SGN2003-00204 r .,
C ITY OF TI GARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00204
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/29/03
PARCEL: 1S135DD-03301
BUSINESS NAME: HD HAIR STUDIO ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 204 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign. Sign #2. Valid 8/29/03 through 9/29/03. Sign must be
placed outside of City right of way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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: (1.,keLs"
PERMITTEE SIGNATURE: ���
DATE: 8/29/03
am. 4•�t l � 1 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
1 Name of Development/Project
FOR STAFF USE ONLY
Site P ; ( ,i p a `{
Address/ Street Address l) 5 cZoo
Permit No.: 3
Location , i G ' G .4I ?
Expiration Date: / G
_. 9 03
Suite /:Idg. # City /State Z
1 r� DA 1n2 Receipt #: a 0 C� 3 —313 ,)33
Name � • Approved By: C... - n ���, r�2 2-,.�
Property iige ) id b0 % . � Date: 5 - a9 - 0 3
Owner Mailin ddress .. V 1 ate Map/TL #: 51 3 D D " 033 a
' S
. 7/(0 (, ciAoGD ST. Zoning: L'
City/State Zip Phone
4; /u , OX 1 - Electrical Permit Required? ❑ Yes I,X No
Tenant or Name
Business N ()cv1G tn� 7J Building Permit Required? ❑ Yes No
Name 1 Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
(Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City/State Zip Phone q )
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Pro used size requirement: 8Y2" x 11 ", or 11" x 17"
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other El Billboard ❑ Balloon (3 copies, if a building permit is required)
apply)
size requirement: 8 x 11 ", to 24" x 36"
76 New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: \it
I
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft. :
NOTES:
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes No BECOME NULL AND VOID.
Type: ❑ Internal Exter al
Are there any existing freestanding or wall sins at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI
location, including wall signs that overlap rlap a tenant space? visa ❑Mastercard
❑ Yes I lq No Credit card num / /
T Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. g
, Cardholder signature Amount
(OVER FOR SIGNATURES) \
si
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 5 / b /
day of f�iaGl , 20 6
Signature of Owner /Agent
7 n (, is-o77/ 3/— 3 q(
Contact Person Name Phone No.
CITY OF TIGARD 8/29/2003
13125 SW Hall Blvd. 8:35:25AM
Awe kiln Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200300000000003883
Date: 08/29/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 - 00204 [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 HD HAIR STUDIO CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
•
O
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