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SGN2009-00084 S` ,� CITY OF TIGARD SIGN PERMIT "; ' C Permit #: SGN2009 -00084 COMMUNITY DEVELOPMENT Date Issued: 04/14/2009 `.T IGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AC01704 Jurisdiction: Tigard Name of Business: Salon Mariposa Business Address: 12720 SW PACIFIC HWY Applicant/Agent: McKim, Jennifer Work Description: Placement of (1) one temporary 24 s.f banner. Valid 4/14/09 - 5/14/09. Sign #1 Permanent: No Freestanding: Freeway: Temporary: 1 Wall: Yes Electronic: Billboard: Balloon: Banner: A- Board: Sign Dimensions: 3'x8' Total Sign Area: 24 Wall Area: Wall Face (Direction): Sign Height: ft. Projection From Wall: in. Illumination: No Illumination Materials: Vinyl Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $19.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: • • ' WAVY Permittee Signature: Mc TAII. IMII SIGN PERMIT APPLICATION City of TigardPemiz Center 13125 SW Hall BM, Tigarg OR 97223 Pharr 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project � / J // FOR STAFF USE ONLY Site o 5q/e9I i f< (-4005 // Address/ Street Address (� Permit No.: 5 y -- z-<-13 9- oo O g je Location 1 A7X' — (c� c/C, `C q$ 41/4)° , 1— Expiration Date: `i / f ` c — s7/`( 4 Suite /Bldg. # City /State 1 are4 ©K 9 vF 13 Receipt # : /� 2 —e_sv � ".3 ( Name , I Approved By: F- 34 Property Date: �114/, l Owner Mailing Address Suite Map /"IL# : Zoning: C _6D City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes a.INTo Business 54 101t / L Building Permit Required? El Yes E_Ner Name V Rev. 7/1/07 is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit C am` c o pance,a J REQUIRED SUBMITTAL ELEMENTS copy of all City /State Zip Phone licenses are (Note: applications will not be accepted required if 5-43 — S Fi LZ- without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign 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 ign Dimensions: Q� (3 copies, if a building permit is required) 1111 size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): nc( St r oC -} ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft ❑ $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): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Co py • Wall signs do not require site /plot plans. Materials: • 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) 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. G a / DATED this / day of ( 20 0 Sig . e of Owner /Agent �j� l r .5 -5" Contact Person Name Phone No. 40 / 7VQ,/ .51-9c9 II . CITY OF TIGARD RECEIPT -. a Q 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 ti GARL7 Receipt Number: 173186 - 04/14/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 -00084 Temp Sign Perm 100 - 0000 - 438050 $17.00 SGN2009 -00084 Temp Sign Perm - LRP 100- 0000 - 438050 $2.00 Total: $19.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2831 KPEERMAN 04/14/2009 $19.00 Payor: Dennis or Jennifer McKim . Total Payments: $19.00 Balance Due: $0.00 • Page 1 of 1