SGN2004-00285 t
C ITY OF TIGARD SIGN PERMIT
I k DEVELOPMENT SERVICES PERMIT #: SGN2004 -00285
..�11 DATE ISSUED: 10/6/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -
PARCEL: 1 S 136AD -04000
BUSINESS NAME: URGENT MONEY SERVICE ZONE: C -G
SIGN LOCATION: 11523 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: URGENT MONEY SERVICE
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. (3' x 8') 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 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 e pire. A mp rary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 caws from validity date.
APPROVED BY: Ari /
PERMITTEE SIGNATURE: v � ` I
DATE: 10/6/2004
_41, 0 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
FOR STAFF USE ONLY
Address/ Street Address c P e r m i t No.: f A l ) o c U `+ - 0 O a 8 S
Location ( 15 a3 S Li Pk_L)`\ - ��W
Suite /Bldg. # City /State Zip Expiration Date: I I - - o `{
` ` Ct.r k BV 77 .223 Receipt #: OU 4- - y`{.3.7
Name Approved By: 0- • L' e..L ,.-�
Property Date: t! v - - 0
Owner Mailing Address Suite Map/TL #: iS 13(P A ID - (Y4 OU
Zoning: C - G
City /State Zip Phone
Electrical Permit Required? El Yes [ No
Tenant or Name
Building Permit Required? ID Yes X No
Business
Cdr V (Y\ ase y Scrvt;ce._
Name Rev. 7/1/04 is \curpin\ masters \revised \sign permit app.doc
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 Zi. Phone
licenses are
required if ❑ Completed Application Form
expired in the Orego •nst. Cont. Board Exp. Date
City of Tigard's ' se # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building ( p� g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ry ❑w all
Sign all that Tempora El Electronic
Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: K ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 0? 7 [ ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ 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.
Co py: • 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 ❑ No BECOME NULL AND VOID.
I_
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 /A nt
��� ,03—?6s- - (o / 0
Contact Person Ne Phone No.
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CITY OF T CARD
Approved I - � `
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PERMIT NO. ���a °1 ' a �
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---.-- IN
411 Ilk CITY OF TIGARD 10/6/2004
13125 SW Hall Blvd. 3:42:07PM
kterApiaih Tigard, Oregon 97223
`o'iL (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
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