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SGN2002-00160 CITY OF TIGARD �, SIGN PERMIT ir, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00160 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 1 , L02- 1l(1[Q2 (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 t•• ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. • II wor will be done i - ordance with approved plans. A sign permit shall expire 90 days from approval date. A emp ra sign shall e pir: 30 . r_ys from approval date. A balloon sign shall expire 10 riavc from annrnval riatP / I / 1 APPROVED B\ �:� �1 ., �gbh_ PERMITTEE SIGNA DATE: 9/11/02 A 1.1: SIGN IT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY • Site t r ee t e 6 / DtIJ S 1nXP 0\40(9 C . 60a a a .0 Address/ tree d dr ess Permit No. Location /'/3 ( P . .. 2 S . ) We' (6 1 �< Expiration Date: I I 0�' — ■ -1 a' t Suite /Bldg. # City /State Zip _ ` P� - ��b de / Q P Receipt #: l a , N a a Approved By: �. Property /� / 1 1" It, Date: 9 t 0 0 a ye �\ Owner iling Addr�$s Suite Map /TL #: a l 0 i 2 V ©cD Zoning: C — City /State Zip Phone / �j O a Electrical Permit Required? El Yes [ Tenant or me 6( ZejAs__ � � � � Business � � , 1 Building Permit Required? ❑ Yes 1t No Rev. 01- Jul -02 iAcurpin\ masters \revised \sign permit app.doc • Sign .. Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to pe mit / / / (Note: applications will not be accepted issuance, � �VW�j �� 2,,e, without the required submittal elements) copy of all Cit /State Zip pp n licenses are � S'n required if �O Completed Application Form expired in the regon Const. Cont. Board xp. Date City of Tigard's License # V2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ P anent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ B illboard ❑ Ba lloon Li 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 Din Anions: t a- ❑ 30.00 Fee (Permanent sign, any size) Total Sign Areas . f.): 15.00 Fee (Temporary sign, any type) Sign Data Total Wall Ar 0) (Complete all Direction Wall F (circle one): NOTES: items in this section) N S E W NE NW SE SW a 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. _ Copy: ,t kAN e Wall signs do not require site /plot plans. Materials: . 1 11 t , .; a Freestanding signs over 6 ft. required a building permit. Will sign have illumination? ❑ Yes % No a If work authorized under a sign permit has not Type: ❑ Internal ❑ - ternal 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 over) a tenant space? BECOME NULL AND VOID. ❑ Yes No If "yes ", a list or diagram of sign dimensions and square footage must also submitted. (OVER FOR SIGNATURES) •