SGN2010-00152 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00152
COMMUNITY DEVELOPMENT Date Issued: 09/17/2010
R 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S102CC00500
Jurisdiction: Tigard
Name of Business: Fantastic Sam's Hair Salon
Business Address: 13560 SW PACIFIC HWY
Applicant/Agent: Paulus,Jaylene
Work Description: Installation of one(1)permanent wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 12"x 8' 1"
Total Sign Area: 8.08
Wall Area: 496
Wall Face(Direction): South
Sign Height: 14 ft.
Projection From Wall: 10 in.
Illumination: Internal
Materials:
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $164.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: nwl
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.
DA'1'P:D this /4 44--' day of c5 Q , 20 k)
S - of Owner /Agent
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Contact Person Name Phone No.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 of 2
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CITY OF TIGARD RECEIPT
6I 13125 SW Hall Blvd., Tigard OR 97223
,, ,, 503.639.4171
1r iGARD
Receipt Number: 179490 - 09/17/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00152 Sign Permit 1003100 -43115 $143.00
SGN2010 -00152 Sign Permit - LRP 1003100 -43117 $21.00
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Total: $164.00
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PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT •
Check 2083 STREAT 09/17/2010 $164.00
Payor: Meyer Sign Co of Oregon Inc
Total Payments: $164.00
Balance Due: $0.00
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