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SGN2004-00383 CITY OF TIGARD . SIGN PERMIT T I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00383 `'` c � I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/15/2004 PARCEL: 2S110DC -02400 BUSINESS NAME: TUTORING CLUB ZONE: C -G SIGN LOCATION: 11565 SW DURHAM RD 120 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 22" X72" TOTAL SIGN AREA: 11 sq. ft. WALL AREA: - 700 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 6 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 11 sq ft permanent wall sign. MATERIALS: POLYCARB /MET EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 32.00 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 p permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 1 s lidity date. APPROVED BY: �/ PERMITTEE SIGNATURE: DATE: 12/15/2004 , 7\ • .j: 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 Site l«.inO■ GJUk FOR STAFF USE ONLY Address/ Street Address -J Location f l5 o S 500 Uarkarr1 Rd, Permit No.: 6 6 7/1 1 v "o 0.3133 Suite /Bldg. # City /State Zip 13-0 , 1 i iC�C t .irci t r� 9 7d,PLl Expiration Date:___ Name .! Receipt #: '1 -5*- 7 I Property M t�IGlc at— Approved By: / 9.-_9 Owner Mailing Address Suite Date: -/ i S ! o Map/TL #: i i City /State Zip Phone Zoning: tilt ry.r...Nee ca. Sri tiG3s Tenant or Name • , No Electrical Permit Required? n I Business 1Z(.- t l('b �(es Name J Building Permit Required? ❑ Yes ' �}-N6 -_ � � 1 COs Rev. 12/1 /2000 i:\cur•In'irnasters \revised \aisn •ermit a••.doc F Sign �F.V;,ti'� �� v �' Contractor Mailing Address Suite (Prior to permit I 0 53 5 Si.J 1i11Crt j issuance, a copy of all .CCity /S1ta�te, C� Zip Phone REQUIRED SUBMITTAL ELEMENTS "^enses are .111( c n dR 1 2 sal. 6 l '. .66-1A auired If (Note: applications will not be accepted *- s1cpired In the Oregon Const. Cont. Board Exp. Date without the required submittal elements) City of Tigard's License # ` �t� _ i,� ( C database) 11 -- ❑ Completed Application Form Proposed 11 Permanent ❑ Freestanding ❑ Freeway Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit Is required) apply) size requirement: 8 x 11 ", or 11" x 17" © New sign? ❑ Alter to existing sign? [) 2 copies of elevations, drawn to scale Sign Dimensions: o Z o X � ,- (3 copies, if a building permit is required) size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): I 1 r E $50.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) loo , ❑ $15.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this ion) N X E CO `Y% NE NW SE SW NOTES: Height to top of sign (feet): Va. « o Wall signs do. not need to be drawn to scale, but must include dimensions of wall face and Projection From Wall (inches): ‘42, sign placement. - --7 Cop : ' irk - ' ` I • s R Wall signs do not require site /plot plans. Materials: {Y e. I, hvw \. / gr c a l .., _ o Freestanding signs over 6 ft. required a Will sign have illumination? I l - es . ❑ No building permit. Type: g Internal ❑ External o 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 wail signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. 1 Yes gj No If "yes ", a fist or diagram of all sign dimensions and (OVER FOR SIGNATURES) square footage must also be submitted. Dec. 10 2004 10:24AM R.7 FAX O. :.7.4336240451 FROM :EVEREST DEVELOPMENT U, . !LW: 7";'1 OC. 2004 el :.76Pm hereby acknowledge that have rei this application, that the information given is correct, that am the owner or authertapi agent of the owner, and that plena eubrrifned ere oornoilen o. with the Oity of Tigard. b ooti e . DATED this _ day of 20.a 4 ekes of • ner/Agert Choi Catf. raj reef* OIL:..? 00httict POrS011 N1111141 PPior,e No, • CITY OF TIGARD 12/15/2004 13125 SW Hall Blvd. 11:40:40AM 4 41:4-11111. ,, a� Tigard, Oregon 97223 . (503) 639 -41 Receipt #: 27200400000000005391 Date: 12/15/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00383 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 SGN2004 -00384 [SIGN] Sign Permit 100- 0000 - 437000 32.00 Line Item Total: $64.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard STEPHEN BRENNOCK KJP 045706 In Person 64.00 Payment Total: $64.00 cRecei pt.rpt Page 1 of 1 CITY OF TIGARD [XI Approved Conditionally Approved ...... ... ..... _••• -• 22" x 72" Illuminated sign cabinet painted gloss black For only the work s- cyescllbed•_ � 38 3 PERMIT NO. 3/16" White polycarbonate sign face See Letter to: Follow — _ [ , Translucent logo :�,_ z Job k___ss: i Date:_(. Cf 6y � � II S A , 22" 1.,, t i i - ''''' ''''-'''''- II lb ® 72"