SGN2003-00250 CITY OF TIGARD
SIGN PERMIT
M ' ft ` DEVELOPMENT SERVICES PERMIT #: SGN2003 - 00250
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/03
PARCEL: 2S110AB - 00200
BUSINESS NAME: ALPHA CLEANERS ZONE: C -
SIGN LOCATION: 14295 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT/AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X1'
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: 48 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x 1' banner. Valid 10 -10 -03 thru 11- 09 -03. Sign
#1
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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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 days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 10/15/03
Oct 08 03 10:59p Shahin Sarmadi (503) 639 -5127 p.2
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f 13 2003 .
SIGN PERMIT APPL1 4 ATION •
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r 13125 SA'FIQII BFvd ; ?Eger[! OR 97223 (S03)'639- 417f • : (503) b94 -7?97
GENERAL INFORMATION
' Name at Development/Project
j � ,/� / / FO STAFF USE ONLY Site f� �f I'tC� CfCGt.h.e .
Address! Snr3e S
i naam Permit No.: cQ 7.1) 02 n ZSO
Location / / 01 I L4) " -Gr b
`-7 Expiration Date:
suds/Btd9 >Y !ate z G Receipt #: d 3 % �f°
• G u'�J G12, 1702.
-- Name • Approved By:
Property kV; Reed Date: �`(/. Al(--) _
Owner Meiling Address suite Map/Tl_ #:
14 /2-' 4 C A -VIA A — Zoning: C 17 _
Cl ylstate Zip X7e .
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* Electrical Permit quired? ❑ Yes ❑ No
Tenant or Name
Business AGl i r n jam " "'. Building Permit R: quired? El Yes CI No
Milne Rev. 01- Jul-02 bcurpl .: 9tetstrevisedlston
Sign -
Contractor Maiirmo Address Suite 1 REQUIR; 0 SUBMITTAL ELEMENTS
(Prior to permit S'o.L. _ c ,,d_ C.. ioc> At._ (Note: a. plications will not be accepted
Issuance. s • without e required submittal elements)
copy of al City /State Zip Phone
licenses are
required r ❑ Completed , • plication Form
expired in the Oregon Cont Cont. Board Exp. Date
City ofTigard's License # ❑ 2 Copies of ite/Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed W p El Freestanding
ing ❑ Freeway size require - nt: 8'" x 11", or i 1 ° x 17"
Sign Temporary ❑ Wei
El
(Ci, $a that other ❑ einaaard ❑ Balloon ❑ 2 copies of • levations, drawn to scale
eppN) (3 copies, if a building permit is required) j
IR New sign? ❑ Alter to existing sign? size require ant: 8W x 11 ", to 24° x 36"
Sign Dimensions: . - , ❑ " Fee (Permanent sign, any size)
3d- ,•
Total Sign Area (sq. ft.): 3 , b , / 1 FA $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft_) A/ • / J „
Sign Data //
(complete all Direction WalkFaces (circle one): NOTES:
items in this
sell N S a NE NW SE SW
• Wall signs o not need to be drawn to scale,
Height to top of sign (feet): /. i but must in lude dimensions of wall face and
Projection From Wall (inches): . sign place ent-
C + Walt signs - • not require sitelplot plans.
Materials: • Freestandin r signs over 6 ft. required a
building pe it.
Will sign have illumination? ❑ Yes ❑ No + if work aut • rized under a sign permit has not
Type: ❑ Internal ❑ External been comp - ted within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuanc • of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME N LL AND VOID.
• l Yes . ❑ No
• If"yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVE - FOR SIGNATURES)
Oct 08 03 10:59p Shahin Sarmadi (503) 639 -5127 p.3
1U /lU /LUUJ UV: vu FAA bUj*V51UUU CITY Ur• T1GARD Wg003
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I hereby acknowledge that I have read this application, tha the information given is
correct, that I am the owner or authorized agent of the owner, a d that plans submitted are
in compliance with the City of Tigard.
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(,
DATED this /04 day of .20
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Signature of Owner /Agent
c. k. ca.( ,� �. S 3_ C / -
Contact Person Name Pho e No.
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13125 SW Ha11 Blvd. 12:46:58PM
4 N \ Tigard, Oregon 9 72 23
AIL" �''' � (503) 63 9-4 17 1
Receipt #: 27200300000000004546
Date: 10/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00250 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00251 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00252 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard FARID ATIGH KJP 061055 In Person 45.00
Payment Total: $45.00
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CITY OF TIGARD
Approved... [X )
Conditionally Appro ""od ( )
For only the w rk as described in:
PERMIT NO.--7C-7,41-(1D3 "0QZ -So
• See Letter to: Follow [ )
• Attach
Job Addre s: /1 5 -4- 1 -t%c, ) y
By: Jz /i 4