SGN2002-00040 o
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00040
xasi 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 3/20/2002
EXPIRATION DATE:
BUSINESS NAME: HD HAIR STUDIO
SIGN LOCATION: 11945 SW PACIFIC HWY 204 PARCEL: 1S135DD 0330
APPLICANT /AGENT: ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 FT X 6 FT
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one 3' x 6' foot temporary banner.
Valid 3/20/02 thru 4/20/02
MATERIALS: PLASTIC
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary si shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval Hato
APPROVED BY:
PERMITTEE SIGNATURE: k
DATE: 3/20/2002
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I
�,,.<,4, :I,a SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
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GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site j ) -r 2 ST Ui7 ; _ c.?
Address/ Street Address Permit No.: f /6 2 -0Q)2- - D 00
Location X10 Pg(2>�C y
a . � �cpiration Date:
Suite /BI g. # City /State Zip
( 0 JS Cri Receipt #:
Na _L(4 P St0 PC � ��L
Approved By: r---- e
Property Vis A) U c ,<l Date: N /b 2
Owner ' ail in. Ad , � s OC i ' jo c� 5 , Suite Map/TL #:
Zoning:
City /State Zip Phone
/-'L, (irkt& L Ok 6 , 3 - � - r --- Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business P)/<1 Building Permit Required? ❑ Yes ❑ No
( ✓ I /C I TA) i--
Name Rev. 30 -Jul -01 is \curpin \masters\revised\sign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance,
copy of ll City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed Permanent LI Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other ❑ Billboard ❑ Balloon
apply) size requirement: 8 x 11 °, to 24" x 36"
ZNew sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: v / j
r 6 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this �
section) lJ 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: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? Yes t No BECOME NULL AND VOID.
Type: ❑ Internal ; External \
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa CI MasterCard
Credit card number / /
❑ Yes 44O 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 ,
, day of 22 , 20 0 2___
c- ----- ; - ----....)
c ___I -------
Signature of Owner/Agent
f 1 ,
Contact Person Name Phone No.
i
6
r
3 )
C priurmLJu
5_,...
OITY Of truptnal
Pktn,Dve'l . ..................... ... ........... t 1
C orIrli . .',': - „ iy Approved .-- .... .-- .......
I? the •
wort.„ as 4s;escrikred in:
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L te. Follow........... .................. 7 .... .......... i 1
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,
v_ 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
FOR STAFF USE ONLY
Site HD EP 2 sg - up - 3 - .0
Address/ Street Address Permit No.: j IJ 2 -oz 2 - o OCW
Location 1 / P pxr✓
Suite /BI g. # City/State n Zip q-Z otoy :A icpiration Date:
T CnIOC -ZZ Receipt #: 2.>-- Z /G 3 3
Na - I- 0 ea P6eTL. F S VC,
Approved By: r---? p
P - ,3/ /c, z
Property Date:
Owner , ailin•Ad•r- s ^, Suite Map/TL #: / 5/ 35" 0 -o 33c'
D � �
Zoning: C
City/State Zip Phone
1.4;11,J A ti L 2 O L 0 3 - r - + Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business U Building Permit Required? ❑ Yes ❑ No
Name Rev. 30- Jul-01 is \curpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building p' g permit is required)
Proposed (� Permanent size requirement: 81/2" x 11 ", or 11" x 17"
J
Sign Temporary ❑ Freestanding ❑ Freeway
El ❑ Wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
ZNew sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: / /
y b ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
NOTES:
Sign Data Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
signs do not require site/ lot
section) ( S E W NE NW SE SW ♦ Wall sl plans.
g q p p
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: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? 0 Yes , No BECOME NULL AND VOID.
Type: ❑ Internal External \
Are there any existing freestanding or wall signs at this N ot all jurisdictions credit ons accept cre cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑ Mastercard
Credit card number / /
❑ Yes 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 1 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 day of .,-- , 20 () L
ass
Signature of Owner /Agent
UatcAn4iyt ( 51 ti - 3c0
Contact Person Name Phone No.
_ _
c,
3 p:,,ur).,._ry/iL)
b
Receipt #: 27200200000000001033
Date: 03 /20/2002
TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00040 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash HD HAIR STUDIO 0 $15.00
TOTAL AMOUNT PAID: $15.00
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