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SGN2007-00146 „ CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00146 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/16/2007 PARCEL: 1S135DD-03301 BUSINESS NAME: ZONE: C - SIGN LOCATION: 11945 SW PACIFIC HWY 206 JURISDICTION: TIG APPLICANT /AGENT: BASIC APPAREL WORKS BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 3' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign (banner) 8' X 3' Valid 8/16/07 - 9/16/07 Sign #3 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: X - DATE: 8/(6/2007 SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223 T I G A R D Phone: 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project Site 1 ' / C /7/9 /PC/ �l/�� s S FOR STAFF USE ONLY Address/ Street Address Permit No.: �`a 1 r C\ l `i Sp Location //1� ,9/(14 rde/r Expiration Date: 6 () ( O 7 9 /1 6 /o S /Bldg. # City /State / Zip tea/ le?" ?" Q, 97, y Receipt #: 1 .3 7 7 Jo Name Approved By: K Property 2 /tom Date: ' j k b l e Owner NI ss uite Map/TL#: p/ Zoning: c_.6 City /State Zip Phone Tenant or Name Electrical Permit Required? 1=1 Q' Yes 1 o Business Building Permit Required? ❑ Yes a Name Rev. 7/1 /07 S /�� d,%/e � t \curpin \masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a oof REQUIRED SUBMITTAL ELEMENTS copy of all City/State Zip Phone licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Permanent Proposed ❑ 1=1 Freestanding ❑ Freewa y III 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 " " 11" apply) size requirement: 8 /2 x 11 , or 11 x 17 " ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: (> / //_.5 , n f A/ y (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): `/ G' ❑ $40.00 Fee (Permanent sign, any size) Si Data Total Wall Area (sq. ft 19.00 Fee (Temporary sign, an type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S 0 W 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. Copy: ♦ Wall signs do not require site /plot plans. Materials: ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? ❑Yes , frN 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 El 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. DA'Z'ED this /J day of a,/,( , 20 7 f/ Signature of Owner /Agent Contact Person Name Phone No. 111711 CITY OF TIGARD 8/16/2007 4 Tigard, SW Hall Blvd. 4:21 :46PM OR 97223 503.639.4171 , TIGARD Receipt #: 27200700000000003776 Date: 08/16/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00146 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00146 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item "Total: $19.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check JOANN E. KIST -I KJP 4090 In Person 19.00 Payment Total: $19.00 i' cRceipt.rpt Page 1 of 1