SGN2004-00003 •
CITY TIGARD SIGN PERMIT
; , i�1 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00003
Alp 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/9/04
PARCEL: 1 S 135D D -03301
BUSINESS NAME: PLAZA BARBERS ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 215 JURISDICTION: TIG
APPLICANT /AGENT:
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')
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 expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: G� "67-4 -'"-
PERMITTEE SIGNATURE: ----/
DATE: 1/9/04
A
:111la SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
Name of Development/Project
Site .��Sttn F FOR STAFF USE ONLY
Address/ Street Address
Location 1 3 . - TA k C t( 9
Z Permit No.: �S C , NI e 0) 4 - 00003
Suite /Bldg. # City /State Zip Expiration Date: o� - 9 O`{
o2 1 7A eoz9 - OX cl1ZZ3 Receipt #: o� 00 LI -00C43
Name J Approved By: (' ' ('I c., --
t
Property Mi lb 0 N Y Date: i - 9 - 0 '4
Dwner Mailing Address Suite Map/TL #:_ IS 1 35j)T) — 033 0 1
Zoning: G - G
City/State Zip Phone
tenant or Name Electrical Permit Required? . ∎ Yes No
No
3usiness ph() o Ltio v,,,, Building Permit Required? ❑ Yes j� No
Name I Rev. 8/7/2003 i:\curp \revised\sign permit app.doc
iign
3ontractor Mailing Address Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
Prior t e, a (Note: applications will not be accepted
opy of all City/state Zip Phone without the required submittal elements)
censes are
equired if
xpired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form
;ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'roposed (3 copies, if a building permit is required)
Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Ch k all that Temporary ❑ Wall ❑ Electronic
pply) ❑ Other ❑ Billboard ❑ galloon ❑ 2 copies of elevations, drawn to scale
(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:
tunfte-3 k `!I
�S ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
iign Data Total Wall Area (sq. ft.
Jurisdiction: ❑ City ❑ Urb
Complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) 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
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
• 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
kre there any existing freestanding or wall signs at this been completed within ninety (90) days after
)cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
f "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. I
(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 (IAA - day of C1 , 20 6 /--)
1 --)w-%..4-1( 7
Signature of Ow er/Agent
Contact Person Name Phone No.
CITY OF TIGARD 1/9/2004`'
13125 SW Hall Blvd. 9:14:3IAM_
Tigard, Oregon 97223
1.1 (503) 639 -4171
•
Receipt #: 27200400000000000043
Date: 01/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00003 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash PLAZA BARBERS cac In Person 20.00
Change CITY OF TIGARD cac In Person (5.00)
Payment Total: $15.00
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