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SGN2004-00308 CITY TIGARD SIGN PERMIT I � DEVELOPMENT SERVICES PERMIT #: SGN2004 -00308 '`' - I ' ll 1312 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/04 PARCEL: 2S112CD -HG024 BUSINESS NAME: ZONE: R -12 SIGN LOCATION: 16068 SW 77TH TERR JURISDICTION: TIG APPLICANT /AGENT: MATRIX DEVELOPMENT CORP BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 9' X 3.5' TOTAL SIGN AREA: 32 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one permanent sign for the development. 9' x 3.5' MATERIALS: BRICK/STEEL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N 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 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: Awl"- a � O � w / '� � 1. PERMITTEE SIGNATURE: i DATE: 20/04 • ' iF ..4)4.. 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 FOR STAFF USE ONLY Site I- ca ryt bo,,ch C 'CO Ss i#.l C Address/ Street Address Permit No.: 5 &kJ 0,00`4 0030 a Location iftiti .GGT LOT 24 of Harr% Ij c.Ln Suite /Bldg. # City /State Zip Expiration Date: Tia)o..,. - ql 2 •2. 4 Receipt #: .:,,.?o0-1 - 4 (o 0 S Name Approved By: C . C' G Property MQtr')' De,; e%c.p" - kw - r.-- am...--p . Date: iO 1,-0- Owner Mailing ddress Suite Map /TL #: 0_,S H C_ b _ 1-1 C, 0..9.'4 t2 -)s sw LockiKAve. too Zoning: R - I City /State Zip Phone ?Or t land- Gri 2.. 24 503 • (020 • 81)80 Electrical Permit Required? ❑ Yes Ni No Tenant or Name Business Building Permit Required? ❑ Yes [ No Name Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc Sign Imo-) R t -r TEN t N 81OntE Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a (0424 5� t22r� without the required submittal elements) copy of all City /State Zip Phone licenses are PO Tl —t t4 °1- 12-3(p - 1140_ .01 required if 2' Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # / _ ts 0 33 7 , ly • 014 0' 2 Copies of Site /Plot Plan, Drawn to Scale database) lv (3 copies, if a building permit is required) Proposed ® Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary ❑ Wall El Electronic (Check all that ❑ Other a 2 copies of elevations, drawn to scale apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) © New sign? El Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: [' CI 2.00 Fee ( anent sign, any size) c x 3. T t f Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wal Area (sq. ft.) Jurisdiction: ❑ City CI 1 (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W N E N W O S W • Wall signs do not need to be drawn to scale, Height to top of sign (feet): (o but must include dimensions of wall face and Projection From Wall (inches): 2." sign placement. Copy: ( - }arv■bach CA s ir46 • Wall signs do not require site /plot plans. Materials: fict,ockie Coo --kcl 5-tz Slay • Freestanding signs over 6 ft. required a Will sign have illumination? in Yes ❑ No building permit. Type: ❑ Internal ® 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 ❑ Yes] 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) 4 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 1 5 -rt, day of O crugen._ , 20 o y Signatu f Owner /Agent CYQ ; F. g VI c e Ires ictent' Cva; F. 6 rD '1 `)3- Cv 2o - 8oxo, ex. zzz... Contact Peron Name Phone No. L_ J ( . Il illr. 1111 5. ► ,. 4 110/ Approved C O Conditional Approved Ti; .T 3 RD �` F o r only the work as described in: I �., ��MITNO. �G� — �o0{ boao9 i ce titter to Follow Attach .............. Job Addres �(aoly . ( 1 t _ Da *- >v ao -v 1 1 c F dr, g �n ��� I all SI - 2ca / - -t E t.4 0 -T E 5 – The. C. VA- L 1 - NE N vJitL 8E RAN D CA y/ED t PAINTED T14 NAM BA C,µ GROSS /N6 LE7TERS WI U. 3E pawDE12.- c,cktTED STA INLESS 'S7h EL L_ E7TE12.