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SGN2004-00091 CITY OF TIGARD SIGN PERMIT Al EVELOPMENT SERVICES PERMIT #: SGN2004 -00091 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/7/2004 PARCEL: 1 S 134BC -00401 BUSINESS NAME: SCHOLLS IMMEDIATE CARE ZONE: C -N SIGN LOCATION: 12442 SW SCHOLLS FERRY RD 100 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 36" X96" TOTAL SIGN AREA: 24 sq. ft. WALL AREA: 2,970 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq ft banner. Valid 5/10/03- 6/10/03. Sign #1 MATERIALS: BANNER /PLYWO EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 ay m validity date. APPROVED BY: / PERMITTEE SIGNATURE: DATE: 5/7/2004 Rpr 2, 04 08:33a Rick Wilson 503 - 231 -9511 p.2 Rpr 05 04 11:36a Rick Wilson 503 231 - 9511 p_2 04/02/2004 13:12 FAX 5035061080 CITY OF TIGARD RI 002 /004 SIGN PERMIT APPLICATION C4 13123 SA'Fla a/vd. Tigard OR 97223 (303)63P-4171 FAX: (303) 684-7297 GENERAL. INFORMATION , None dAewap►nvurAoJect FOR STAFF USE ONLY Sits Pro/vitro1u,ArAitA1 Earuwp- Sam) IS �. q Address) ' onto neewbs Pemlit No_ J ft) 2.4\q — .')c�c� ()Jai/ Location Leo. SW stinks Fix E..4. ` 3 WeNp • aM�� 37p Expiration Date: ,5 �f o d �f - (o / () y � 00 a _ Ti laird ())2 - q 1 a,1-5 Receipt _ J ADVrOvad ar. . p Property 1 (DV 1aG1nu. Si SNI5.ic-, Dom; _ / 6 V . Owner among mown Sidrs Mapf L#: kr1Qp ice cat l9 Zoning: C' " wens zip Phone RF ° g 1213 53j5135 Electrical Permit Required? Q Yes ❑ No Tenant or Nom ®u0ding Permit Required? ❑Yes ❑ No Bu 11S Ii-AICI C.�-✓ A.., mane me, Warn t nInunweeon_orneatud6 , Sian C i kl, : "L .04v43& -^ - contractor ' wawa •dd Sw REQUIRED SUBMITTAL ELEMENTS (p k �— (Nets: epplicsbetts Y6R nit b. acrsptsd 30 4 e s� di p S j c , �, k � the resulted But m1 I stvu.Ma) ranMS � >A+ r are ChDnt required i . w�� •231 35639 ❑ Completed Application Form =prod in re aspen cone � nt Board E,m. Date City dl Tliperrs Limn= a 6 9 41-L - 7_, Z_ a - ° 5 ❑ 2 Copies of Site/Plot Plan, Drawn to Scale der - (3 copies. if a building permit is required) oroPeswr ❑ Permanent ❑ r,ee,anding w. ❑ r�a.r size requirement 8'fa" x 11 or 11" x IT Shin an our ov' r Maud D i ❑ 2 copies of elevations, drawn to scale "mil - (3 copies, if a building permit is required) New aipn7 ❑ Alter to existing sign? size requirement 8W x 11', to 24' x 36' Sign Dimensions: 0(a" ,le 96 ❑ S31 -00 Fee (Permanent sign, any size) Tote 5i9n Area (sq. ft): a q . ( A $15.00 Fee (Temporary sign. any type) Sign Mel Total Well Aree (eq. R) Z,' 70 SQ �4. . Jurisdiction: ❑ City ❑ Uri? Ileum N Direction Watt Faeces (circle one): NOTES: Ramo In median) rips W NE MW SE SW • Wall signs do not need to be drawn to scale, Ntrirt to top M sign (fast): ?s Projection From Wall enema): 49 .tv sly placement a dimensions of wall face and n I CODY L?A as c4 *L G-- AJ.AI lablz , • Wall signs do not require site/plot plans. Materials: i 1‘,A4 (i47:Wi • Freestanding signs over 6 R. rsquirod a WW sign have illurnineson? ❑ led ^+o building permit. s: Internal External • N work authorised under a sign permit has not Are there any ocisting freestanding or well signs at ttus been completed within ninety (60) day alter location. Including weans that Overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL. AND VOID. O Yes ❑ No If "yes ", s list or diagram of all sign dimensions and • _mums t�aotags must also be submJed. • (OVER FOR SIGNATURES) • E0/20'd 0226 912 EOS STIOHL /JWd IS :VT b002-90 -add APR -06 -2004 14:52 PMG/ ?HOLL5 503 216 9220 P.03/03 ON auoNd uOS d F7eWo3 9) : , a • p eirgeufn • ,` jo Aep scvL s14I O3iVC .pre611 A3!n eta `A!M► aouelidure* uo e}s po Wgns sued asap pug 'J UMO eta io Wean pup ®apne JO JOUMU Ina uu I pup Las ei uaer6 uO1Beuuold' eta mg °uvgeo!idde ism peas a*eu i >ig4s aSpe{MoUIpe wed nwn7T m 1TT'l 110p794CCOC 711.1 27:07 IMAZ /Zfl/ o TOTAL P.03 E °d TTSG- TE2 -EOS uosiLO EEE :BO b0 92 udd CITY OF TIGAIRD Approved [Y1 cu Conditionally Approved [ Q For only the worj as described in: PERMIT NO. h;sv— UJ © ?/' See Letter to: Follow [ Attach [ 1 Job Ad�re 2 a� � = er�� 0� By: 1 rs: �'� — � Cats':.: / ?_ IP011AllI Existing Sign PI;C)P!)SEI) T.E\3PCi1 .11n I y (,a\NU CANNER m ,0• Prov i d e n c OPTION 1 g OPTION 2 t 2'x15' t • O Ln Existing Sign • IMMEDIATE CARE 4- 22 0 3 \:r3( • 0 ..1 tY C*1 O O L Q O 13125 SW Hall Blvd. • 8:22:O1AM Aw Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200400000000001910 Date: 05/07/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00091 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard ROBYN LAPLANTE KJP 011608 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt