SGN2014-00005 CITY OF TIGARD SIGN PERMIT
v
a Permit#: SGN2014-00005
COMMUNITY DEVELOPMENT Date Issued: 01/21/2014
TI CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S115AB01900
Jurisdiction: Tigard
Name of Business: Great Clips
Business Address: 16200 SW PACIFIC HWY E
Applicant/Agent: Bauter. Felicia
Work Description: Temporary Banner Sign for 8' by 3' sign from 1/22/14-2/20/14
Permanent: Freestanding: No Freeway: No
Temporary: 2 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A-Board: No
Sign Dimensions: 3'x 8'
Total Sign Area: 24
Wall Area:
Wall Face(Direction):
Sign Height: ft.
Projection From Wall: in.
Illumination: No Illumination
Materials:
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $56.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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:
PP
Permittee Signature:
III CITY OF TIGARD RECEIPT
s • 13125 SW Hat Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 194613 - 01/21/2014
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2014-00005 Temporary Sign Permit-LRP 100-0000-43117 $7.00
SGN2014-00005 Temporary Sign Permit 100-0000-43115 $49.00
Total: $56.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash GPAGENSTECHE 01/21/2014 $56.00
Payor: Felicia Bauter
Total Payments: $56.00
Balance Due: $0.00
Page 1 of 1
S • qt
City of Tigard
Sign Permit Application
TIGARD
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 6>*- CAA S
Address/ Street Address -----
Permit No.: 7 + N Z U ��OS
Location `&) S ASL�a(�`-cC w� L' Approved By: CCU 131")
Suite/Bldg.# City/State Zip l
7 s i-lav a Date: / - Z 1 `I
Name Fee: $ 6-(
Property % I 'We'k Sh Receipt#: I `? -I / /3
Owner Mailing Address Suite
Suite Map/TL#:
`� � SW J�J\1\f‘OX\5A"'` Zoning: C-6-
(it /state Zip Phone Allowable Total Area: 2-1 3 F
t-\\, .(c\ (Ye. enarr�
Tenant or Na Business (y--e<Ci\Q Electrical Permit Required? ❑ Yes No
Name
11/ � Building Permit Required? ❑ Yes ,QrNo
4- Rev.10/21/2013
Sign l:\CURPLN\Masten\find Use Applications\Sign Pemut.doc
Contractor Mailing Address Suite ,
City/State Zip Phone
J(EOUIRED SUBMITTAL ELEMENTS
Oregon Coast.Cont.Board License# Exp.Date
Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway El 2 copies of elevations on 81/2"x 11"or 11"x 17"
Sign Temporary r) ❑ Roof ❑ Electronic pages (must be drawn to scale for freestanding sign)
>
((:heck all that
Wall ❑ 2 copies of site/plot plan,drawn to scale,on
apply)
�x 81/2"x 11"or 11"x 17" ge P a s (required for
cg q
New sign? ❑ Alter to existing sign? freestanding signs only)
Sign Dimensions: �1 Y p t pplication Fee
Total Sign Arca(sq.ft.): �ot 1 NOTES:
`-� ♦ Applications will not be accepted without all required
Sign Data Total Wall Area(sq.ft) _ . submittal elements.
(Complete all Direction Wall Faces(circle one): ♦ Wall sign elevations must include dimensions of sign
items in this and wall face and show the location of sign on the wall.
section) N SO W NE NW SE SW
Height to top of sign(feet): • Freestanding signs over 6 ft. in height and walls signs
of which any element weighs 20 lbs. or more require a
Projection From Wall(inches): permit from the Building Division for construction. If
Materials: any element of a wall sign weighs 70 lbs. or more,
Will sign have illumination% ❑ Yes tz No plans must be prepared by a structural engineer.
Type: ❑ Internal 0 External • When a Building permit is required, 2 additional
Are there any existing freestanding or wall signs at this location, copies of elevations and, if sign is freestanding,
including wall signs that overlap a tenant space% site/plot plan must be submitted with application.
❑ Yes No
If"yes",a list or diagram of all sign dimensions and square
footage must also be submitted. (OVER FOR SIGNATURES)
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 1 of 2
.
APPLICANTS:
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the"Required Submittal Elements"box.
NOTE: Person specified as"Applicant"shall be designated"Pennittee"and shall provide financial assurance for work
*When the owner and the applicant are different people,the applicant must be the purchaser of record,a lessee in possession with written
authorization from the owner,or an agent of the owner. The owner(s) must sign this application in the space below or submit a written
authorization with this application.*
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
Applicant Signature Date
Signature of Owner/Agent Date
Owner/Agent's Name(Please Print) Tide Phone Number
City of Tigard I 13125 SW Hall Blvd., Tigard,OR 97223 I 503-718-2421 I www.tigard-or.gov I Page 2 oft
r ' ` eJan. 21. 20142 3:51PNbej4:Harsch Investment 503-274-2093u /KLMNLIL . No. 9213 P. 1• CVths
APPLICANTS: -- —
To consider an application complete,you will need to submit ALL of the n REE BMI EILEMENCS as dcaenbed on the
front of this application in the"Required Submittal Elements"box.
NOTE: Person specified as"Applicant"shall be designated"Pennines"and shall provi ,financial assurance for work
*When the owner and the applicant are difitrent people,the applicant must be the pure laser of record,a lessee in possession with written
authorization from the ownet,or an agent of the owner. The owner(s)moat sign this a>plication in the space below or submit a written
authorization with this applicatiop.*
BY SIGNING BELOW,THE APPLICANTS) SHALL CERTIFY 1 HAT:
• If the application is granted, the applicant will exercise the rights gran ed in accordance with the teinis and
subject to all the conditions and limitations of the approval.
• All of the above stn eats and the statements in the plot plan, al achments, and exhibits transmitted
herewith, are true,and the applicants so acknowledge that any permit.,sued, based on this application, and
may be revoked if it is ound that any such statements are false.
• The applicant has read the entire contents of the application, incl.tding the policies and citeria, and
understands the requir tments for approving and denying the applicatiot
I hereby acknowledge that I ' e read this application,that the information given is correct,that I am the
owner or authorized agent of a owner, and that plans submitted are in cot tpliance with the City of Tigard.
CTI[:NATT TRES of ea owner of the subject propert are required.
ett&---) ,-. -- Li_LI .
,,td) \ - -----)/ k
Applican 7 _ - V Dare
/ - -2/
Signatur Own el,
`""t Date
Ovine/Agent's. art_ rlease Print) Title Phone Number
ijAre4/26,„,,ty
/,
City of Tigard 13125 SW IIa1l Blvd.,Tigard,OR 97223 ; 503.718-2421 I vww.tiga;d-or.gov I Page 2 of 2
Rece ved 7 :-Ie Jan. 21. 2014 2: 15PM No. 92'2