan,drawn to scale,on
81/2"x 11"or 11"x 17"pages (required for
a New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimensions:3l x 8y, a Application Fee
Total Sign Area(sq.ft.): NOTES:
• Applications will not be accepted without required
Sign Data Total Wall Area(sq. ft) _ , submittal elements.
(Complete all Direction Wall Faces(circle one): • Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
sectiO11) N S E W NE NW SF 0W
Height to top of sign(feet): • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): permit from the Building Division for construction. If
Materials: any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination? ❑ Yes 7 No plans must be prepared by a structural engineer.
Type: ❑ Internal ❑ External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space? site/plot plan must be submitted with application.
❑ 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 financial assurance for work
*When the owner and the applicant are different people,the applicant must be the purchaser of record,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 below 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.
Applicant Signature Date
Signature of Owner/Agent Date
Owner/Agent's Name(Please Print) Tide Phone Number
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 of2
01/21/2014 16:48 100 PAGE 1:1_/0
..- 01/21/2814 04:4.4 5034318400 GC-TIGARD TRIANGLE PAGE 03/03
APPLICANTS:—
CAN TS:
sider an application complete,you will need to submit ALL of the E QUareP - -;.vl • - - - • -, " deFexibed oo the
this application in the"Required Submittal Elements'box.
Person spaded as"Appbc nnt"shall be desivated"Primittes"and shall gravid,fmwneial assueancs for work.
*When tie owner and the applicant are didfetent people,the applicant Must be the putc1 *tier of record,a to*ACe in possession with written
4tion from the ov'ncr,of an agent of the owner. The ewnet(s)must sign this a: pbcmion in the space below or submit a written
1i zation with this application.
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY 1 HAT:
. If the application is granted, the applicant will Exercise the right gran:ed in accordance with the temps and
subject to all the conditions and limitations of the approval,.
• All of the above stattInents and the statements in the plot plan, at uchmenta. and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit.i;sued, based on this application, and
snap be revoked if it is found that any such statements arc false.
• The applicant has read the entire contents of the application, incl•'cling the policies and criteria, and
understands the ro9turements for approving and denying the applicat;ot..
I hereby acknowledge that I have tead this application,that the information given is correct,that 1 am the
owner or authorized agent of the owner,and that plans submitted are in cot 1pliance with the City of Tigard.
SIGNATURES of egch owner of the subject proper! are required.
/1
' ) I.- ,iii.deff
A••lieant Signat� Date -
66-7-7-a6e016zi/4-04&zievfatzemiTuviJ,A,c. ,/,, /i,
Sigrsaturc of Owner/Agent Date
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4.167-i ciftAi T vsf '425, mac, l 11-, 563-'47--Cocco's
Owes/Agent's Name(Please Flint) Tide Phone,Number
City of Tigard 13125 SW Hall Blvd„Tigard,OR 97223 503-.778-2421 I www,tigard-or.gov Page 2 of 2
CITY OF TIGARD RECEIPT
111 •
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 194614 - 01/21/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00006 Temporary Sign Permit-LRP 100-0000-43117 $7.00
SGN2014-00006 Temporary Sign Permit 100-0000-43115 $49.00
Total: $56.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash GPAGENSTECHE 01/21/2014 $56.00
Payor: Felicia Bauter
Total Payments: $56.00
Balance Due: $0.00
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