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SGN2009-00219 1, , CITY OF TIGARD SIGN PERMIT ;; Permit #: SGN2009 -00219 COMMUNITY DEVELOPMENT Date Issued: 10/28/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DD00700 Jurisdiction: Name of Business: Business Address: 15786 SW UPPER BOONES FERRY RD S Applicant/Agent: Quik Serv, Work Description: Placement of one (1) permanent wall sign 10" X 80" Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 10" X 80" Total Sign Area: 5.5 Wall Area: 297 Wall Face (Direction): West Sign Height: 9 ft. Projection From Wall: 2.5 in. Illumination: No Illumination Materials: Acrylic /Metal Mount Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. Approved By: _ o� Permittee Signature: 10 ."9" 2 - Ili . SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97 EC E I V E D Phone: 503.639.4171 Fax: 503.598.1960 TIGARD OCT 2 8 2009 GENERAL INFORMATION CITY NNI OF TIGARD PUN IENC INEErtik , Name of Development /Project FOR STAFF USE ONLY Site a} lda IC ��// . ",fire • Address / Street Address �- �J�� a 1 Location 15 7 64). u' � S RK Permit No.: Y Expiration Date: Suite /B . # City/State Zip 3 e� 1 � 1 1 o e� 97$ •✓ 6 Receipt #: �75 1 O Approved By: s ° TTZC"l l Name �q / Property Qa w 7 A Date: C ( � I e )4 (U q / ' l Owner Mailini, Address suite Map /TL #: c9-3 ( lamps (Jb �W 15'4d414)• u sF et. if Zoning: O P City /State Zip Phone Uvirb 02 q* 413$ 3565 Tenant or 6e Electrical Permit Required? ❑ Yes E No Business (.,' K. se ry • Building Permit Required? ❑ Yes -No Name Rev. 7/1/09 / � � C / ' ` e \curpin \masters \land use applications permit app.doc Sign C�. r�l C7�J Contractor 1 iling Iddre3 _ •• L a.Af•G; � Suite (Prior to permit fIS Gr�� issuance, a REQUIRED SUBMITTAL ELEMENTS copy of all City/State Zip Phone licenses are ��y� �j►y� 0 ((SOY (Note: applications will not be accepted 4 required if �• •••r• - 0th `�^ �Q • 54 without the required submittal elements) expired in the Oregon Const. Cont. Board License # Date City of'l igard's \ database) 1 ' ? a e20 if Completed Application Form Proposed g Permanent ❑ reestanding ❑ 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 t " " apply) ll size requirement: 8 /z x 11 , or 11" x 17" [Iew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: /0 N X 60 ri (3 copies, if a building permit is required) size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): e t ••-� • J V $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) 9� /ft 1:1 $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): / Y^' items in this NOTES: section) N S E © NE NW SE SW Height to top of sign (feet): V ' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): , 5 " must include dimensions of wall face and sign placement. Copy: 1 Qt fi; L ♦ Wall signs do not require site /plot plans. Materials: Ac iC y4 1 c j'}ILTGr C. 0.04441- • Freestanding signs over 6 ft. requited a building Will sign have illumination? ❑ Yes [L]' 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 No NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 1 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. G "d'°" aJ DATED this a--7 day of CC___40---- , 20 lc Sign.. re o r • - /Agent R. a, (a,2/ac, ( - “ 50 Contact Person Name Phone No. CITY OF TIGARD poi Ma i nufacture and install; Approved._....:.. � —� [` One set, non illum. letters on re- painted exterior facia. conditionally Approved ......_... - -• -_•- [ ] For only the work ka ass a bed a 19 PERMIT NO. See Letter to: Follow ............�.._.--- ------ Attac� .. F `f Job Addrest3: J..- ( - 18' a prox. Ey: S' • i'r __ . Data: 20» I —. oa f ascia 1 r margin i _ T N W r j _ Sca.1 /2 " =1' Proposed I. ;. �' 4 t u' M° ? r • y i- S «tft • ;1 1 t l y F 1 /2 "acrylic letters. Pnt. metallic gold. �. 4 " . ]. Blind stud mount with 1/4" stand off. { ,' . `, �� µ,ms ot 44 r . 1 :AA i i _.,.. End Qetail / Specifications Y + T .. Sca.1 -1/2 = 1' 'PA. ., , v 27709 . 9 - 30 -09 LD I ] Approved Business Name; Qu i k S e ry Original artwork Is protected [ ]Approved with changes noted under federal copyright laws. DESIDN NUMSER DATE DRAWN BY I ".. . 7= IIM Make no reproduction of design Ray Batra Darrell Niemeyer byEDSwdhout y� R EVISIONS CUSTOMER SIGNATURE ELECTRONIC DISPLAY SYSTEMS permission. CUSTOMER NAME SALESPERSON 10 -1 -09 LD omit , _ Colors on print may vary Qulk Sery ainting 01 fascia DATE www.edsnw.com slightly from actual specified Corp. � 15786 SW Upper Boones Ferry Rd.. 5 O 3 - ' v 8 2 - 8 4 0 O 503 - 582 - 8411 fax sellouts for finished signs FILE N A M: E L A I D L O R A S I S N A T I R E p p y Lake Oswego, OR 97035 . 10965 SW COMMERCE CIRCLE POB 2376 WILSONVILLE, OR. 97070 -2376 CCB 178522 • J DATE • '` , ' "- CITY OF TIGARD RECEIPT w i _t. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Receipt Number: 175818 - 10/28/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 - 00219 Sign Permit 1003100 - 43115 $35.00 SGN2009 -00219 Sign Permit - LRP 1003100 -43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2586 STREAT 10/28/2009 $40.00 Payor: EDS Electronic Display Systems Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1