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SGN2006-00219 • CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00219 'TIG 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/4/2006 PARCEL: 2S103DD -01201 BUSINESS NAME: NELSEN'S AUTO CARE ZONE: C -G SIGN LOCATION: 13880 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: NELSEN'S AUTO CARE BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary 12 sq.ft. A -frame sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. Valid 1/6/07- 2/6/07. Sign #1 MATERIALS: WOOD /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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: ` PERMITTEE SIGNATURE: X � DATE: 12/4/2006 1 P l li 4 c ' j x:w.:: f Y,i'1- , ¢ y ` _ � ': ` ,, SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blwl, Tigard OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project �,_ �_ FOR STAFF USE ONLY Site �. 21 Yj. c) j 6a C ", — Address/ Street Address _ O O � / yep L3 Z/ _ Permit No.: Location u r :�:) .( : 4- ./ . /C ; k L Expiration Date: VC A7 — /V O 7 Suite /Bldg. # Ct /State Zip i / I : `� ?7 �. Receipt # : ,2-''' '' to -5.-7 e z ,4 Name , Approved By. Property ( ?t 2 /tL — = , \:1 6 CALI," • Date: / Z/ gL Owner Mailing Address Suite Map /TL# : C j��. Z / �.� :,) a6 a.� L �l /!:'" [G3`� Zoning: G City.(State Zip Phone / i C ='. rc l e.24 k,,t. c'7;21 i :Cc-3 c2 j e -6 7L: Tenant or Name Electrical Permit Required? ❑ Yes 0 No Business Building Permit Required? ❑ Yes ONo Name Rev. 7/5/06 is \curpin \ masters \land use applications \sign permit app.doc Sign 6 = ) Contractor Mang Address Suite (Prior to permit issuance, a copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS 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 Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign El< Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that Other ❑ Billboard 1 apply) d ❑ Balloon size requirement: 8 / " x 11 ", or 11" x 17" ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: / (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): /� c /-:---/.. ❑ $39.00 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 W NE NW SE SW Height to top of sign (feet): o 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. o Wall signs do not require site /plot plans. Materials: o Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ❑ No permit. _ Type: ❑ Internal ❑ External o 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) 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 day of , 20 Signature of Owner /Aged Contact Person Name Phone No. CITY OF TIGARD 12/4/2006 E 13125 SW Hall Blvd. 3:44:50PM Tigard, OR 97223 503.639.4171 T I'GARD Receipt #: 27200600000000005702 Date: 12/04/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00218 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00 SGN2006 -00218 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 SGN2006 -00219 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2006 -00219 [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 NELSEN'S TIRE & KTP 22068 In Person 38.00 AUTOMOTIVE Payment Total: $38.00 c r cReceipt.rpt Page 1 of 1 ''.._ ' I—W/1 e ' . 4.:; ,,:.7 v / , – Le 7 • t' , / , l' . / .. , / . v ,_ - C 1 . ., i . . 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