SGN2011-00009 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2011 -00009
COMMUNITY DEVELOPMENT Date Issued: 01/13/2011
Ta A.1 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S115AB01900
Jurisdiction: Tigard
Name of Business: Great Clips
Business Address: 16200 SW PACIFIC HWY E
Applicant/Agent: Adamski, Caitlin
Work Description: Temporary banner (3' x 8') to be placed on face of building. Valid from 1/22/11 -
2/22/11. Sign permit #1.
Permanent: No Freestanding: No Freeway: No
• Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' x 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination:
Materials: Vinyl Banner
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
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 B
PP By:
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Permittee Signatur ' Si) "\ 60 -L
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City of Tigard
Si gn Permit Application
GENERAL INFORMATION
Name of Development /Project
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Site eb✓PQ.� �J�l, p\ FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5 C7 A . X- 6 \ ( ^ ozvU /
Location U Z oc PQ.zii'i C Pk' ;j T
Suite/Bldg. # City/State Zip / Approved By: K t1 /
L fl g g t , c ! ,Y IN g 7 Z Z Ll Date: r /2 — ' 2 12...2-1(/
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Name e Receipt #: t 4 1/ 03
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Property N P Prop �'� Map /TL #:
Owner Mailing Address ( J Suite Zoning: Q
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/1 L/ S i J/� /f &— /
Allowable Total Area: a 5 • F- •
City/State /' Zip Phone
���� / 7 2.4. 's Electrical Permit Required? ❑ Yes [lo
Tenant or N e
Business j yi(.f- CU5 Building Permit Required? ❑ Yes 9—No
Name ■ Rev. 7/1/10
1 is \curpin \ masters \land use applications \ sign permit app.doc
Sign `/ 0
Contractor • Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
• (Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date
without the required submittal elements)
❑ Completed Application Form
Permanent
Proposed ❑ El Freestandin g 1=1 Freewa y El Copies of Site /Plot Plan, Drawn to Scale
P
Sign temporar ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Wall ❑ Other >
apply) size requirement: 81/2" x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: � g • size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 7.1 El $ 164 . 00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.) /U 111 $52.00 Fee (Temporary sign, any type)
Sign a n Data =
(Complete all Direction Wall Faces (circle one):
items in this , NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Materials: • Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes 14 No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
foota • e must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2
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 13 day of 1&, 11X.A.0 , 20 1
Aun
Signature of Owner /Agent
l i r CtOvwlSk i ( 3 9 8
Contact Person Name Phone No.
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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
II -u
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181103 - 01/13/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00009 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00009 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
. PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 008733 008733 KPEERMAN 01/13/2011 $52.00
Payor: Caitlin E. Adamski
Total Payments: $52.00
Balance Due: $0.00
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