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SGN2005-00199 CITY O F TIGARD SIGN PERMIT A DEVELOPMENT SERVICES PERMIT #: SGN2005 -00199 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2005 PARCEL: 2S102DA - 00401 BUSINESS NAME: CITY OF TIGARD ZONE: CBD SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: (2) 3'X'4 TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary, two sided, 12 sq ft per face sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. Valid 8/1/05 THRU 9/1/05 Sign #1 MATERIALS: WOOD 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 da validity date APPROVED BY:/ PERMITTEE SIGNATURE: "-' DATE: 7/22/2005 ' " "I� e`I SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Nam of evelop nt/Pr 'ect Site ( -r-P /' n, 7 6k reirce FOR STAFF USE ONLY Address/ Stre tAddress Permit No.: -a - f) l 1� f ill Location s� /c---1/24 5. 4 // tgL v 1) y �0 tun Expiration Date: Suite /Bldg. # City /State Zip gip) / ��' 4 Dt 0 q Receipt #: Name 0,P/4 75 / zi t :, 44_1 /Yle.l e2Approved By: �0��'' Property G. d 1---- Date: '7f s10 Owner Mailing Address Suite Map /TL #: Zoning: c, D City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes [Ado Business Building Permit Required? ❑ Yes [ rNo Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit REQUIRED SUBMITTAL ELEMENTS issuance, a (Note: applications will not be accepted 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 databasegard's License # 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 size requirement: 81/2" x 11", or 11" x 17" Sign a Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ [/ 2 copies of elevations, drawn to scale ap ly) ❑ ❑ Billboard Ba lloon , l New si n? (3 copies, if a building permit is required) e g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: ❑ 37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ?/ r c7 X $17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft 1 2 ,q -r* Jurisdiction: 1?Tity ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N SW NE NW SE SW Height to op of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: 141 © 0 I.) • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ building permit. 0 • If work authorized under a sign permit has not vpe: ❑ 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 1 location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes [- Flo If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (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. � S DATED this day of Z 1 , 20 0 Signature of Owner /Agent Defffki S ,e / /e/- M -P /e-/Z rl' Contact Person Name Phone No. � ^ . ` � zz/zmw� In :o� oo�"^°°"^� _--___. _ __ ! „--- ' - . '' t��� ��- .. ' - - - ^ �- � � ~^�, T-L�M�~ ' � ����° -- - � _. __ _ ' - � - =` ��v n ' «-� ^-`����� ���rc�' - ' - _ -' ' ' ' _ ' _ _ _ ^~°��x -_-_' -_ ._ ' -___ ' --___- � - ___-_ - __--___ __ _ _ _. .. _ / -- -- -___ 8 . --- — — _ __ � � �� / --_ °� � -- , - -- _. - - - ---- -°�----' - _ - �_ - � ---' - - � ,. - �� ` v / ...ft% P FuTufk"7- 6 ,<;\ 6‘. c � -- / _ __._.________ ______ ... _ /,: _, __.___ ... ..__ ....___ _ _ , _ A \ \ (.:-.:-. if 1■4 /. 1 \ " 4-- I /,, , . ---_��- - _ ... _ -�_ -_ _ -__- ' �� � � �__ t / -- -_ _- 4 / ' � ____-____'_. ' 1 _ / ' --___ ' | - --- - -�-��----'---- - ---------____ i ' -_ `_ -- _�^� ��-'� - '� _ _ _.-_-- __ _ __ __ - _ .. _ -- ' , _ _ ----_-_ ______��_____--_ ` ___ __ .- __ __ _ _ _ -___ _ •, - _ _ __-__-_ ----- '\- �^- - - _. �� ' / -_ - - -- ----_ _ ` � � � ____________ ` . � � } / - __ ._ __ _____ `' ' 0� / m� ��� U��( _ \° y� � (v \ ��/` v � YJ ' ' '- • __-' _ .. ^