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SGN2004-00172 C ITY OF TIGARD SIGN PERMIT �,��� a1 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00172 may, 411 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/26/04 PARCEL: 2S 103 D D -00800 BUSINESS NAME: ANDREWS AGENCY LLC ZONE: C -G SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG APPLICANT /AGENT: ANDREW AGENCY LLC BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 8') Sign #1. Valid 7/28/04 through 8/28/04. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: C /�� Q PERMITTEE SIGNATURE: )a ' �' 1 "`" -(2 " . DATE: 7/26/04 AIN� I °s� SIGN PERMIT APPLICATION J1 CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site 6 A p_ z) 0 p d C/ I= / CI Address/ Street Address Permit No.: 5Gtilabo4 -- co 17 Location )3E/,- 5,..,5 PAC/ /_ fc l-�� Expiration Date: fa 8 /0 `f Suite /Bldg. # City /State Zip ‘:0 77 6,4 kb 0 Receipt #: a oock -,3-7 85 Name Approved By: • e , 1, s Property 1 V E pS C. t') p,4-A/ i C J' Date: ---)"..)(0 , q Owner Mailing Address Suite Map /TL #: c2S /03 bp — 60 $ 00 4 - f x.33 50 - rlftzrt.©fAM 41- 10 / Zoning: C 'G City /State Zip c/ 7 13 Phone Pc) g T (._ 4 N.0 C'2 5:2 3 - )23 - 26v) Electrical Permit Required? ❑ Yes No Tenant or Name Business PI N.O 2 CV S A- 6 E A/ c 4-4--C Building Permit Required? ❑ Yes , No Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc Sign Nl A Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are required if 4 Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ET Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard g 2 copies of elevations, drawn to scale apply) ❑ Ba lloon (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: 3 ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): z y Or $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ['City Ill Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes E' No building permit. Type: ❑ Internal IR External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL El Yes El No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) l ,• 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. fe DATED this 2 day of 21-tA7- 20 v Signature of Owner /Agent Contact Person Name Phone No. II CITY OF TIGARD 7/26/2004_ 13125 SW HaII Blvd. 2:38:1OPM Tigard, Oregon 9 72 23 (50 3) 63 9-4 17 1 Receipt #: 27200400000000003284 Date: 07/26/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00172 [SIGN] Temp Sign Penn 100- 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check ANDREWS AGENCY LLC CAC 1002 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt Ct) /gib . u C g i > 5 II 11' V 3,z ' > CITY OF 'TIGARD Approved ..................roVed ---------- ...- ...._..__. described in: For onl the \?o as j For an 1T NO. l pER� Follow......... [ See Letter - ......................... .- •--- -••--• " Attach ......... . . Job Address L7a'e.1 - - -_____ T/ 6 /9 o 2 2 3 •