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SGN2004-00369 f o CITY OF TIGARD SIGN PERMIT PERMIT #: SGN2004 -00369 a 45511- ' 14 13125 DEVELOPMENT O I BIdT Tigard, OR 639 -4171 DATE ISSUED: 12/7/2004 PARCEL: 2S110DC -02300 BUSINESS NAME: CURVES ZONE: C -G SIGN LOCATION: 11515 SW DURHAM RD E -3 JURISDICTION: TIG APPLICANT /AGENT: CURVES OF TIGARD BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 16' TOTAL SIGN AREA: 32 sq. ft. WALL AREA: 550 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one permanent wall sign. MATERIALS: PLEX 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 validityy APPROVED BY: PERMITTEE SIGNATURE: - � �° DATE: 12/7/2004 r ` °'""'1lii. 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 �l.L roc S FOR STAFF USE ONLY Address/ Street Address Permit No.: S G N oc.4' — 003(0 °J A Location 1/x/ _S'',:- 0�icn-hp -7yf Expiration Date: Suite /Bldg. # City /State Zip C -3 77;7)2-0 q 7,-;-,/ Receipt #: ao b y 5 .27j Name Approved By: 0 - ,J Property Ce n �,,, 4.0c. Date: is - 7 - D Y "C Owner Mailing Address Suite Map/TL #: 2S I t 0 De — b,3 0 /1 575 Sit2DIA iit9771 E-3 Zoning: C " City/State Zip Phone 1 ry 6 . D�q �/ 2 / 5 6 3275 Electrical Permit Required? El Yes ❑ No Tenant or Name Business y - / e_ 5 Building Permit Required? El Yes Ill No Name Rev. 7/1/04 is \curpin\ masters \revised\sign permit app.doc Sign Contractor Mailing Address 'uite 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 • - Oregon Const. Cont. Board Exp. Date City o rgard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ Billboard ❑ Balloon 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: Y /Cc? , ❑ $32.00 Fee (Permanent sign, any size) X Total Sign Area (sq. ft.): 3Z S6t ❑ $15.00 Fee (Temporary sign, any type) Si n Data Total Wall Area (sq. ft.) _ Jurisdiction: ❑ City ❑ Urb 9 (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. X Materials: PLE1C Lft&S. • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes a 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. 1 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 /Agent Contact Person Name Phone No. + - C2n- _ tttu C C= lti► -v e S CITY OF TIGARD (03.1 - n Approved _._ [ C/ x /- PC/A-PC/A-1/079•1 / '- R �C Conditionally Approved ............- ... - -••- [ ] ��� -3 For only the wo5 described a ° o in: ,,t, 9 �/ n ©� 9 112"/ PERMIT NO. _ _ [ gcrn -O� See Letter to: Follow --- -- Attaoh ........._ _ .. 1 1 Qd - 3 1 1 5t S � � ur1�'t 7 t� J ob Adrees: Date: �� n i �� By: . � - - a ' 4 r /c L _____ 4