SGN2004-00024 At. CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00024
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/6/04
PARCEL: 2S110DC - 02300
BUSINESS NAME: CURVES OF TIGARD ZONE: C -
SIGN LOCATION: 11515 SW DURHAM RD E - JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 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 sign. Sign must be placed on private
property. Valid 2/7/04 through 3/8/04.
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:
PERMITTEE SIGNATURE:
l
DATE: 2/6/04
To• '
A
1i'i� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
1ENERAL INFORMATION
Name of Dev- opment/P .ject
Site / / C ^,
� /L FOR STAFF USE ONLY
Address/ Street Address
Location 4 C S1 /)� G,,K_aK_� Permit No.: r\1 aoc� 4 a C'c (4
Suite /Bld . # Ci /state Zip Expiration Date: 3 — 8 - p 4
E 1 1-2't-k_ 47 Z Z -1 Receipt #: a o t)L — (U (p 5
•
Name Approved By: C - ('c ,.....)
Property GI/2.Q F e, -. L Date: 2_ to 4
Dwner Mailing Address !Suite Map/TL #: ca?S j/ o P o - 0a 3 o,
Zoning: C. - G
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes No
3usiness Building Permit Required? ❑ Yes ' No
Name Rev. 8/7/2003 is \curpin\masters\revisedlsign permit app doc
Sign
:ontractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
Prior to permit
>suance a ,/ 5 (' _ (Note: applications will not be accepted
opy of all Ciry /S . e Zip - one without the required submittal elements)
tenses are
equired if ' J 2 y ■ 3 1 f 7
xpired in the Ore •n Cons . ont. Board Exp. Date Completed Application Form
:ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
pro osed (3 copies, if a building permit is required)
p ❑ Permanent E3. Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Si gn El—Temporary ❑ Wall
Check all that ❑ Electronic
het Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: ' X
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): , / Z $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft. l ,(.. -
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): 4 • 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.
• Wall signs do not require site /plot plans.
Materials: w £h-) L_ • 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
k re there any existing freestanding or wall signs at this been completed within ninety (90) days after
Dcation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ti-No BECOME NULL AND VOID.
f "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
Y ,
R_ ilk /
Signet re of Owner /Agent /
SZ3 - 4 35 ( r ) r —
Contact Person Name Phone No.
CITY OF TIGARD 2/9/2004
13125 SW HaII Blvd. 9:03:04AM
��. Tigard, Oregon 97223 •
7 ..L (503) 639 -4171
Receipt #: 27200400000000000469
Date: 02/06/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00024 [SIGN] Temp Sign Perni 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CURVES OF TIGARD CAC 1425 In Person 15.00
Payment Total: $15.00
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