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SGN2004-00360 CITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00360 • �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/2004 PARCEL: 2S110DC -02300 BUSINESS NAME: CURVES ZONE: C -G SIGN LOCATION: 11515 SW DURHAM RD E -3 JURISDICTION: TIG APPLICANT /AGENT: CURVES BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 4' 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 A- frame. (3' x 4') For Curves. Sign #3. Valid from 3/16/05 through 4/16/05. MATERIALS: WOOD 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: � ( ( ei v PERMITTEE SIGNATURE: DATE: 11/29/2004 .. .4 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 FOR STAFF USE ONLY Site 1 t,di ( 0i3J)/e.-00 K) Address/ Street Ad Tess Permit No.: SG ICJ O, Obct - 603(00 Location f (5 i .S 5 bcc-k tril kd / Suite /Bldg. # City/State _ Zip Expiration Date: 4 ' / -0 7 G - F t pg- 0 OP c/72--2 Receipt #: a 2 00 -51/ (o Name i Approved By: C • C (2,.--r,�e....) Property j` AlL5 � V ,7' —Up: Date: / / -0 9 - Oq Owner Mailing Address Suite Map /TL #: Q S I 1 0 DC — Da3 0 D Zoning: C - G City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business Building Permit Required? ❑ Yes ❑ No Name Rev. 8/7/2003 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 copy of all City /State Zip Phone without the required submittal elements) 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 gLTemporary ❑ Wall ❑ Electronic (Check all that Other ❑ ❑ 2 copies of elevations, drawn to scale apply) ❑ ❑ Billboa Balloon (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: ` J? X- ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 1 2 $°c; Cr, ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft • Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W 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. 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 [j] 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 � dti'��^� , 20 0 '6 2 Sign. ire of Owner /Agent if daz-cf2- c --- .35 - 3 q )..1 P ',_ 1 . e/lI C--- - t " - - Contact Person Name / Phone No. 1/I 5 /° 5-- - 4 / /i 3,a,s