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SGN2004-00160 f � R CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00160 E 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/21/2004 PARCEL: 1 S 136CD -01500 BUSINESS NAME: TIGARD BOWL ZONE: C -G SIGN LOCATION: 11660 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X • FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 5.5' TOTAL SIGN AREA: 70 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 20 ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Replace arrow on free - standing sign with reader board. (4' x 5.5') MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: U BUILDING PERMIT REQUIRED: Y ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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/ A PERMITTEE SIGNATURE: —04 DATE: 7/2(2004 FRC«'1 : I_UM I N I TE S ] GNCRAFT INC. FAX NO. :503 639 4999 Jul. 15 2004 02: 33PM P2 - " SIGN PERMIT APPLICATION • • CITY OF TIGARD 13 SW Krill Blvd., Tigard. OR 97223 (503) 639 -4171 FAX (503) 684 -7297 GENERAL INFORMATION • Name of Development/Project _ Site T��j 1 jQtjL FOR STAFF USE ONLY Address/ Street Address s �N a Permit No.: VO " .O©• (400 Location 11 (060 S ly, A 19 6. 14.tt,r4 Suite/Bldg. # City/State o n Zip Expiration Date: ii lib /WL 1' zz- Receipt #: Lq 004 - 3/e) Name /% , � a � "" r �_,� Approved By: CI C"_<zc„u.. Property Mart Schulz Date: °7 - : O - v ( 4 - Owner Mailing Address Suite Ma /TL t: (i 5 /may t�(�nVp /fit'' N ail Dr P /5 l% ,1J _v G i City/State Zip Phone Zoning: .. (� -() - -.: • . • ``''tt e W .... . � 5' 0 Zook ... .... .: .... Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business 11 G4itzt J M t (--- Building Permit Required? ❑ Yes ❑ No Name Rev. 8R /2003 i :lcu • Inl masteraveviseolsi •n. =rmita...doc • - _ Sign • '1C G LL..�. _. Contractor Mailing Address Suite (Prior to permit p �t J . "� REQUIRED SUBMITTAL ELEMENTS. i issuance. .. 1 '• . ,.. - -, . ..(Note: applications will not he at;cepted .. - •' • ��' copy of all City/state Zip Phone without the required submittal elements) licenses are ,�� q � /� required if i 1 0 . •il l y (9 27.- �" ( . expired in the Oregon Cons/ Cont. Board Exp. Date ❑ Completed Application Form City of •Tigard's license #t r,., database} 1 SS 4Z0 ° I - v ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Proposed, Permanent (3 copies, if a building permit is required) Sign ❑ Freestandin ❑ Freeway • g ❑ Temporary ❑ watt size requirement: 8t /z x 11 ", or 11" x 17" (Check all that ❑ Electmnic hIY1 ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale (3 copies, if a building permit is required) ❑ New sign ? 'Alter to existing sign? NSW Sign Dimensions: 1 l size requirement: 81/2" x 11", to 24" x 36" t . Total Sign Area (sq. ft.): ❑ $31.00 Fee (Permanent sign, any size) 2 • - , :r. t) O ' ❑ $15.00 Fee (Temporary sign, any type) 'Sign Data Total Wall Area (sq. ft.) Jurisdiction: 0 City ❑ Urb Complete all Direction Wall Faces (circle one): :oms in this .ection) N S E W NE NW SE SW NOTES: 1 Height to top of sign (feet): f" g' ,Q - • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and ' Copy: C .�' ' S f �1J sign placement. Materials: Le ^�,W,A�l(Av • Watt signs do not require site/plot plans. • Freestanding signs over 6 ft. required a Will sign have illumination? V5.Yes ❑ No building permit. T •e: • Internal n External • If work authorized under a sign permit has not .re there any existing freestanding or wall signs at this been completed within ninety (90) days after 'cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL Y `tsscer Ct• }C —b BECOME NULL AND VOID. "yes", a list or diagram of all s diim and N' , uare foots • e must also be submitted. • CitX LUAU- 4/C31Q VIVA 5Sa (OVER FOR SIGNATURES) ' FR['1 :LUMINITE S]GNCRAFT INC. FAX ND. :503 639 4999 Jul. 15 2004 02:33PM P3 hereby acknowledge that I have read this application,. that the information given is :orrect, that I am the owner or authorized agent of the owner, and that plans submitted are n compliance with the City of Tigard. DATED this 11 J day of OL� - 20 o -• . Sign .ture o e • •ent ... • Contact Person Name Phone No. . A s\\ CITY OF 'TIGARD 7/21/2004 13125 SW Ha11 Blvd. 9:17:11AM / a �� Tigard, Oregon 9 72 23 A ' (503) 63 9-4 17 1 Receipt #: 27200400000000003182 Date: 07/21/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00160 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 Line Item Total: $32.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check SIGNCRAFT ELEC CAC 1997 In Person 32.00 ADVERTISING LLC • Payment Total: $32.00 ' -i � X5 I - 6- I LID Aki NR, 1!S (?E 63 1, TO cxls G5 . I iiir‘ 1-1 1-O '''f-- . - ,.,t1.. r l , r '7c) uui,tl sia3'TILiktb �� _ CITY OF TIGARD AS FT Approved �v 'r t . Conditionally Approved [ 1 For o ly the work as 51%8T d in:v v / (oC' 14 • _ PERI T NO. SGN' _- See Latter to: Follow [ l 6 5 fJ 1 Attach �,� a it-' ��,,.�1 l�11 Job Address:' 0 S L J hip c- ��_� S(. /` 4 � "t '0 By: � . C GLL. Date: --- 22 eip.Fr 0 K To REPL,Act 5x/ir/N 22 s F/ o f 5 / s 6 _ k That? +*o''pv4.0 Ito FtS .iv'-q" Isin 6 4 ( ° k ■ i ) i 1 ' ' , 4-1- L 1 - _ - __ - _ - _._i_ 7T'KE, (5 W. 606tA0 0 tk, -4 4_' 4 \ AC V r'3 � V EV,TSTI i•J6 4• xi? 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