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SGN2006-00043 • .1 , pt CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00043 c'I II. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/23/2006 PARCEL: 2S 102 DA - 00401 BUSINESS NAME: COT PD ZONE: CBD SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 18" X 28" TOTAL SIGN AREA: 6 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign 18" X 28" Valid 2/24/06 - 3/24/06 Must place sign on private property, not to be place in public ROW Sign #1 MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 18.00 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. ( � APPROV ED BY: 'J �� PERMITTEE SIGNATURE: DATE: 2/23/2006 • *Fhi,l:� . S IGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project 1 . Site 1, FOR STAFF USE ONLY Commum4.� Shoed Address/ Street Address Permit No.: 1(4 c)07) 4Q - 0V '3 Location i b 115 SW Ii011\ 4 Ex p iration Date: -- fob. 3/ /o Suite /Bldg. # City /State Zip - T J . J cil Receipt #: -C �O 6 q (U 7 Name �-0r�, Approved By: - A Property C k 4 0 q ' moi Date: 3 /b (O Owner Mailing Address Suite Map/TL #: - -7 , S1 Od - 0 &f 0 / \"'5125 SW() Zoning: C4 City /State Zip Phone 110001 G reV 1, 503 to I t 1 I Tenant or Name Electrical Permit Required ❑ Yes ©'j Business C\ \'( of Ttga(d Building Permit Required? ❑ Yes Et No Name Rev. 7 /1/05 is \curpin \masters \revised \sign permit app.doc Sign • Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a (Note: applications will not be accepted copy of all City/State Zip Phone without the required submittal elements) licenses are required if expired in the Oregon Const. Cont. Board Exp. Date IZI Completed Application Form City abas Bard's License # 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ErFreestandin Si• n g ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" g Temporary ❑ Wall ❑ Electronic (Check all that Other 2 copies of elevations, drawn to s cale apply) ❑ ❑ Billboard ❑ Ba lloon ❑ p Z New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: l$ IC 14 ❑ $38.00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.): (0 . [( $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: . r] City ❑ Urb (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): ♦ Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and Copy: sign placement. ♦ Wall signs do not require site /plot plans. Materials: vyn`I - Mtfial ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ building permit. No / ♦ If work authorized under a sign permit has not Type: ❑ Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes (INo If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) • r 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 ?Op( 20 • 1T"D Signatur:e Own r /Agent V - 6o3 ZS(o J Contact Person Name Phone No. Qne )o O4`) Shied `Ids \OA -2� CITY OF TIGARD 2/23/2006 13 12 5 SW Hall Blvd. 1:20:28PM �, .41';11'... i � Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200600000000000907 Date: 02/23/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00043 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -00043 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $18.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard JIM WOLF ST 084135 In Person 18.00 Payment Total: $18.00 cReceipt.ro Page 1 of 1 /