SGN2005-00013 •
C ITY OF T I GA R D SIGN PERMIT
I , DEVELOPMENT SERVICES PERMIT #: SGN2005 -00013
'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/20/2005
PARCEL: 2S 110AB -00200
BUSINESS NAME: ALPHA CLEANERS ZONE: C -G
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: ALPHA CLEANERS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 2'
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: 36 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a permanent wall sign. (2' x 2' framed banner).
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: Q
PERMITTEE SIGNATURE: � ` ` - ' \
DATE: 1/20/2005
•
r
�i. 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
Site T� Y
/� l P Lr^ C 1 c rS _ FOR STAFF USE ONLY
Address/ Street Address Permit No.: < i\,) J a ao S -- iS v o 13
Location rya- s s w- PAP -// .
Suite /Bldg. # City /State Zip Expiration Date:
j ( 3� , er Receipt #: 9 oO 5 : 0.,753 53
Name Approved By: 2 . e-G4.r,‘iy
Property � � �a.r -a., Date: J "",,:.7 o - OS
Owner Mailing Address Suite Map /TL #: aS //v 14 13 - OaR 00
tt{2�S'•St,a e`c4t t�(f�c _ Zoning: t- &
City /State Zip Phone
%' a/ a l 2 2 1 Co — 6 59. 1L�
Electrical Permit Required? ❑ Yes M No
Tenant or Name // �,,
Business ,ti ( /< /^ tAA- Building Permit Required? ❑ Yes IX No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuaoc a w ithout the required submittal elements
copy of all City /State Zip Phone q elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form
City ofTigard's License# ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed IA Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $17.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: El City El Urb
9
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S S. E W NE NW 69SW
Height to top of sign (feet): 32 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): , S5' but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
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 /-w20 -OD.S day of a O _ , 20
(N„
Signature of Owner /Agent
cS i" c>.r �.�,.O Ste 39— 2'7
Contact Person Name Phone No.
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