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SGN2005-00314 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00314 M �I DATE ISSUED: 10/25/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S12600 BUSINESS NAME: SEPHORA ZONE: C -G SIGN LOCATION: 09329 SW WASHINGTON SQUARE RD JURISDICTION: TIG APPLICANT /AGENT: HIGHLIGHT SIGN CORPORATION BUSINESS TAX NO: SIGN PERMANENT: \ FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: SEE ABOVE TOTAL SIGN AREA: 5 sq. ft. WALL AREA: 1,860 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Install permanent wall signs. (2' 7" x 1') (2' 4" x 1') MATERIALS: ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 38.00 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 tempora gn shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. / APPROVED B ` PERMITTEE SIGNATURE: ■ DATE: 10/25/2005 '� f 9j, Ali 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 _ FOR STAFF USE ONLY Site ' ( & 1 Address/ Street Address Permit No.: ,56n ' 1 ao S - oo I L 7 Location /3za WASP' O _ Expiration Date: Suite /Bldg. # City /State Zip f 7164 © Receipt #: oZ °C S' - 5(3 C / Name Approved By: Property Date: / —05 — OS Owner Mailing Address Suite Map /TL #: 5 f c»' 'o — 00 30— Zoning: C-- - ' 6 City /State Zip Phone Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business Building Permit Required? ❑ Yes El No Name Rev. 01- Jul -02 is \cur•In \masters \revised \si•n .ermit a...doc Sign ! Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS I (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 4 Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date i City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign u Temporary ❑ Wall ❑ Electronic (Check all that I Other ❑ ❑ 1 2 copies of elevations, drawn to scale apply) Billboard Ba (3 copies, if a building permit is required) 13 New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: l - 1 ) 7.2 _ " i 1 f ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): itt ,5 pi $15.00 Fee (Temporary sign, any type) Sign Data ! Total Wall Area (sq. ft.) 1AtiO I (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S f W NE NW SE SW . Wall signs do not need to be drawn to scale, Heig ro top of sign (feet): '� ' but must include dimensions of wall face and Projection From Wall (inches): 1 /j. I ' sign placement. Copy: 'j (.t Aft..+ . . Wall signs do not require site /plot plans. Materials: t i.. pi • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes Yjil No building permit. . 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 0 N If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) f t . 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 OV day of 20 e Signatue of Owner /Ag Contact Person Name Phone No. n arced tkgartr.Q S E P H 0 R A WASHINGTON SQUARE • 9329 WASHINGTON SQUARE ROAD, #T7 • TIGARD OR 97223 [, 110 V'. 4'1 ` `SiS'N S. Cr.1K4G G ci SW Luis SI 1‘.11..•:-IL 1111111 j.kr 1 :".-."7 , „! ... • L ..... Lil " TI - 1 'b 0 N.,....., ..... i ...........4 . I i i l iwil 7 ... _,ACP . '7'...'1'... VO rti -. , � 1 x , _ ; •..eery C.v... • ;• _ 1i � "4e71"4"-.c a • ti •- -- see•- -- 0 .1 Mw \Vt+r L a sla SENORA a 1 } 4, C.rrnrr ~' 4 i E> 1LCE AQ 2T 4'. • G ""*•5 -• SW C Si SW loM 97.E i NB 1 \\ - M , Nom a ^ 13 ICY MAP ` h�Sm \ Sworn _ - - - IMOt •:07,V0P,' 00! 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Drip *No 41prtraal • • ' • Drawn br Marva SCalte wed a A fy: 6 0 C - r, CID ___-. CITY OF TIGARD 10/25/2005 �i 13125 SW Hall Blvd. 12:00:05PM . . 4 , 1: , , 41-' , �N I T igard, Oregon 97223 1 (503) 639 -4171 Receipt #: 27200500000000005439 Date: 10/25/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 - 00312 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2005 -00312 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2005 -00314 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2005 -00314 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $76.00 Payments: Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid Check HIGHLIGHT SIGN CAC 5133 In Person 76.00 CORPORATION Payment Total: $76.00 cReceipt.rpt Page 1 of 1