SGN2007-00209 S
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00209
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/14/2007
PARCEL: 2 S 104 B B -08000
BUSINESS NAME: THE ULTIMATE TAN ZONE: C -N
SIGN LOCATION: 14250 SW BARROWS RD 001 JURISDICTION: TIG
APPLICANT /AGENT: THE ULTIMATE TAN
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X6'
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 (1) temporary 2'x6' banner. Valid 12/13/07 - 1/13/08. Sign #3
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: - 1 - -- P
PERMITTEE SIGNATURE: - c'� .'crt)
DATE: 11/14/2007
iv 08 07 02:21p e,N
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• . ' L e _� V .a ' S IGN PERMIT APPLICATION
' � ' City of Tigard Permit Center 13125 TV Hall Blvd., Tigard( OR 97223
V1 --. " \ Phone: 503.639 4171 tar.. 503.598.1960
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GENERAL INFORMATION
Name , >Tcvrloomenr /P:vjetiT
_ FOR STAFF USE ONLY
Site i f1 iti)`) (!% v - - u» / : i
Address/ Screct Address . !L C. C ‘—'-'11-1" •y-
6 �/ /� Permit No.: 7 ./ - (" �' tl
Location ,l ,/ C) t/ S � /'�� /W_> /2 � / Suite /1sld.. # /titan r Z.; Expiration Date: d j . t 7 — /Liz_ `
I /) J q of o , CK c172Z -27 Receipt #: Z:ai .l - 5 s'r L. g
None Approved By: r= - -/r' J
Property Date: ii t
Owner Mailing Address Suite Map/T1,4!
Zoning: Olt/
City /Statc Lip Phonc
Tenant or N� Electrical Permit Required? El Yes [' 'No
Business -r)-1 �1 Building Permit Required? ❑ Yes No
h11 Iii '1 (,?
Na her.. 7/1/07
Sign ( ) r „� if) / cumin \mat tee \land me aprlie�tion,e \Yyfl remit app. ae
Contractor malluag / /,r / 11( Suite
i P7uc to prmut i -_ _ - _-- _ ,
;ttuancc,a 1' ' / Et/41 6 t ' � � (t
copy of all Gty,NI -tr Lip Phmtc REQUIRED SUBMITTAL ELEMENTS
1iecn,cs. me _
ny Cdif �hi n - ti o;e, T y1 60/(-167 sl),y" �6 �� ' ��� (Note: applicatioaswilln�tbeaccepted
without the required submittal elements)
e.•cpucd in the Oregon C:onac C:onc Berard ]accrete # lap. Dore
City u(Tigard s
dat,rha.c) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ET Temporary ❑ Wa ❑ Electronic (3 copies, if a building permit is required)
(LE, ❑ (Cheek e all Haar
nilxr ❑ Billboard ❑ Ballcxm size requirement 82" x 11 ", or 11" x 17"
Ei New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 2.- / i 1 (3 copies, if a building permit is required)
size requitement 8'. /2" x 11", to 24" x 36"
Total Sign Area (sq_ fl.):
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total. Wall Area (sq. f t)
❑ $19.00 Fee (Temporary sign, any type)
(Comp( "` au Direction Wall races (circle one):
etertLi i,; diet NOTES:
,ecor,,,,) N S E W NE NW SE SW
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Protection From Wall (inches): must include dimensions of wall face and sign
Copp: placement
?vlaterials: 1J1p y ' • 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 lq� External • If work authorized under a sign permit has not been I
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 i
❑ 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)
ftv 08 07 02:22p p.2
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 U day of J l'iU , 20 9 7
" .11/7 :0
Signature of Owner/Agent
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Contact Person Name Phone No.
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4; 13125 SW Hall Blvd. 10: 18: I I f \IVt
8�m Ti;ard, OR 97223 503.639.41 71
Receipt #: 27200700000000005035
Date: 11/14/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00208 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00208 [LRPF] LR Planning Surcharge 100-0000-438050 2.00
SGN2007 -00209 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2007 -00209 [LRPF] LR Planning Surcharge 100- 0000 - 438050. 2.00
Line Item Total: 538.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
CreditCard DEBRA NASS KJP 031628 Fax 38.00
Payment Total: $38.00
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