SGN2002-00159 •
CITY OF TIGARD SIGN PERMIT
�I Y DEVELOPMENT SERVICES PERMIT #: SGN2002 -00159
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/11/02
EXPIRATION DATE:
BUSINESS NAME: IMPRESSIONS DANCE CLUG
SIGN LOCATION: 14363 SW PACIFIC HWY PARCEL: 2S110AB 00201
APPLICANT /AGENT: IMPRESSIONS DANCE CLUB ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 12'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 2,500 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign permit for (1) non - illuminated banner sign. Valid 10/1/02 - 11/1/02
(Sign #1)
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 - • ulations contained i r the i igard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. A wor will be done in ac • rdan' a with approved plans. A sign permit shall expire 90
days from approval date. Ate- p•ra , sign shall expir: 0 da - s om approval date. A balloon sign shall expire 10
days frnm annrnval data _
APPROVED = L / � __
PERMITTEE SIG. ATU •
DATE: 1/02
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' aiii SIGN IT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
( I FOR STAFF USE ONLY
Site Li" ZA, P • V� (�
Address/ tree ddress Permit No.: • _n' ? - ea '. — I
Location /V:3423 S) W ( Expiration Date: io I � - 6 I e a— -
Suite /Bldg. # City /State Zip . , =
�i�QTe1� de-
�• Receipt #: a r , v
X 7 22 ,∎ Approved By: 111 Na 'e 2��,
Property l 1 u I v 11 D ate: Q
Owner � fling Ad s Suite Map /TL #: 0, ._ ' I l t — Go 0
: 41 Zoning:
City /State Zip Phone
�i;09 OQ 4 Electrical Permit Required? El Yes [�No
Tenant or m e
Business. k h Mcs Q , ► Building Permit Required? ❑Yes No
Rev. 01- Jul -02 is \curpin \masters \revised\sign permit app.doc
Sign ..
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit / f / ? C ( . 4 1/0 (Note: applications will not be accepted
issuance, a i `� 3�0.j J� grill; without the required submittal elements)
copy of all City /State Zip �� tt P n r�
licenses are i 1 § 3 5T l k' , ` } al
required if ompleted Application Form
expired in the regon Const. Cont. Board xp. Date
City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ P anent ❑ Freestanding ❑ Freeway .• e requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic A,
(Check all that Other ❑ Billboar ❑ Balloon G'r 2 co of elevations drawn to scale
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
❑ " $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): [ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
o 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): . sign placement. I
Copy: o Wall signs do not require site /plot plans.
Materials: o Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ❑ No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overl - a tenant space? BECOME NULL AND VOID.
❑ Yes No
[ _II
If "yes ", a list or diagram of sign dimensions and
square footage must also 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.
DATEpte i� I/i /� day of 20
7
Signature of O • - • gent
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Contact Person Name Phone No.
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