SGN2004-00123 C ITY OF T I GA R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00123
All DATE ISSUED: 5/28/04
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 110AB -00200
BUSINESS NAME: GREAT KUTS SALON ZONE: C -G
SIGN LOCATION: 14325 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.4' X 10'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 475 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (2.4' x 10') Existing wall sign 15' x 1' 10 ")
MATERIALS: WOOD FRAME
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: ` i4 Q
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PERMITTEE SIGNATURE: �� t`tC�/" ' �`^°
DATE: 5/28/04
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SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
' Site G 4 AT '44.0-1 S 3`\) FOR STAFF USE ONLY
1 Address/ Street Address Permit No.: 3c1\1 a 0 — Ia3
Location i‘.r-; An SW PFM,i i=i C + vJ'e
Suite /Bldg. # City /State Zip
Expiration Date: '--- --
i i (,1 -0 k < ,1 Z ii- Receipt #: a v o4 - d d °/ 3
Name _ Approved By: - • C ,�
Property PL C...0 LV 11 Date: 5 48 - V 4
' Owner Mailing Suite Map /TL #: o? S 1 t 0 0 B C. a d 00
143$4 SvJ '�.� c- t*i Zoning: C- C7
_ City/State Zip Phone
�,og 3 t `R Y 7,4.4 : St3 3 6, 7413 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Na the
Business C X = (g/kX - S S i t\-) Building Permit Required? ❑ Yes ❑ No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address e REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City /State Zip Phone q elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of T d's License #
ase) El 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
P ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
• ■ - • . • Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 2 , �' x I 0 t
_ - ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): - . 1 , . ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Areas ft
Sign Dat , ( q' ,3? :s.i. . Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 0 NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Co py' • Wall signs do not require site /plot plans.
aterials. g iv.) N _ ♦ Freestanding signs over 6 ft. required a
ign have illumination? ❑ Yes C1 No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME 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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
•
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CITY OF TIGARD 5/28/2004
13125 SW Hall Blvd. 12:11:28PM
Tigard, Oregon 97223
(503) 639 -4171
•
Receipt #: 27200400000000002293
Date: 05/28/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00123 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard PAUL T1NH DUONG CAC 100485 In Person 31.00
Payment Total: $31.00
•
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