SGN2002-00217 CITY OF TIGARD SIGN PERMIT
� 4. DEVELOPMENT SERVICES PERMIT #: SGN2002 -00217
c = ` - ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/28/2002
EXPIRATION DATE:
BUSINESS NAME: CURVES OF TIGARD PARCEL: 2S110DC - 02300
SIGN LOCATION: 11515 SW DURHAM RD E -7
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one 6 sq ft temporary A -frame sign. Valid 10/29/02 thru 11/28/02.
Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 dar sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire ys from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: ".0141r
DATE: 10/28 002
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lily SIGN PERMIT APPLICATION
C F TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
r_76
pment/ FOR STAFF USE ONLY
Site f i I/o .blot
Address/ Street Address AJ ,, ll N// / Permit No.: 34 Z� 2, - 00
Location / f 5 / S 5i.e/ D6 p Em Expiration Date: I 12-0 ` o ` Z 1 I (Z-y/� -Z
Suite /Bldg. # Q City /State Zip r7 _ 7 ( Z
1'i ,� f�' � d OL q 2z. Receipt #: ^ '- �
Property
Name l 7 Approved By: ,+� (`T
II L LC— Date: 1k`�� 5 /Z Z..
Owner ailing A ' ress V Suite Map /TL #: > / G b C - 0 Z_,3 D�
Scd z4 0 _ '107.) Zoning: ( C 0
City/State Zip a Phone
2eZAT 1 72O Electrical Permit Required? El I No
Tenant or ame 1
�� i Building Permit Required? El Yes o
Business
Name Si Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign S // I C ag," `� ` '`.S
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /31' 5 CC') A Cam' 8 - 3 (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip 9 Phone
licenses are 2
required if U 3 56 3 -63`) -7g/ ❑ Completed Application Form
expired in the Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) 5- 7 2' > bJ 6„ 3 (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ B ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
f. New sign? LI Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: .
A X 3 . ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): G ❑ $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
• 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: 0,///2 .01s cu e, 4,ihcs5 i■ • Wall signs do not require site /plot plans.
Materials: Wsp D • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes a 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 overlap a tenant space? BECOME NULL AND VOID.
I=1 Yes g.. No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
4
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.
r
DATED this c9 day of , 20 0
so /
Signature of Owner / Pct
/{ 5a; -63 3
Person Name7 Phone No.
C.,6 Soa/1
C 1/ E-5
Fik Fun • F !Hess
miszisis4
20
0/28/02
CITY OF TIGARD 1 1 /2 / 2 02
13125 SW Hall Blvd.
„ Tigard, Oregon 97223
,°� .1 (503) 639 -4171
Receipt #: 2720020000000000
Date: 10/28/2002
Line Items: Revenue Account No Amount Paid
Case No Tran Code Description
SGN2002 -00217 15.00
[SIGN] Temp Sign Perm 100 - 0000 - 437000
100- 0000 - 437000 30.00
SGN2002 -00218 [SIGN] Sign Permit
Line Item Total: $45.00
Payments:
Method Payer User ID Check No. Approval No. I-Iow Received Amount Paid
Check CURVES OF TIGARD KJP
0093 In Person 45.00
Payment Total: $45.00