SGN2004-00262 CITY TIGARD SIGN PERMIT
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DEVELOPMENT SERVICES PERMIT #: SGN2004 -00262
' ` '� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/24/2004
PARCEL: 2S102AC-01704
BUSINESS NAME: A MATTER OF STYLE ZONE: CBD
SIGN LOCATION: 12720 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: A MATTER OF STYLE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 24"
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary A -frame sign. (18" x 24 ") Sign # 1. Valid from
9/24/04 through 10/24/04. Must be placed outside of right of way.
MATERIALS: PLASTIC
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:
PERMITTEE SIGNATURE: t 3---(1 I } "�
DATE: 9/24/2004
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A in SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
y � r � `� FOR STAFF USE ONLY
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Site 4 /,4* /' o
Address/ Street Address Permit No.: 5X.,N oZOa4 -Ova Co
, Location
l a'1 26 SCAi AA Gf;l 60c1 Expiration Date: 10 = '
Suite /Bldg. # City /State Zip/
ci I Yilte a O
Receipt #: v` 4 '4,2 ' ° 3 GI
Name Lt I L
Approved By: (1;�z/W.
Property Date: 0 - a ci - 0
Owner Mailing Address I r, Suit Map /TL #: o ?,S /0.2A C " d /7 0 V 127-20SL) kcihG C
Y Zoning: BP
l ate Zip Phone
)I O )ct reel c)( Electrical Permit Required? ❑Yes ❑ No
Tenant or Name"' Building Permit Required? ❑ Yes ❑ No
' Business 9 /9 in
N � Q t rt Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
me
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (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. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 or 11" x 17"
Sign �.
g Temporary El Wall ❑ Electronic
(Check all that ❑ Other El El Balloon El 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? 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)
Sign Data
Total Wall Area (sq. ft.) Jurisdiction: El City El Urb
(Complete at Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 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: ❑ 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 thecpermit, THE PERMIT WILL
❑ Yes El 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
M 0.
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.
CITY OF TIGARD 9/24/2044
13125 SW Hall Blvd. 11:42:20Aiv1
Tigard, Oregon 97223 e
� 1 (503) 639 -4171
Receipt #: 27200400000000004239
Date: 09/24/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00262 [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
Cash ESTELA SIFUENTES CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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