SGN2005-00376 C ITY OF TIGARD SIGN PERMIT
1.' 1 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00376
°'` III 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171 DATE ISSUED: 12/12/2005
PARCEL: 2S 102AC -01704
BUSINESS NAME: PALMS HAIR STUDIO ZONE: CBD
SIGN LOCATION: 12720 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: PALMS HAIR STUDIO & SPA
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X4'
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: 368 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) 2' x 4' permanant wall sign.
MATERIALS: ACRYLIC/WOOD
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 temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 d from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: X """"
DATE: 12/12/20 5
"" ,1t� • S IGN 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 w1 S 1 12 6 ry D f ca 51
Address/ Street Address Permit No.: -c9 N 2 '' ° 5 -�J 3 7 }o
Location / 2_?-7.40 .1),J (2ict He _ 1 STE 4 Expiration Date:
Suite /Bldg. # City /State Zip
1 Ti r ii-Z-7 v Receipt #:
Name Approved By: - -- - -1 - -f- )
Property GLN,t n i A M- Piz_ Date: ' �,✓ r z /
Owner Mailing Suite Map/TL #:
12) ' 6W �1Fie C
H-r,U ¥ . 1 Zoning:
City /State ' Zip Phone
Name '1? .503 - 3 1} "05(t Electrical Permit Re ❑ Y O'No
Tenant or �o
Business Building Permit Required? ID Yes
Name Rev. 7/1/05 is \curpin \masters \revised\siqn permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
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
databa e gard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed DK Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall
(Check all that Li Electronic
apply) ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
(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:
1 X Z [$38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): /6 X 2.__ ❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) ... Q Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 0 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: l . 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 lA No , 1
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 12- day of E 2 , 20 0 5
Signore of Owner /Agent
/ Lo (5 3l - S51
Contact Person Name Phone No.
A CITY OF TIGARD 12/12/2005
13125 SW Hall Blvd. 1:00:06PM
i�aM,µ„ 1 a Tigard, Oregon 97223
1J.. (503) 639 -4171 -
Receipt #: 27200500000000006286
Date: 12/12/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00376 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2005 -00376 [LRPF] LR Planning Surcharge 100 -0000- 438050 5.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
CreditCard CLUADIA M LOPEZ KJP 883213 In Person 38.00
Payment Total: $38.00
cReceipt.rpt Page 1 of 1
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