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SGN2006-00074 rIp! CITY OF TIGARD • SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 - 00074 TI;G'ARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/4/2006 PARCEL: 2S 113AB - 00600 BUSINESS NAME: OPTION CARE ZONE: I -L SIGN LOCATION: 16125 SW 72ND AVE BLD.B JURISDICTION: TIG APPLICANT /AGENT: OPTION CARE BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 24' X 11' 3" TOTAL SIGN AREA: 22 sq. ft. WALL AREA: 235 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 14 ft. PROJECTION FROM WALL: 1 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 24' X 11'3" MATERIALS: HD FOAM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 38.00 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: ..5 PERMITTEE SIGNATURE: n-h-- Q i�(,C(�LD�� DATE: 5/4/2006 u U A;tiflra SIGN 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 C°�P77 Cli- / FOR STAFF USE ONLY • Site Address/ Street Address hd P ermit No.: Eli 9-6-06- U 7 Location . 141115 cliu 7 Fi VE, Expiration Date: • Suite /Bldg. # City /State Zip . . 1 /614 q7.2_2_, Receipt #: Name Approved By: S - +T Property P T L -T Date: 5 ?-10, Owner Mailing Address j rj 3 Suite Map/TL #: ' ( 1 3 4-8 -01 /oat sw S - 01)01 A PK WY 30 0 Zoning: [ t_.. City /State Zip Phone so 3 T/ 614,20 97 2-2-4 ( (0 :306 Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business ©p / 2 dotJ e-14-ie_E Building Permit Required? ❑ Yes ❑ No Name Rev. 30 -Jul -01 is \curpin\masters\revised\sign permit app.doc Sign C' G S-( 6-1L-) �YS7EhuS Contractor Mailing Address .7800 Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a �W h c,wi-lxi-r /20 o--C) 0 (Note: applications will not be accepted copy of all City/State Zip Phone without the required submittal elements) licenses are SO3 required if (S»»D 9 223 L 2,9-R (c,S6 ( Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ���! L K 2 Copies of Site /Plot Plan, Drawn to Scale database) - 7 - 7 c� 3 (3 copies, if a building permit is required) Pro Proposed size requirement: 8 x 11 ", or 11" x 17" P Permanent ❑ Freestanding ❑ Freeway Sign Temporary Wall ❑ Electronic )2 copies of elevations, drawn to scale (Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 81/2" 11 ", to 24" x 36" New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: 4 x 11 4 ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 2 2 ,c0 CA NOTES: Si n Data Total Wall Area (sq. ft.) -2_ �S • Wall signs do not need to be drawn to scale, g but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this section) \ \N SO W NE NW SE SW • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Height to top of sign (feet): /41 ( building permit. Projection From Wall (inches): j ,r • If work authorized under a sign permit has not Copy: 0 Y. Co been completed within ninety (90) days after Materials: 14 /6/4 DOuS/ih' F0/ /4-1 - the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes No BECOME NULL AND VOID. Type: ❑ Internal ❑ External Are there any existing freestanding or wall signs at this 1 Not all jurisdictions accept credit cards. please call jurisdiction for more information. location, including wall signs that overlap a tenant space? visa CI MasterCard Credit card number / / ❑ Yes X No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount (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 4 day of Q4ft--LL ,.20 CO Signature of Owner /Agent k)112/C__K 663- (e `;_-_-) 56 Contact Person Name Phone No. &cry SYs s O P7 6 1,...) � 1 „ , / (0( 1a_ / 5W 721\ID AVENUE TIT 6 111IIIIIIIIRL hhnninrnniiih 1111 1Ini111M11nu(1nnlnln.uuftnuuiai I. = WW 111 r ri �l iIji 1 I . H 1 1 I N'I NR. QIIII10 OIIHNi10 - _ _ T Ill. iinn Lo. . iliw, (�1 J ��� — ' 1 i Ilium I . .., \ / 1 ," ' '7410 01111 J J o nn nn L _' o _ �Llulln11111u 9 ki:1.14k*: C T � ,, I'�Wiiiiiillullllu ii J � j i 1 I .W1 11.111111.111M11111_ • r i) ...4 PACTRUST BUSINESS CENTER 11/17/00 I" =200' 'OM TO ,Tec I (I A PAcTRL1B T PROPERTY 3 e 11' -3" option care ry on +itiona y • ppro"l• _._._____.__ _ j For only the work as described in: PERMIT NO. See Letter to: Follow ..... [ ] Attach Total building facade: 65' x19' .1235 sa. ft. Job .Address: /Col 9 { =S Total sign area: 2' x11'-3" = 22.5 sc. ft. ` y • --fit c T _ _ Date- 51? b Letters are 1" high - density urethane foam, painted PMS 278C Blue. PROJECT INFORMATION �,/ �/ J p Project Name : Option Care V GRE Letters attached to building with VHB File Name : Option Care PDX.CDR tape and silicone adhesive. Scale : 1/8" — 1' - 0" 1513 South Central Kent, Washington 98032 Date : March 22, 2006 Tel: 253 852 -1354 Fax: 253 850 -5911 Designer : Jerry Downer E Mail: jerryd @evergreensign.com CITY OF TIGARD 5/2/2006 ' 1 13125 SW Hall Blvd. 10:26:42AM Tigard, Oregon 97223 TIGARD (503) 639 -4171 Receipt #: 27200600000000001996 Date: 05/02/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00073 [SIGN] Sign Permit 100- 0000 - 437000 33.00 SGN2006 -00073 [LRPF] LR Planning Surcharge 100- 0000 - 438050 • 5.00 SGN2006 -00074 [SIGN] Sign Permit 100- 0000 - 437000 33.00 SGN2006 -00074 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $76.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check CLASSIC DIMENSIONAL ST 13255 In Person 76.00 GRAPHICS Payment Total: $76.00 cicccipt. Page 1 of 1