SGN2003-00252 F D
4 1P0 CITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2003 -00252
' - 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/03
PARCEL: 2S 110AB - 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: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x1' banner. Valid 12/11/03 thru 1/10/04. Sign #3
MATERIALS: BANNER
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: / da .
PERMITTEE SIGNATURE:
DATE: 10/15/03
Oct 08 03 10:59p Shahin Sarmadi (503) 639 -5127 p.2
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. ;; . SIGN PERMIT 4 AT •
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G 13125 SW Hall Blvd Nord: OR 97223 (103)439-4171 • _ (503) 684 - 7347
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GENERAL INFORMATION •
Haste Development/Project m FO STAFF USE ONLY
Site eC� Cf Ct.e r� •� .
•
Address! sttget Address Permit Na.: _ • e 2 S -
Location / ( fa (,5 c _ I id 1 ` G 1
Expiration Date:
setude e- - cityrstare -) Zip
�� u vJ G3 �7ZZ G/ Receipt*. - t o — i t
Name Approved By:, /C •
Property M� gee
. � Date: !v. -
Owner Mailing Address Suite MapITL #: •
1 l a r' .- __,., Zoning: . •
city/State Zip Phone .
•
i Name 'Electrical Permit ❑ Yes ❑ No
Tenant or
Business h A .� tJC'� Building Permit Rsquired? ❑ Yes 0 No
Noma -
Rev. O1 -Ju1-O2 t carp -: sterakevisedstgu pemdt_ffip.doc
.
Sign
Contractor MauTma Address Sedte REQUIR : 0 SUBMITTAL ELEMENTS
((P permit ,S pt Yve._ t .,40 . _ 0... kc) ✓tc_.. (Note: a. plications will not be accepted
Way of all City/Stata Zip Phone without • required submittal elements)
i senses are
required it ❑ Completed ' s plication Form •
expired in the Oregon Cont Cont. Board Fxp. Date
mar of Tigard's License # El 2 Copies of ite/Piot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed 0 Permanent ❑ Freestanding D Freeway size require - nt: 8W x 11", or l i' x 17"
Sign Temporary ❑ Wei ❑ Electronic
(Check al that ❑ other ❑ Billboard ❑ Balloon ❑ 2 copies of • levations, drawn to scale
Paiv) I (3 copies, if a building permit is required)
Cgi New sign? ❑ Alter to existing sign? size require ent 81/2" x 11 ", to 24" x 36"
.Sign Dimensions: -
❑ $3e:et) Fee (Permanent sign any size)
Total Sign Area (sq. R): 3 , b , / 1 fi r ' ''
i >.4 $1 5 - 00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft -) / /1,,,
(Complete as Direction W�Faces (circle e one): ly "' NOTES:
items in this
semi N S 4 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.
. Copy. • s- Walt signs •o not require site/plot plans.
Materials: + Freestandin • signs over 6 ft. required a
Will sign have illumination? ❑ Yes 0 No building
it.
Type: ❑ Internal ❑ External • If work ouut t •nixed under a sign permit has not
the comp • ted the within ninety , THE PERMIT days after
Are there any existing freestanding or wall signs at this
location, including wall signs that overlap a tenant s the T OME of the permit, THE PERMIT WILL
- BECOME N LL AND VOID.
• 0 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 U1i :UU /AA bU358O1UUU CI Y OF TIGARD
41003
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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.
DATED this l0 / day of 20 3
•
Signature of Owner /Agent
•
Contact Person Name Pho e No.
•
•
•
•
9
13125 SW Hall Blvd. 12 :46:58PM
Tigard, Oregon 97223
(50 3) 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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CT . RD Approved ..................................... ............................... .
Conditionally Approved ........ I
For only the work as described in:
PERMIT
See Letter to: Follow ......................................... [ I
Altac ......... ..... ....... ..... .
Job Addres : 1. •
By: . Date