SGN2004-00284 r,
f 0.
C ITY OF TIGARD SIGN PERMIT
'l /I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00284
Il 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 10/6/2004
PARCEL: 1 S 136CD -00100
BUSINESS NAME: CASH CONNECTION ZONE: C -G
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: 3' X 8'
TOTAL SIGN AREA: 24 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 banner. (8' x 3') Sign #1. Valid from 10/7/04 through
11/7/04.
MATERIALS: VINYL
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 the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in ac ordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit -hall : ..re. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validit dhte.
APPROVED BY: ,A1 AL,
PERMITTEE SIGNATURE: y ��e
DATE: 10/6/2004
1 n
1' 11 SIGN PERMIT APPLICATION
-11
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
• FOR STAFF USE ONLY
Site
/` (�
Address/ Street Address
(� Permit No.: 56.1 � ooy - (--,°,---64. Location (1 7 0 5 st,�) 1"O Ci4 L tA-Lo I Expiration Date: r 7 v 4
Suite /Bldg. # City /State Zip
i ,)5 i A O . CR q 7 ,3 Receipt #: _ o o`-k - 4439
Name J Approved By: C. - . lt/>
Property Date: ► U -0 "°
\'' Owner Mailing Address Suite Map/TL #: ) 5 1 4 � C 0 — 00 1 00
Zoning: C - G
City /State Zip Phone
Electrical Permit Required? ❑ Yes 0 No
Tenant or Name
Business C C�V�I� C, 1'i CAM Building Permit Required? ❑ Yes Z1 No
CLS Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suit a REQUIRED SUBMITTAL ELEMENTS
(Prior to permit i (Note: applications will not be accepted
/
issuance, a without the required submittal elements
copy of all City /State � Zip Phone G elements)
licenses are
required if ��= ❑ Completed Application Form
expired in Oregon Const. Cont. Board Exp. Date
City�k igard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
d abase)
(3 copies, if a building ( p� g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign ,_ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ 2 copies of elevations, drawn to scale
❑ Balloon
apply) (3 copies, if a building ( p� g permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
X Sign Dimensions: x � ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
o ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 City El Urb
(Complete all 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 the permit, THE PERMIT WILL
❑ Yes I=1 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)
L_
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
. 23-4SA
Signature of Owner /Agent
(.iM vvv,i Perez_ - /OlG
Contact Person Name Phone No.
� f
CITYOFTGA D [�]
[ 1 C onditionaUY
For only the Work .s desc ob 00 a ,
wee LettQr to: Approved Follow
�� Approved L. Attach 5 c�a e [ `7'
Job Addr ss: l I`1 O _
' ` \� � (7 , 6y: C > (3" -.:tip — Date: ____
diD
1
‘)744-1,7c4 ,,,z,\ • o a _�4 �lK
/ 1
i \. Q ZVi0 Q., I
: r- (-19°-c‘,56-' (/
A i®
, \ .....,if,
0
i A— )
t Lt(?..IS 0
\ )
. 'Ed+ m
f ___
t.__________ \- qc2- IP
1"-----f--
CITY OF TIGARD 10/6/2004
13125 SW Hall Blvd. 3:42:07PM
% ;it / ( ii , Tigard, Oregon 97223 :
,,,-4.111 6 11..__ (503) 639 -4171 -
Receipt #: 27200400000000004439
Date: 10/06/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00284 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00285 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash CASH CONNECTION CAC In Person 40.00
Change CITY OF TIGARD CAC In Person (10.00)
Payment Total: $30.00
Page 1 of 1 cReceipt.rpt