SGN2003-00226 7 • .0
CITY TIGARD SIGN PERMIT
i rIk DEVELOPMENT SERVICES PERMIT #: SGN2003 -00226
� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/17/03
PARCEL:. 2S102CB -00302
BUSINESS NAME: CLINES CLEANERS ZONE: C -G
SIGN LOCATION: 13185 SW PACIFIC HWY B -4 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary sign. Sign must be on private property and not in
the public right -of -way. Valid 9/17/03 thru 10/17/03 Sign #1
MATERIALS:
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 ::.ys from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: j
DATE: 9/17/03
/ t SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site FOR STAFF USE ONLY
Address/ Street A dress . Permit No.: 5 w ?<3- QO Z Z
Location / 5i x ,- ,..) P .al-Lc f Expiration Dat
Ex e: q O ( 'S/-3 Suite /Bldg. # City /State Zip p � r �l / Q3 (�
Receipt #: ` 4 ( Li (0,
Name 1 Approved By: ---y
Property �ep� K w Date: V 7/0 3
Owner Mailing Address Suite Map/TL #:
9Q..3 S•W. eavAciAyl3v. Zoning: GC
City /State Zip Phone
PrtI d ✓�ER 9 ,a -- 1 4 Electrical Permit Required? ❑ Yes C7-lo
Tenant or Name
Business C1 iv\eS C le■ew,S, Building Permit Required? ❑Yes E —No
Name Rev. 8/7/2003 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 elements)
licenses are
required if Q' Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # Q/2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign g Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon Et' 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
li4 New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:
3'( X 4 Qb- . ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
re .ct'. $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(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): 3 Pk- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • 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
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "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 l +,t day of S16M \O21Y' , , 20 0
3 .
P
Signature olOwner /Agent \ , f
Contact Person Name Phone No.
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A NY -CA RMENT
C L ENE b
Approsied
7
i Ap T p Y rov O ed F TIGARD
.nonditional
Par only the wo_ck as described in:
I
PERMIT NO. .>c9-
See Letter Follow [
Attach rTh
Job AddrAs:
By: .41,,J? Date:.
CITY OF TIGARD 9/17/2003
13125 SW Hall Blvd. 12:13:50PM
/am N / ,i . Tigard, Oregon 97223
(50 3) 63 9-417 1
Receipt #: 27200300000000004146
Date: 09/17/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00226 [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
Check CLINES CLEANERS KJP 3187 In Person 15.00
Payment Total: $15.00
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