SGN2005-00359 t
4 4 CITY OF TIGARD SIGN PERMIT
��� DEVELOPMENT SERVICES PERMIT #: SGN2005 -00359
'i - I — 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/18/2005
PARCEL: 1 S 136AD -04000
BUSINESS NAME: IMAGE NAIL SALON ZONE: C -
SIGN LOCATION: 11515 SW PACIFIC HWY 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: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (10 one 6 sq. ft. temporary A -frame sign. Sign must be placed on
private property and not in the public right -of -way. Valid 11/21/05 thru 12/21/05.
Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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: A I-- : /t—LjZ " - "'' (-- l'v`' --L--)
PERMITTEE SIGNATURE: A‘ r "f' ` ��
DATE: 11/18/2005
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SIGN PERMIT APPLICATION
4a, ,,e,� 1n ' f l l ,l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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CITY OF TIGARD
GENERAL INFORMATION {PLEASE PRINT CLEARLY}
Sign Address /Location: 1 150 7 61x/ 1Pcualic. -{ l�
(� FOR STAFF USE ONLY
- 1 C, rt R.O , C R.- , Q1 22
Name of Tenant/Business: MA(,r i•i/ar -i) ALy,t.J
Address: Date Received: SC�,n12 -cL ' 57
15n� Sly/ ?cic,� �n'c ~t1 1 rr� cc) O jZ 9702cn
1 d Received By:
Applicant/Agent /Contact Person: ?,A /NO-u JO.)
Permit No.(s): i t I "�
Sign Company: iv`" Phone: cl.)5 oicTh- C.1.45
Permit Fee:
Address: //4 2 oS -.3 c�
Receipt No.: 1
City: i�t /}-f State: k Zip: /U
7 / rk Approved By: wad
Sign Company C.C.B. #: qfrr Date of Approval t t � ration Date: tJ /l, Expiration Date: 11 M U5
City of Tigard Business Tax #: N/-1:\ Zoning: 0 . )-4 (or) Expiration Date: N/ L
Metro Business License #: N'/A
E piration Date: Electrical Permit Required? Yes ❑ No [ty
Proposed Sign: (check as many as applicable) Building Permit Required? Yes ❑ No [y/
Permanent ❑ Freestanding ❑ Freeway ❑ Rev. 12/27/96 i \curpin'masters\spa.doc
Temporary ,® Wall ❑ Electronic ❑
Other ❑ Billboard ❑ Balloon ❑
Sign Dimensions: a2 FT x ?) F T
Total Sign Areas (sq. ft.): 6 S9 FT REQUIRED SUBMITTAL ELEMENTS
F
Total Wall Area (sq. ft.):
Direction Wall Faces: (circle one) 0 S E W NE NW SE SW ❑ Completed Application Form
Height (ft.): . T ❑ Site /Plot Plan Drawn to Scale
Projection from Wall: (2 copies, 3 if a building permit is required)
Illumination: Yes ❑ No Q Type: Internal ❑ External ❑ 0 Elevations Drawn Scale
(2 copies, 3 if a buu Scale
permit is required)
U.L. Label #: N/A ❑ Applicant's Statement
Copy: n24 — iNbartL ❑ Fee (Permanent Sign, any size) $50.00
Materials: WM d ❑ Fee (Temporary Sign) $1
/f
Are there any Existing Signs at this Location? Yes ❑ No s I certify that I am the recorded owner of the
If yes, a list of all sign dimensions must also be submlttedJ property or an agent authorized by the owner.
NOTE:4 If work authorized under a sign permit has not been
completed within ninety days after the issuance of the
permit. THE PERMIT SHALL BECOME NULL AND VOID. Applicant's Si i , ' a re
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CITY OF TIGARD 11/18/2005 •
13 12 5 SW Hall Blvd.
12:39:24PM
//,,,, Tigard, Oregon 97 223
ANI- 11. (503) 63 9-417 1 ..
Receipt #: 27200500000000005934
Date: 11/18/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005-00359 [SIGN] Temp Sign Perm 100-0000-437000 16.00
SGN2005-00359 [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
Cash IMAGE NAIL SALON KJP In Person 18.00
Payment Total: $18.00
cReceipt.rpt Page 1 of 1
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