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SGN2005-00033 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00033 ail I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/14/2005 PARCEL: 1S136DD-00200 BUSINESS NAME: GREEN OFFICE COMPLEX ZONE: MUE SIGN LOCATION: 11560 SW 67TH AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' -8 "X42' -10" TOTAL SIGN AREA: 136 sq. ft. WALL AREA: 2,250 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one permanent 136 sq ft wall sign. MATERIALS: ALUMINUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 37.00 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: _ /� :1 � ior PERMITTEE SIGNATURE: X is • �r ,� DATE: 2/14/2005 'a ► t 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 Site Gie-h-. , /v / FOR STAFF USE ONLY _} Address/ Street Address Permit No.: C IA 200 5 -60 d 3j (,20 Location ,i (, l' 2 . A J Expiration Date: Suite /Bldg. # City/State Zip '/ 1 VAii3 (V1 Receipt #: 7_4.51) 5 - 0 c)575 Name Approved By: f0 Property ....49-e 6 U,11551/l7,C4y- Date: rl( (O Owner Address r Suite l Map /TL #: gOV-) (Y Zoning: City / S it i / Zip Phone � Tenant or Name a On- 71440 eg✓ off' 460 Electrical Permit Required? 112(es El No Business 6./Z& OCR /ems /3 Building Permit Required? ❑ Yes [E—N'o Name / Rev. 1/3/05 is \curpin \masters \revised\sign permit app.doc , Sign L 04/AP 7` Sla-A . . Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a C l /Z6 SW ej/,7,pis72 (Note: applications will not be accepted copy of all City /State Zip,t97 Phone ,so 3 _ without the required submittal elements) licenses are required if ' /LJbAf 11 tU. , t'A --.74 -4/3 expired in the Oregon Const. Cont. Board Exp. Date III Completed Application Form City of database) ard's License # /54 7o3 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale • (3 copies, if a building permit is required) Proposed ® Permanent ❑ Freestanding ❑ Freeway 1 Sign size requirement: 8 /2" x 11 ", or 11" x 17" Sig (Check all that n ❑ T emporary I. Wall ❑ Elec apply) ❑ Other 1E1 Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) ® New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 3 / k L✓ , 7' $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): . 4 ❑ $17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft �aSO Ju risd ict ion: y ❑ g ❑ City Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N L`/ W NE NW SE SW Heigh to top of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): 5"00790 but must include dimensions of wall face and Copy: G,e/ sign placement. Materials: • Wall signs do not require site /plot plans. /it r/m��c/(/,47 • Freestanding signs over 6 ft. required a Will sign have illumination? X Yes ❑ building permit. No • If work authorized under a sign permit has not Type: , 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 location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes X No _ _ If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) , I hereby acknowledge that t' 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� Sign of Ow o r ent .JM JACoi3sJ a - 5 - 61 3Y -. Contact Person Name Phone No. 42' -10" 0 6 .,..) . 25 '. 2 " -- 12'-0° 1 4 -0' • J THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSNE PROPERTY OF LUMINITE SIGNS UNTIL ACCEPTED AND APPROVED BY PURCHASE. THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER, WITHOUT WRITTEN APPROVAL OF AN OFFICER OF LUMINITE SIGNS IS PROHIBITED BY LAW. JOB LOCATION: SPECIFICATIONS: JOE GREEN INVESTMENT CO. r B P.O. BOX 1 MANUFACTURE AND INSTALL: C;TY O F TIGAR© SALES APPROVAL DATE DONALD, OR 97020 (1) ONE SET OF BRUSH BRITE ALUMINUM LETTERS , 1 1 HALO LIT GREEN J1 IUi.aaly Approve' ,,d [ � W/ BLACK RETURNS Eor only the WO as scribed in: .• i P M!! NO. �'V „/ �t� 33 N T APPROVAL DATE :.._ ICON :;se '_otter to: Follow [ 1 .. Atta ch LANDLORD APPROVAL DATE 9128 SWR1DDERRD WLSONVLLE,OR9707O !:. •) r‘c.ldre S: f./ 6 •<:?_ , Sc , S ']7zg .. TEL 503.570.6137 fAX 503,570.6136 _ N y . V DHfr � DRAWN BY: LEIF CLEM 4 JAN 05 — /` PROJECT COORDINATOR: JAKE JACOBSEN II N r( � y b� THIS DESIGN AND ENGINEERING IS TO REMAIN THE EXCLUSIVE PROPERTY OF LUMINITE SIGNS UNTIL ACCEPTED AND APPROVED BY PURCHASE. THE USE OF THIS DESIGN, FOR ANY PURPOSE WHATSOEVER, WITHOUT WRITTEN APPROVAL OF AN OFFICER OF LUMINITE SIGNS IS PROHIBITED BY LAS'.. JOB LOCATION: SPECIFICATIONS: JOE GREEN INVESTMENT CO. P.O. BOX 1 MANUFACTURE AND INSTALL: DONALD, OR 97020 s - APPROVAL DATE (H1) AL ONE O LIT SET GREEN OF BRUSH BRITE ALUMINUM LETTERS q•• W/ BLACK RETURNS /\--- I v '; � i' I CLIENT APPROVAL DATE it . I LANDLORD APPROVAL DATE 9128SWRIDUER R) VALSONIALLE,OR97010 DRAWN BY: LEIF CLEM 4 JAN 05 TEL 503.570.6137 FAX 503,570,6136 PROJECT COORDINATOR: JAKE JACOE SEN