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SGN2008-00221 CITY OF TIGARD SIGN PERMIT ° : DEVELOPMENT SERVICES PERMIT #: SGN2008 -00221 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/2008 PARCEL: 2 S 103 D D - 00600 BUSINESS NAME: TRI SQUARES ZONE: C - SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: TRI SQUARES BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 6' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign 3' X 6' Valid 12/22/08- 1/22/09 Sign #2. Must be placed on private property, not in public right of way. Must meet visual clearance area requirements. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 19.00 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: PERMITTEE SIGNATURE: Otil. Q earL A_. . DATE: 11/17/2008 .. RECE/1GN PERMIT APPLICATION ity cr Tigard Permit Center 13125 SW Hall BM, Tigart� OR 97223 Nov ' 4 2008 Phone. 503.639.4171 Fax: 503.598.1960 CITYnF PLANPltl4 3/� rrt GARn r GENERAL INFORMATION J EE RING Name of Development /Project FOR STAFF USE ONLY Site 1 l 4p b 6 i ek Address / Street Address '' /I II •• .. y Q Permit No.: Saki . Z � I Locatioh / S-W i-il'u Suite /Bldg. # � /State Zip Expiration Date: /V4 al 12'2'3 Receipt #: $' '$'t Name � I I Approved B y. 5 r-- - T Property N41 II SC 1I h e T' S r 1 ',, 5 ,b1.._- Date: U101141'1 /og Owner Mailing Address Suite Map /TL# : , S / 0 3 1 / 7 1 ) 14 " tU O S Uu 9I Zoning: C(.9 City/State Zip Phone Y---(°3-671- I i 1 9 -72- S 12-No or Nam Electrical Permit Required? ❑ Yes -No Business `d s Q u 4-12 -- Building Permit Required? ❑ Yes Er Name Rev. 7/1/07 / is \curpin \masters \land use applications \ sign permit app.doc C 2tl Si pi, '1Y k (e� de-k+ Contractor Mailing Address Suite (Prior to permit . 1((�] ('� (.13 1C, /, � 1 A - issuance, a "�� — � J �.'L „ i REQUIRED SUBMITTAL ELEMENTS copy of all Ciry /State Zip Phone C , licenses are /= ��"� 97Zy3 CD c bg86v (Note: applications will not be accepted required if I �' t without the required submittal elements) \ expired in the Or r n n Const. Cont. Board License # Exp. Date Gry of Tigard's 1 database) ..---- ❑' Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary © Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17" apply) �l ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 3 / / (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.):, &.. ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E V NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Coi • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ❑ No permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME • ❑ Yes II] No NULL AND VOID. 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. DATED this f day of 1\) 6k-e. tivt_ , 20 OR 0 - e A sjt Signature of Owner /Agent 06 Vde Contact Person Name Phone No. CITY OF TIGARD 11/17/2008 13125 Shy Hall RIvd. 4:08:39PM Tigard. OR 97223 5113.639.4171 TIGARD, Receipt #: 27200800000000003884 Date: 11/17/2008 Line Items: Case No Trait Code Description Revenue Account No Amount Paid SGN2008-00220 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00 SGN2008-00220 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2008 -00221 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2008 -00221 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item "Total: $38.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check CAROLE VK PETRANEK ST 1193 In Person 38.00 Payment Total: $38.00 cReccipt.rpt Page 1 of 1