SGN2004-00144 CITY TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00144
ff` �" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/2/2004
PARCEL: 2S104BB -08000
BUSINESS NAME: ULTIMATE TAN & NAIL ZONE: C -N
SIGN LOCATION: 14250 SW BARROWS RD 001 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X6'
TOTAL SIGN AREA: 18 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 18 sq ft banner. Valid 7/2/04 thru 8/1/04. Sign #2
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 da rs from validity date.
APPROVED BY: .
PERMITTEE SIGNATURE: e
DATE: 7/2/2004
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.1---..:,;:i:. ! .. SIGN PERMIT APPLICATION
CITY. OF.T140D• 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PAX: (503) 684 -7297
_GENERAL INFORMATION
Name of DeveJopmenuProiect -
Site C.- / /'✓ = FOR STAFF USE ONLY
1- G.�•��i. ; _<�
Address/ Street Address — ,) g , l 7 00' , / L
Location / y t f7G{ rte• ;..v, Permit No.' _ _ y V `7
Suite/Bldg. City /sate zip, Expiration Date: ��,:.Z `/y y — &,/, (0 V
/ / Ll ,`. , ) Receipt #:
Name f Approved By:
Property Date:_ /i y
Owner Malling Ad , /)rkSt Ji�,� Map/T1_#: f Zoning: C C
City /State Zip • Phone '
Tenant or Name •
Electrical Permit Required? ❑ Yes ❑ No
Business l� , �7 ,� '' / � Building Permit Required? ❑ Yes ❑ No
Name f ,. '✓ O. 7I1l64
hlturpinLnasterslrevisedWm permit app,doc
Sign i Y>'�� ‘,<:-/„. /, : ,7 y' 1
Contractor Mailing Address Suite : QUIRED SUBMITTAL ELEMENTS
(Poor to pit (Note: applications will not be accepted
issuance, a without the required submittal elements
copy of all City/State Zip Phone
licenses are
required If
❑ ' Completed Application Form
expired In the Oregon Const, Cont. Board Exp. pate
Clly of 'Nerd's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary 0 Wall ❑ Electronic
(Check all that,, Balloon ❑ . 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Ball i
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter tdexisting sign7 size requirement: 8 x 11 ", to 24" x 36°
Sign Dimensions: �� ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15,00 Fee (Temporary sign, any type)
Total Wall Area (sq. Jurisdiction:
Sign Data (s q' f ) ❑City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES: '
items in this
section) N S E W NE NW SE SW
•
Height to top of sign (feet): i • Walt signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a •
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: 0 Internal Q External l • 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)
r /JU1iLVVH 1V:1I rnn VVJ.rovio ... ___.__ ., P- 4
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I hereby acknowledge that 1 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 ) 7 � , 20 t
i _ )
Signature of Owner /Agent
/\,/
Cora-ac Person Name Phone No.
•
_ .
Signature of Owner/Agent
Contact Person Name Phone No.
9 v
I
•
CITY OF TIGARD 7/2/2004
13125 SW Hall Blvd. 1:04:03PM
/rMps Tigard, Oregon 97223
6 1. L (503) 63 9-4 17 1
Receipt #: 27200400000000002890
Date: 07/02/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00144 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard DEBRA NASS KJP 010880 In Person 15.00
Payment Total: $15.00
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