SGN2007-00003 4
II II CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00003
TIA
GRD" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/8/2007
PARCEL: 1 S136CD - 00100
BUSINESS NAME: CASH CONNECTION ZONE: C -
SIGN LOCATION: 11705 SW PACIFIC HWY Y JURISDICTION: TIG
APPLICANT /AGENT: CASH CONNECTION
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) one temporary 12 sq. ft. banner. Valid 1/9/ - 2/9/07. Sign #1
MATERIALS: BANNER
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY:
e A .r
PERMITTEE SIGNATURE: k
DATE: 1/8/2007
N.
SIGN PERMIT APPLICATION
• .
City of Tigard Perri* Center 13125 SW Hall Blzd, Tigarci OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project /' � FOR STAFF USE ONLY
Site cASH 6.ut/fer;04/
}
Address/ Street Address Permit No.: F1 / '73
7 - Wc o 3
Location I)70 S SCE f RC;; : 14,-ii Expiration Date:��,�_7 6�
Suite/Bldg. # aty /State Zip
G/ T C fi4,r) 02 q Receipt # : 2—izl° 0 0 /02—
Name Approved By: re
Date:
Property
Owner Mailing Address Suite Map /TL# :
Zoning: C
City /State Zip Phone
Tenant or Name Electrical Permit Required? 11 Yes [g—No
Business C45 l- Ca -vtiEC i , 0._./ Building Permit Required? ❑ Yes ❑'1Go
Name Rev. 7 /5/06
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit I
issuance, a
copy of all City /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 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 th O Billboard Balloon 1 " " " "
apply)
1=1 Other ❑ size requirement: 8 h x 11 , or 11 x 17
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimn ions: (3 copies, if a building permit is required)
y <✓ size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): I a
❑ $39.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $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.
CoPy: ♦ 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.
DATED this 'FT /.4 dayof - JA , 20
Signature of •• • - ent
ad- 4,24.6sie — - 6 )
Contact Person Name Phone No.
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: V OF TiGAR*
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A.
CITY OF TIGARD 1 /8/2007 °'
111 - � � 1
1 3125 SW Hall Blvd.
Tigard, OR 97223 503.639.4171 ♦)
TIGARD
Receipt #: 27200700000000000102
Date: 01/08/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00003 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2007 -00003 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash CASH CONNECTION KJP In Person 20.00
Change C.O.T. KJP In Person (1.00)
Payment Total: $19.00
cReceipt.rpt Page 1 of 1