SGN2009-00176 CITY OF TIGARD SIGN PERMIT
>w Permit #: SGN2009 -00176
COMMUNITY DEVELOPMENT Date Issued: 08/12/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DD00701
Jurisdiction:
Name of Business:
Business Address: 15800 SW UPPER BOONES FERRY RD 120
Applicant/Agent: Skin Vet Clinic,
Work Description: Temporary sign, banner. (2' x 10') Valid from 8 -12 -09 through 9- 12 -09.
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 2' x 10'
Total Sign Area: 20
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl Banner
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: _,L AIL (_C
Permittee Signature: , �� � F
,, CITY OF TIGARD RECEIPT
t . ;: 13125 SW Hall Blvd., Tigard OR 97223
' `„ - : 503.639.4171
Receipt Number: 174811 - 08/12/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00176 Temp Sign Perm 1003100 -43117 $17.00
SGN2009 -00176 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 000311 LSELLERS 08/12/2009 $19.00
Payor: Harold W Payne II
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1
mi N .
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
TIGARD
GENERAL INFORMATION
Name of Development /Project
Site OK ?As OEss CAAK t( FOR STAFF US l E � ONLY
Address/ Street Address Permit No.: G I J � "j, -) f 0 /) i 7('
Location ! gAoO 06 l t'r E x ' - -- D q
Suite /Bldg. # Ci State Zip Expiration Date: 9" Z
k Tied -10 0)1 035 «(��� Receipt #: 114811
Name Approved By: C . A.4---'
Property el t I -0 Q ( Date: 75' e—
Owner Mailing Address Suite Map /TL #: 2. / 17 DP - gp is f
is $V gE4ilo(.r .3 0 Zoning , T -
City /State Zip Phones
%4-e 4 . J D M--"Y/ u3 ' 6 7 24 ' 6 O 0 Electrical Permit Required? ❑ Yes jEr No
Tenant or Name
Business s •( /4 v 6:C C U •i(Q Building Permit Required? ❑ Yes II No
Name Rev. 7/1/09
C
Pt \ cumin \ masters \land use applications \ sign permit app.doc
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Sign l S ((/NI CT Si &A e r
Contractor Mailing Address Suite
(Pnor to ` ct (2 0 rr r �,
issuance, a 1 u DV GJ ( -�(,F -' /
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if (, eQ46-0 5/030 503. 631.6%. without the required submittal elements)
expired in the Oregon Const Cont. Board License # Exp. Date
City of Tigard's
database) t 0 ( co/1( y4, Completed Application Form
Proposed ❑ 1=1 Freestan ding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Termanent emporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard 1=1 Balloon t » " 11"
apply) h size requirement: 8 /z x 11 , or 11 x 17 "
k New sign? ❑ Alter to existing sign? .kr 2 copies of elevations, drawn to scale
Sign Dimensions: Zl x r O t (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
ICJ ❑ $40.00 Fee (Permanent sign, any size)
Sign D ata Total Wall Area (sq ft
tgn $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) O S E W NE NW SE SW
Height to top of sign (feet): 8 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 0 must include dimensions of wall face and sign
Copy: (isAA(t (, � yl l vs, C r f ( placement.
Materials: i (r (2,p,s�,1 • 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
11] Yes N° 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.
DA'1'P D this \ 41/\ day of A4 C � cS ( , 20 0
D(s - rtf\cT -E. 6-e
Signature of O r /Agent
3 - 5(0
Contact Person Name Phone No.
4 m*. NONNOMINE
i _ ��.-- ._...........r..�.,%. Date:
August 4, 2009
y
2' x 10" Banner location
See La out attached 11111100 Client:
SkinVet Clinic
. 4: a ___ ,..t. I
op "�' r Contact:
4 ,, . ; ► ' 4 • 4, Dr. Jon Plant
� , �' # Location:
4 , „,r ,. 15800 Upper
111, # ' ' Boones Ferry
,, Lake oswego, OR
''ms Scale:
_ - - Proportional
- - g iiiiiiice
1 .
SIGNAGE
G R O U P
15812 Upper Boones Ferry
Lake Oswego OR 97035
P: 503- 639 -5656
F: 503- 624 -8706
These plans are the exclusive property of the Distinct Signage Group and the result of the original work of its employees. They are submitted to your company for the sole purpose of www.DistinctSign.com
your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to these plans. Distribution or exhibition of these
plans to anyone other than employees of your company, or use of these plans to construct a similar sign is expressly forbidden. In the event exhibition occurs, Distinct Signage Group
expects to be reimbursed $500 for time and effort in creating these plans. The respect of our creativity and time is appreciated by those who have worked on your behalf.
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Date:
•
August 4, 2009
2' x 10" Banner location 1
See La out attached ! 114 Client:
10
SkinVet Clinic
Ili * ... Contact:
jle :3
4. 4 Dr. Jon Plant
1 . t s + � � ; .'_+� � ` .� �'+ . . 1 - 4 , , • * - y • o :4 " . . , _:.41/6' . ire. y •• '�4.� Location: ■ . /
+� 4 ,if * f " y i ; II 15800 Upper
• Boones Ferry
le ,,,,,
Lake Oswego, OR
Scale:
- - - - Proportional
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lillik
SIGNAGE
G R O U P
15812 Upper Boones Ferry
Lake Oswego OR 97035
P: 503 - 639 -5656
F: 503- 624 -8706
These plans are the exclusive property of the Distinct Signage Group and the result of the original work of its employees. They are submitted to your company for the sole purpose of www.DistinctSign.com
your consideration of whether to purchase these plans or to purchase from Distinct Signage Group a sign manufactured according to these plans. Distribution or exhibition of these
plans to anyone other than employees of your company, or use of these plans to construct a similar sign is expressly forbidden. In the event exhibition occurs, Distinct Signage Group
expects to be reimbursed $500 for time and effort in creating these plans. The respect of our creativity and time is appreciated by those who have worked on your behalf.
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SIGNAGE
G R O U P
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www.SKinVet.com
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15812 Upper Boones Ferry, Lake Oswego OR 97035 P: 503- 639 -5656 F: 503- 624 -8706 www.DistinctSign.com
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SIGNAGE
G R O U P
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www.SKInVet.com
15812 Upper Boones Ferry, Lake Oswego OR 97035 P: 503 -639 -5656 F: 503 - 624 -8706 www.DistinctSign.com