SGN2004-00235 f
CITY OF TIGARD SIGN PERMIT
fi r' l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00235
e�l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/13/2004
PARCEL: 1 S135DD -03301
BUSINESS NAME: HD HAIR ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: HD HAIR
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) temporary A -frame sign. Sign must be placed on private property
and not in the public right -of -way or visual clearance area. Valid 9/14/04 through
10/14/03. Sign #2
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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:
4. - L6'- --- LI-
PERMITTEE SIGNATURE:
DATE: 9/13/2004
•
i 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
• Site i/O ' O/� pp�L/ ° � t/ ��J ���
� FOR STAFF USE ONLY
Address/ Street ress Permit No.: SGm 3 OU4 -00.3\3 S
Location
Expiration Date: IO(f4I0Lt
Suite /Bldg. # City /State Zip
6Y �'4 D I r;_? eceipt # :_ moo -i — 4o
Approved By: C , ( c�,-..t_
Name App Y
Property Date: 9 - /3 --0`4
Owner Mailing Address Suite Map /TL #: 4S / 35 OIL 0 33 o t
Zoning: 0 --c,
City /State Zip Phone
Electrical Permit Required? ❑ Yes No
Tenant or Name
Business 110 j 54d1-(2 Building Permit Required? ❑Yes No
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign Sri! sinl�ir /samir F�►�I6 - 4�1I7
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Contractor Mailing A.dress 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 Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ 2 copies of elevations, drawn to scale
apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
❑ New sign? 0 Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: n (2,
cJ- ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Y ee71 -R Sign Data
Total Wall Area (sq. ft.) 0 Jurisdiction: ❑ City III 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 N 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.
If "yes ", a list or diagram of all ign 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 y day of � , 20 c�
Signature of Owner/Agen—
• pr7,) ) W(4/1)5 5277
Contact Person Name Phone No.