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SGN2005-00166 CITY T I GA R D SIGN PERMIT ,,'' j I DEVELOPMENT SERVICES PERMIT #: SGN2005 -00166 - ��II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/2005 PARCEL: 2S 102AA -04100 BUSINESS NAME: CROWN CARPETS ZONE: CBD SIGN LOCATION: 12230 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: MULTILIGHT SIGN BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 30" X 31' TOTAL SIGN AREA: 78 sq. ft. WALL AREA: 3,200 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: 10 in. ILLUMINATION: INT DESCRIPTION OF SIGN: P MATERIALS: ALUM /PLEX EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y 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: 6 a . " C'cu- PERMITTEE SIGNATURE: �� / fir 'C—f� DATE: 6/6/2005 1 A , 9 „ : i,a II! ,,„ ..,, ._-�1- I SIGN PERMIT APPLICATION ! CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name f Development/Proje Site ,--t1j7 i,"4 FOR STAFF USE ONLY Address/ Street Address Permit No.: .5 C a. p 05 `" n`'t co 1.42 Location �i t f o /4/12 Expiration Date: Suite /Bldg. # City /State Zip Receipt #: d vUs _a .5"‘f 8 Name ��� Approved By: C - Cc,a... Date: L' - • 05- Property a S I o�� A A - v 1 0� Owner Mailing Address Suite Map/TL #: Zoning: GB I. City /State Zip Phone Electrical Permit Required? E Yes ❑ No Tenant or Name Business 1y 14 e,A th Building Permit Required? El Yes ] No Name /' Rev. 30 -Jul -01 iacurpin\masterslrevised\sign permit app.doc __ Sign 0/6/1///61/ CJ� �, `/� Contractor Mailing Address Su REQUIRED SUBMITTAL ELEMENTS (Prior to permit Of ,i/' f /,'Q (Note: applications will not be accepted issuance, a copy of all without the required submittal elements) tate Ph licenses are 7;74/74/Zip o�� required if /�� / � ,��7 � one 3 fl 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) 7 �� / (3 copies, if a building permit is required) Proposed ermanent Freeway size requirement: 8' /z" x 11 ", or 11" x 17" I Pro p ❑ Fr standing ❑ Freewa Sign ❑ Temporary ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that (3 copies, if a building permit is required) apply) ❑ Other ❑ Billboard ❑ B alloon size requirement: 8' /z" x 11 ", to 24" x 36" ew sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: 3 /i Y 3 ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 77. S NOTES: Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale, Sign Data ___3(....,? (J v but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this section) N S E 0 NE NW SE SW • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Height to top • sign (feet): building permit. - Projection From Wall (inches): � / 9 '' ♦ If work authorized under a sign permit has not Copy: �',:;a4/h CG/`G2�" been completed within ninety (90) days after Materials: ll /uix/A, { /,,/ • the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? Yes ❑ No _ Type: Internal ❑ External Are there any existing freestanding or wall signs at this 1 - Not all jurisdictions accept credit cards, please call jurisdiction for more information. ❑ Visa ❑ MasterCard location, including wall signs that overlap a tenant space? Credit card number / / ❑ Yes 4N0 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) - 6„ DEPTH CONCRETE BLOCKWALL I 1 TRIMCAP RACEW Y / 22 OA, SHEET METAL t17" X WALL THICKNESS ALL- THREAD -ti (g ' J . .:.r�6',�iiil : (FASTENERS AS REQUIRED) 1 112"X1112 "X3.15" ANGLE IRON $ PLEXIGLAS FACE ril t it LISTED T.C. 200 HOUSING e� ,. � NEON TUBING ILLUMINATION % ." "°"' �. . TR SFORMER AS NEEDED . J''' - - .ve.,- ., ..mri,s,,h, a 1 NEON TUBE GLASS STAND —' i} 1/4" DRAIN HOLE 8" RACEWAY DEPTH SECTION DETAIL pan channel on raceway mounted on concrete . 15' -- r 14 31' DATE 6 - 3 - 05 ADDRESS i COMPANY NAME Crown Carpet DESCRIPTION E p L, PH. (50�� �81'3�83 $3 LAST b - -05 Illu 30" Chancel Letters - Rec sign faces with 1' Black trim cap and Black returns ti EDIT FAX (503) 280 SCALE Exposed raceway - color to match the color of the building sralw * L2ff#Lit T t f U CJ ' F FILE NAME Crown Carpet 1 "These plans are the exclusive property of Multi -Light Sign Co. and are the result of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these plans or to purchase from Multi - Light Sign Co. a sign manufactured according to these plans. Distribution or exhibition of these plans to anyone other than employees of your company, or use of these plans to construct a sign similar to the one embodied herein, is expressly forbidden. In the event that such exhibition occurs, Multi -Light Sign Co. expects to be reimbursed $500.00 or more in compensation for time and effort entailed in creating these plans. , . . . 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(4 ,..'..,.,. .4,--w.-1 A d.1....)e 1 , __ ..' ..." - s , ' ! • • . - - '''' ., . o• f A CITY OF TIGARD 13125 SW Hall Blvd. � i�m,,,,H% , ,,, i, * Tigard, Oregon 97223 - 4 L (503) 63 9-4 17 1 Receipt #: 27200500000000002548 Date: 06/06/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00165 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00165 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2005 -00166 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00166 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 ELC2005 -00380 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80 ELC2005 -00380 [TAX] 8% State Surcharge 100- 0000 - 207020 8.54 Line Item Total: $189.34 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check MULTI -LIGHT SIGN CO CAC 38484 In Person 189.34 Payment Total: $189.34 cReceipt.rpt Page 1 of 1