SGN2003-00112 CITY TIGARD SIGN PERMIT
( � DEVELOPMENT SERVICES PERMIT #: SGN2003 -00112
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/16/03
PARCEL: 1S135DD
BUSINESS NAME: HD HAIR STUDIO ZONE: C -
SIGN LOCATION: 11945 SW PACIFIC HWY 204 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: 448 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of new wall sign . 3' x 7'
MATERIALS: PLASTIC BOAR
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: allf0
PERMITTEE SIGNATURE:
DATE: 5/16/03
.
I
. ih,
,,,:�,,,, SIGN 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
' / ;( 517/40 FOR STAFF USE ONLY
Site �j
Address/ Street Address Permit No.: 5 (,}J aoo3 - UD I l I
Location 4 , `
/ u i /�Id9. # ciry /sta 1 G 1 C Zip r 40 Expiration Date: 8' r) or-1 C-
0� q,/2Z7 Receipt #: a, 0 3 -- I 9 S
Name / Approved By: 0 - e a-ti-�
, -- 5• - 1 Co - 0 3
Property I r , 6/d Pro t7" -, • Date:
Owner Mailing(Aloldress Suite Map/TL #: 15) '35D I7 - 0 l
2-/QJ cf Q Zoning: C - G
Ci /State Zip Phone
0 0 - 6 ( 3 - 19 - r y
Electrical Permit Required? ❑ Yes t. No
Tenant or Name
Business 1/4 / 4 4 A . Building Permit Required? ❑ Yes ( No
Name Rev. 30 -Jul -01 i:tcu •Inlmasters\revised\si•n .- rmita.•.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance,
opy of ll City /State Zip Phone without the required submittal elements)
licenses are
required if 0' Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # WitA 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
p Permanent ❑ Freestanding ❑ Fr eeway
Sign Temporary ❑ Wall ❑ Electronic Er 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other ❑ Billboard ❑ Balloon
apply) ize requirement: 81" x 11 ", to 24" x 36"
New sign? ❑ Alter to existing sign? Sd
$tom Fee (Permanent sign, any size)
Sign Dimensions:
3v ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.)
NOTES:
Si n Data Tot I W Ar (sq. ft.) / • Wall signs do not need to be drawn to scale,
g �bJ� but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one):I sign placement.
items in this
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: p gp . the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes bf No BECOME NULL AND VOID.
Type: ❑ Internal External \
Are there any existing freestanding or wall s gns at this Not all jurisdictions accept credit cards. please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa MasterCard
❑ Yes No Credit card number Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(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.
DATED this /6/ 03 day of 6(10A - , 20�
Signature of Own :'I
Pt gq16.1Pc 3 3, c1: ( -C
Contact Person Name Phone No.
'.i i 1 Vlr 1 11sAK )
13125 SW Hall Blvd.
5/ 16/2003
,,peem Tigard, Oregon 9 72 23
9:03:46AM
ea. (503) 63 9-4 17 1
Receipt #: 27200300000000001998
Date: 05/16/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -001 I 1 [SIGN] Temp Sign Perm 100 -0000- 437000 15.00
SGN2003 -001 12 [SIGN] Sign Permit 100 -0000- 437000 30.00
Line Item Total: $45.00
Payments:
Method Payer User ID Acct. /Check Approval No. flow Received
Amount Paid
Check HD HAIR STUDIO CAC 0201 In Person 45.00
Payment Total: $45.00
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