SGN2003-00318 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00318
- ..' DATE ISSUED: 12/23/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135BD -00300
BUSINESS NAME: AESTHETIC MEDICINE SPA & CLINIC ZONE: C -G
SIGN LOCATION: 09735 SW SHADY LN 203 JURISDICTION: TIG
APPLICANT /AGENT: SIGNCRAFT LLC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 5.2' X 14.2'
TOTAL SIGN AREA: 74 sq. ft.
WALL AREA: 4,800 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one permanent wall sign. (5.2' x 14.2')
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
, C
PERMITTEE SIGNATURE: �c - v.
DATE: 12/' u3
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A V 1; SI 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 L •
Address/ Street Address FOR STAFF USE ONLY
Location 1135
Permit No.: 50, \\) ao03 -boa 15
Suite /Bldg. # City /State /� Zip n
.P. p 3 r7• lkl2 l -`- Expiration Date:
Name d Receipt #: a003 — 54 B
Property �� f �+ t r JIAthi I �- Approved By: a - L° a.. �
Owner Mailing Address ►� �A�, Suite • Date: /? -A.3 -o3
��' n'
72 `'t thi\- Map/TL #: /5/3S B D -- W3o0
City /State Zip 5o ne Zoning: C- c
77G , ?Z � eq-r - g
Tenant or Name
Business A j 16 ME DI-0/4' Electrical Permit Required? ❑ Yes cid No
Name Building Permit Required? ❑ Yes ys No
Sign
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Contractor Mailing Address A Suite
01
(Prior to permit 0]2 S� a I `/ ' Y v' �f1 �+
•71��
issuance, a �1 /7 w
copy of all City /State Zip Phone
licenses are xl, -01 0 REQUIRED SUBMITTAL ELEMENTS
required if
expired in the Oregon Const. Cont. Board Exp. Date (Note: applications will not be accepted
City of Tigard's License # ISS 22 —t without the required submittal elements)
database)
Proposed ig Permanent ❑ Freestanding Completed Application Form
g ❑ Freeway /
Sign ❑ Temporary R,Wall ❑ Electronic 0 2 Copies of Site /Plot Plan, Drawn to Scale
(Check all that ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign?
0 2 copies of elevations, drawn to scale
Sign Dimensions: S 1 2_ L L ' (3 copies, if a building permit is required)
• ' size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) /4/00 cil $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) t S E W NE NW SE SW NOTES:
■ • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): 'a"
sign placement.
Copy: "� t6P • Wall signs do not require site /plot plans.
Materials: Nl..V,A4- P1I 11 G. • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes lo 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
BECOME NULL AND VOID.
rif.Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and OVER FOR SIGNATURES)
square footage must also be submitted.
p . 5160 ;
/ ( GO p
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.
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DATED this 2� day of , 200
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Signatur- o Ow 1Ygent
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Contact Person ame Phone No.
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CITY OF TIGARD
c ; / Approve
Conditionally Approved . [ I
For FFRMiT only the . work as descri a 3 8
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By. F.cid' Date: !'a.L. 3
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JOB NAME: APPROVED BY: :E. Si i i i lift
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CITY OF TIGARD 12/23/2003
13125 SW Hall Blvd. 10:11:29AM
4,4 Tigard, Oregon 97223
LIL ° (503) 639 -4171
Receipt #: 27200300000000005498
•
Date: 12/23/2003
- Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00318 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $3.1.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check SIGNCRAFT ELEC CAC 1314 In Person 31.00
ADVERTISING LLC
Payment Total: $31.00
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