SGN2004-00280 . .
CITY OF T I G A R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 00280
'hi DATE ISSUED: 9/30/04
13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135DD-03301
BUSINESS NAME: PLAZA BARBERS ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 215 JURISDICTION: TIG
APPLICANT /AGENT: PLAZA BARBERS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 8') Sign #3. Valid 10/1/04 through
10/30/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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: (" ( j�4.0_F yd C /
m1"'
PERMITTEE SIGNATURE: `---ikW— C .,,
DATE: 9/30/04 '
. 2." P 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
FOR STAFF USE ONLY
Site 12{4i -rn // ff
Address/ Street Address Permit No.: � C.� '' Z . — 0° Dt
Location 1(jU Su.:,' , " c ck, 4-(..0.4 Expiration Date: /
Suite /Bldg. # City /State Zip
61-1,9 9 R #: a `; 3 N 1
2 i � 11 �srl rim-
Name Approve By: �'�
Property q l-4-n Q ' Date: 1/31) O
Owner Mailing Address Suite Map/TL #: t 513 IV- 033 0(
Zoning: C. (&
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes LE" o
Business ` - -- 0_ �ud� Building Permit Required? ❑ Yes [. No
Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign N � 1
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if lLompleted 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 ( p� g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign El_Jemporary ❑ Wall
❑ Electronic
(Check all that
❑ Other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to e fisting sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: bAni1 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 City El Urb
(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,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 day of , 20
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Signature orOwner /Age t
,tee_ motet o 4 '2, a e3
Contact Person Name Phone No.