SGN2005-00374 r,
CI TY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2005 -00374
pl DATE ISSUED: 12/8/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 10X8 -03101
BUSINESS NAME: SUDDENLY SLIMMER ZONE: C -G
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 12/12/05 - 1/12/06. Sign #3
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:
PERMITTEE SIGNATURE: ti— 'J}
DATE: 12/8/2005
„ IO
1 `�' [ SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
• Na e ef�Development/Project S(�vU ��-i� 2 • -
Site L i( DD1..j1.9 2:1 i ,A- 6g--
FOR STAFF USE ONLY
Address/ Street Address Permit No.
Location 1-L clS'L S : • ,jCA) co5•— co3 7 l�
Expiration D
Suite /Bldg. # City /State Zip P Date: / — I-� 0 w
•
11 S 6A�b D ( Z;?3 Receipt #: ,; GCS (
Name Approved By: C .
Property Vq��� ' es c�ti Date: /.3 - /
X Owner Mailing Address Suite Map/TL #:
.S Zoning:
City /State . Zip Phone
Tenant or Na Electrical Permit Required? ❑ Yes ❑ No
Business � ? J`1 qi /&-(l . Building Permit Required? ❑ Yes ❑ No
Name Ftev.7 /1/05
I: \curpintmasters \revised\sign permit app.doc
Sign —
. Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: •applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if .
expired in the Oregon Const. Cont. Board Exp. Date [1] Completed Application Form
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed 11] Permanent (3 copies, if a building permit is required)
Sign ❑ Freestanding ❑ F reeway
size requirement: 81/2” x 11", or 11" x 17"
(Check all that Temporary 111 Wall ❑ Electronic
app ❑ Other ❑ Billboard ❑ Balloon [11 . 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
El New sign? El Alter to existing sign?
Sign Dimensions :
size requirement: 8 x 11 ", to 24" x 36"
t k 3 c
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.) + 2
❑ $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
Copy: sign placement.
•
Materials: • Wall signs do not require site /plot plans.
• • 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 signs ninety
Are there any existing freestanding or wall, ns at this (90) days after
9 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.
1 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 V day of ! v bJP sg-i2 OS �
, 20
•
Signature of Own r/A g ent
Contact Person Name Phone No.
CITY OF TIGARD 12/8/2005
,
13125 SW Hall Blvd. 2:56:22PM
Tigard, Oregon 97223
'� L (503) 63 9-4 171
Receipt #: 27200500000000006234
Date: 12/08/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00374 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00374 [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 ERIN HENLEY SUDDENLY CAC 062389 In Person 18.00
SLIMMER
Payment Total: $ 18.00
cReceipt.rpt Page 1 of 1
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