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SGN2005-00259 C ITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00259 All DATE ISSUED: 9/9/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113BA 00400 BUSINESS NAME: LIFE ERA ZONE: I - SIGN LOCATION: 07630 SW DURHAM RD JURISDICTION: TIG APPLICANT /AGENT: TUBEART SIGNS BUSINESS TAX NO: SIGN PERMANENT: \ FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 42.5" X 113" TOTAL SIGN AREA: 33 sq. ft. WALL AREA: 2,400 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of one permanent wall sign. MATERIALS: PLASTIC /ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 38.00 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: i o,, PERMITTEE SIGNATURE: — DATE: 9/9/2005 4. .ti .l . 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 " ti IC /C' t) Address/ Street Address Permit No.: nGNc 005 -D0;15 Location 7‘, & ' (,(,i' purl-1-vial ILI> Expiration Date: Suite /Bldg. # City /State Zip O o 5 �s .-fie -13/20 q722,_ 3 Receipt #: Name Approved By: C 0(A - 4 - •1 .. 1 ' 2-1 Property 0TV5 Date: f1 — f;o�(ov Owner Mailing Address Suite Map/TL #: cS / 13 Zoning: / -P City/State Zip Phone Electrical Permit Required? 4 Yes ❑ No Tenant or Name Building Permit Required? 1711 Yes No Business 4--- ( � Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc Name Sign 1 4f3 n12� 5 Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 4 / ��� t �, I (Note: applications will not be accepted issuance, a ! without the required submittal elements) copy of all City /State Zip Phone licenses are required if t l t. yin ttkr / 0 vfl_ - 6)S 3 "1/ 3 ' ❑ 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) 4- 70q 5 �' (3 copies, if a building permit is required) Proposed © permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary © Wall ❑ Electronic • (Check all that ' 111 2 copies of elevations, drawn to scale ❑ Other ❑ B ❑ Ballo apply) (3 copies, if a building permit is required) p New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimsl0n G x // -5 ,, , ❑ $30.00 Fee (Permanent sign, any size) • Total Sign Area (sq. ft.): s ", • ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) �� I (Complete all Direction Wall Faces (circle one): ' NOTES: items in this section) N C E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): {– _ but must include dimensions of wall face and ' Projection From Wall (inches): sign placement. Copy: L/ j fit. 17 t . Wall signs do not require site /plot plans. Materials: f'L y AL—ail • Freestanding signs over 6 ft. required a , building permit. Will sign have illy ination? TYes ❑ 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 ❑ No ? ft N • - I If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 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 / , 20 C Signature of Owner /Agent feV\) l� /� �r� /)4 l z _ , 653 - l/ Contact Person Name Phone No. 1 0 16 0 ' a, • r —'— ■d UnitedHealth Group °' 1 0 n"e LifeEra �.� Location Tigd OR i : �. ` - — c "" ° '" ° ' Unitel Group � �� • +' 9c ''' As noted A " . " - " • ML5 . "_.. Line 3 _ 3 r Date Descnptbn 1. l+'T _ w 8/4/05 — I. r L ,111 I 8/18/05 —.0 tit r "•-••• ��1. MI ■•■••...... ellil 7 ... Descripuon 33 " +/ LifeErd Channel letters Location Southeast Elevation / , 4 - - Sizes . x o area: 425 z 11276" !/ 1 1 . —........- : . 1 izEramimim —y _ - Co ars Shown to match UHG blue Ili 0 90 - I * Mk, a rrIAIMmna.•i.uu[.LllM • '. =/_ t ' 7 IR ImmaziEmeni _. — nip - . -- �;.�` - i n! �unnnua:, L.nin�irnrrr.F�iri.e9�;i9.:>!., — I � i O �,;,,,�.,, �,,, _ . '>♦►• mztallatbn Method Lag & shield VIF) % co • • * volts ✓ . • _ ` LAUIETANO .1. N c fa 0 U P n N.A. O R L I7 W 1 C r E O N — - , 1 Tremco Drive, _ _ Terryville, CT 06786 N ote- For preliminary design purposes only. 860.582.0233 fax 860.583.0949 Li Raceway Accurate field survey and dimension verification www.Lauretano.com r rrquired before beginning construction. rns drawing coots ne original elements created by a On 1 33' au etano 5 gn Group, Inc., and Is 5oblect to all the il 42.5" a co� �Ghro p . I .. s also t e e of 1 1,1 L o ppl cable rctaro Inc.. K 1 intended for to jj � Existing Fascia. I 21.75" your review and approval purposes Dory. This drawing 6) . wx Band ht: 33 " + - 1,4 r Iz of to be reproduced, copied, transmitted by N ! _ - electronic media. or exhibited in any fashion or shown 1 to anyone outside your o ni tion without the ill. O - expressed written consent Lauretano 5Ig Group, 112" Y ■ a'/ • 1 :! ■ 1 ev.1 :4 r Inc. This desi remains the property of Lauretano xt —.. ,�/f Sign Group, Inc. and may not be used In any way h' Authorized Signature • . • • - • 13" Scalq: l(21 ' 11 NO1E: For graphic intent only. th SI Group ."Inc 11 payment is rec''''d by Lauretano Con. itlona y • pprove • , For only the work as described in: PERMIT NO. SCANab°S- oo.xs9 See Letter to: Follow [ i Attach [ [ Job Address: :1 S w ^ - r.-K••---- ,. By: C. e 4 2 6 . 4.. . " A •A - a _ Date: _.°t "' -_ - o 5 • JAN -26 -2005 WED 03 :10 P11 OPUS NORTHWEST LLC FAX NO. 5039168964 P. 02 , .� , I 1., i 19 oit ■9',E1 R 4'41 ,x ;11 i f I I I E - .... I gi 1 ` -' ;IL- 1. i ii a'JF " . ILL ": A I . ill f :i f� t o �11 . '. M1 :_ '` ,1 ■ VI 41) [ r (� 4 ri I M1 �iM r I t I l I I I 1 C 11 iz1 r IIII l; INN i Fw • '1 .ilr.: : 5 O dl 2 I= 'i INN '.' ` • 11 h _ ti . 10t.' 4,, I. 0 , I■ , ;it.' . 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I r „1 II, 4 I� F { ` " .. ir.w I t: v1 1 ,i 1 I.1 4 , I= , I ; : i� 1 III a xl e it• IM 6 f Y 1 1 1 i I icl) I 1 ( I 1 0 Ill i ..:,,,,, ift--11, o 1 1 .. 0 __ „ 4- ,,,,,,,,,,,, g iN p ; M II C > 1 Klia: . 11 Imo! • G /FE F2 A- /O5 /c, y 1 4 7"v IiirrP y/,, l Al 7 41v , x , itt 7 1 i i , , , *k IN 7 it, 6 , f ° 1 i V __it ---k- (1% .46,,, --....L CITY OF TIGARD 9/9/2005 13125 SW Hall Blvd. 11:41:34AM gy,w, kry � ;� Tigard, Oregon 97223 :,�► '� (503) 63 9-4 17 1 Receipt #: 27200500000000004445 Date: 09/09/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00259 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2005 -00259 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 Line Item Total: $38.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Check TUBEART SIGNS & SPORTS CAC 2481 In Person 38.00 DISPLAYS Payment Total: $38.00 cReceipt.rpt Page 1 of 1