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SGN2005-00347 r CI TY OF TIGARD SIGN PERMIT i 4 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00347 ma -')11.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/2005 PARCEL: 2S 10X8 - 03101 BUSINESS NAME: SUDDENLY SLIMMER ZONE: C - SIGN LOCATION: 12950 SW PACIFIC HWY 115 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'X3' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placment of (1) one 12 sq ft A -frame sign. Sign must be placed on private property and not in the pubic right -of -way. Valid 11/11/05 - 12/11/05. Sign #2 MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 18.00 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: �/ - C`"t' PERMITTEE SIGNATURE: . DATE: 11/10/2005 r Npit S IGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION _ Na Development/Project �• " 01 " 4 Site J Ll - DD;G LI �n,(,,4 FOR STAFF USE ONLY Address/ Street Address ( / Permit No.: SGN�v0S - Location 1Z c i S� 5 (R(<, ( . �i C l Ins, Expiration Date: la - // - 5 Suite/Bldg. # City /State Zip j l S 6 L1 a2 .q-N-3 Receipt #: ,,,? 00 S - 5 9(o Name Approved By: C /� 1 Property MIV_l.'t6l"� '6 i 6 � v Date: // - JO - S Owner Mailing Address Suite Map/TL #: cR Si o 3•C6 — 03 1 S1Qtwl (= Zoning: C - 6 City /State Zip Phone Tenant or Na Electrical Permit Required? ❑ Yes ❑ No Business m M M Building Permit Required? ❑ Yes ❑ No Name Rev. 711/05 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a (Note: applications will not be accepted copy of all City /State Zip Phone without the required submittal elements) • licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # database) El 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) • Proposed ❑ Permanent LI Freestanding ❑ Si Freeway 1 " Sign � size requirement: 8 /z x 11 , or 11" x 17 g Temporary ❑ Wall ❑ Electronic (Check all that Other apply) I-1 ❑ Billboard El Balloon El copies of elevations, drawn to scale ❑ New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: ., k 31 ❑ $38.00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.): 2.L.. ❑ $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): 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 0 day of l v ovw g , 20 dS Signature of Owner /Agent i(j/ s Contact Person Name Phone No. CITY OF TIGARD 11/10/2005 4i 13125 SW Hall Blvd. 12:48:54PM 1411 Tigard, Oregon 97223 !,L 11— (503) 639 -4171 Receipt #: 27200500000000005796 Date: 11/10/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00347 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2005 -00347 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $18.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid CreditCard LISA SAVAGE/ SUDDENLY CAC 049070 In Person 18.00 SLENDER Payment Total: $18.00 cReceipt.rpt Page 1 of 1 L