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SGN2006-00197 e m 1 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00197 DATE ISSUED: 11/1/2006 :TIGARD ARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB 01201 BUSINESS NAME: SAFECO INSURANCE ZONE: I - SIGN LOCATION: 16505 SW 72ND AVE BLDG F JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 24 "X144" TOTAL SIGN AREA: 24 sq. ft. WALL AREA: 600 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 28 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one 24 "x 144" permanent wall sign. MATERIALS: CHANNEL LETT EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 39.00 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. tujoi APPROVED BY: 547 / Li/Ltd— PERMITTEE SIGNATURE: v t, zt DATE: 11/1/2006 1 ,, SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd, Tigarcl, OR 97223 Phone• 503.639.4171 Fax: 503.598.1960 1 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site s A'('GCO . 1 AS.1 AMC, . Address/ Street Address n Permit No.: 5 C A / � 0 00 ( "ry 7 1 Location l tD Sd S 5(A) / 'noel A u. Expiration Date: Suite /Bldg. # City /State Zip 1 1 COK1 0 . g111‘1 Receipt # : Name Approved By: ✓r 7 Property 'NC 1 Date: / . 0 '5// , Owner Mailing Address n Suite Map /TL# : cW Nd 1111 Zoning: city /State I �1 Zip Phone Tena r N Ci4OA V L grzzy Electrical Permit Required? ❑ Yes El No Business 5 R F E co -tkizUtANCE Building Permit Required? ❑ Yes ❑ No Name Rev. 7/5/06 p is \curpin \ masters \land use applications \sign permit app.doc Sign 1, W1 StOt it ' I /' G iM i t. Contractor Mailing Address Suite (Prior permit ww Ir ,' I r issuance, to a `( S ^ ! O t • copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are � t' (Note: applications will not be accepted required if i4e N O jtcoo Qltlq 50S- /..ot ;ty without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date Gryof Tigard's database) 11701 El Completed Application Form P ermanent Freestanding Freeway Proposed ❑ ing ❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary ,N' Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other apply) DI Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17" At sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: I u " (3 copies, if a building permit is required) 2 ' X 207 size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 2 `1 13 , �X 4- ❑ $39.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ( 1) 5 r L ❑ (Temporary ry g ytyp ) g T'7 $19.00 Fee em ora sign, n an e (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N 'S © W NE NW SE SW Height to top of sign (feet): Z Ate, • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): — must include dimensions of wall face and sign Copy placement. Materials: • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes l o permit. Type: El 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. DATED �.1 this day of , 20 • •• Signature of Owner/Agent • y . J • To&L V(( r ` � Contact Person Name one 4 1 1- ;•• ••• .44 C 4...i 1 .a 1 " Y r .. • • 1 0 — s it P s _ "5 ••■• 2. y wit° 7 3q SIP 4 Lqq = Z _ 0 , 7 0 gi -------- I Li " Stn A: Exist* sin to be moved to new location 5 VS '-2 43/4" 64 1/4" 74 St P.. I 1 t- li I 11 41 af 91" 7 . 1 • •_ - 1 _ ?„. :. . , 4 national sign h,,,tle, WA 981,nJ . , ! ,; I ‘. :' • , , - . ,206t .282 WO , 1 (.206) 21i i- SUll .T. ,, •:, . Safeco Insurance : www narinnalgigncorp.com N ;'•.... MI ' '', - .• . " . • CI", 1, 4, (7nglitn1 l npul,Inhco .. , I It n.,ng ■ ..2%.,111 N.11101' li ,S11 Sign A: One existing Jet of internally illuminated channel letters and logo ( ■nrhn.11, ••■•••••••••.■*,—....---..—,--,—....--- _—.,-----. . Ion, l'crsIn., I ..• n Anom.,111111 Sign to be moved to new location: 16505 SW 72nd St, Ti,gart Oregon 1 I New location sign is not illuminated Mount on concrete fascia, S afeco Insurance Om ncic )our i hgAnnaunn. Or Scale. 1/4 =1' -0 Sao; B; Exiding.filmfine to be removed .1 " s 1 ' ... !''' ' Ij , 1:'' . . .: b L ' 0 1 in AA 1 nItion Am , . s . and dirpared thaw limo I Ichon •11.41 42,,inn,, 1h, ' I I I P±M1,9_1(d_flf/Ejjgth,2 fgli_921 Center on Aucia . (1,,, ■ Coin .14ori I - - - 1 . 1.•-• - - - 16 1 0 —_____ .i . 41 1.1 .L■ke 0 veo , 4 t Ce ...■--...■-- " 5 . 0......- , rj ■••*" 16505 sir 72,,1 Td ' 1 nsurance . 12,:pr..nent,t, . lilt • Mane Irm -- . . I )rsis s, ..,.../.... -I 1 11 / 1 1 1 [ 06-392 P I 1 . 1 l isms 1 3: i rs,L,1-"1:17,,,,,,,,, . • 1 1 I 1 • allig I 11 mml...1 1 , E j _ ___ _ ..... . L.:./. _ _ _ ....._ _ _ ..=...../__. _......= j I_ _i _i___I. - L ELI 111 IS lib 2i) 1 . . ASTEL AR D EEMT1ON .. .. VI 4 ISO o f kmAII appmima32-, ...._ wwka 1 - described 1-'r_111011" NO. .7 ..-.0 4 - az) r7 I - 1510 FACcsoCk - .7....' qc, S6..) Letter to: Follow [ 1 • Attach . .......... ..... „ J, t Ac.lcPr----,s' CITY OF TIGARD 10/31/2006 Ili ' 1 13125 SW Hall Blvd. 4:35:I0PM ' < Tigard, Oregon 97223 TIG'ARD (503) 639 -4171 Receipt #: 27200600000000005211 Date: 10/31/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00183 [SIGN] Sign Permit 100- 0000 - 437000 34.00 SGN2006 -00183 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006 -00184 [SIGN] Sign Permit 100- 0000 - 437000 34.00 SGN2006 -00184 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006 -00185 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00185 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006 -00186 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00186 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2006 -00187 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00187 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006 -00188 [SIGN] Sign Permit 100- 0000 - 437000 34.00 SGN2006 -00188 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2006 -00189 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00189 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2006 -00190 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00190 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2006 -00191 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00191 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2006 -00197 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2006 -00197 [LRPF] LR Planning Surcharge 100 -0000- 438050 5.00 Line Item Total: $390.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check CUSTOM SIGN CO INC KJP 6387 In Person 390.00 Payment Total: $390.00 cReceipt.rpt Page 1 of 1