SGN2009-00029 Er i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00029
TIGARD- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/13/2009
PARCEL: 1 S 136C D - 00100
BUSINESS NAME: CASH CONNECTION ZONE: C -
SIGN LOCATION: 11705 SW PACIFIC HWY Y JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 6'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary (Banner) sign 2' X 6' Valid 2/16/09 - 3/16/09 Sign
#2 Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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:
DATE: 2/13/2009
0
pri SIGN PERMIT APPLICATION
City of Tigzrd Permit Center 13125 SW Hall Blvd, Tigzrzn OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project FOR STAFF USE ONLY
Site C4S it" CC iC/
Address/ Street Address n Permit No.: S&P 3 v'Dq - 41
Location / 17 G- S43 Pre , L H4- y:
Suite /BId . City/State Zip Expiration Date: /
7 / " 6- 4t,.0 Q1 - 7,)6. 3 Receipt # : g-OrU 4 U 3 11
Name Approved By: S- -17 ziel-ri
Property Date: al( Sip/
Owner Mailing Address Suite Map /TL# : 15/ 5 (o C-ii -UZJ (uz7
Zoning: 66
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Business C ji- COCA) T1 " Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor. Mailing Address Suite
(Prior to permit
issuance, a
copy of all Qty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Coast. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent p Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 0 Temporary Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) q
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions, (3 copies, if a building permit is required)
•`C Co i size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ' Z
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) e $19.00 Fee (Temporary sign, any type)
(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): ,p.,' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
spy placement.
Materials: uIAJ�L� • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
a6 3/ 0
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 / 3 7 day of F 66° u/L- w y , 20 Del
Signature of Owner /Agent
; �) Sept ik Lr d' �� 3 ���— )O �
Contact Person Name Phone No.
s
1 %r5
1
( a
71 CITY OF TIGARD 2/13/1111)9
11 ,� 131?; SW hall Iticd. I)S: Jl'�I
Tigard. OR 97223 5113.639.4171
TIGARD
Receipt #: 27200900000000000325
Date: 02/13/2009
Line Items:
Case No "Iran Code Description Res cline Account No Antonin Paid
SGN:)0l)9 -00029 1SIGN1 Temp Sitn1 Perm I0II- 0I 4371111(1 17.01)
SGN2009 - 00029 11. l l'I I LI: I'lannine. Surchar c 100 0()00 - 4 3So (.) 2.0(1
Line Item Total: SI9.00
1'a ■'Ittcttts:
Method Payer User II) Acct. /Check Nn. Approval Nu. link Received .\ninunt Paid
Cash CASH CONNLCTION ST In Person 19.00
Payment 'total: S 19.00
a
( I l k IZ.Leip t !pi I 1 n( I