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SGN2004-00268
CITY OF TIGARD SIGN PERMIT AP. , .. �r`k DEVELOPMENT SERVICES PERMIT#: SGN2004-00268 " �II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/27/2004 PARCEL: 1 S136AD-04000 BUSINESS NAME: URGENT MONEY ZONE: C-G SIGN LOCATION: 11523 SW PACIFIC HWY JURISDICTION: TIG APPLICANT/AGENT: CMR/COLUMBIA INC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 30"X 12' TOTAL SIGN AREA: 30 sq. ft. WALL AREA: 280 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: 9 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one permanent wall sign. (30"x 12') MATERIALS: ALUM/PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N 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 ft/validity date. APPROVED BY: j' ,. PERMITTEE SIGNATURE: DATE: 9/27/2004 , ♦ S 4ri,H "ii '' 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 PACIFIC TERRACE FOR STAFF USE ONLY Address/ Street Address Permit No.: SC.N ca.Op 4— 00-2(05 Location 11523 SW PACIFIC HWY . Expiration Date: Suite/Bldg.# City/State Zip TIGARD , 97224 Receipt#: Name Approved By: Property EDITHSMITH c/o NORRIS STEVNS Date: Owner Mailing Address Suite Map/TL#: 621 SW MORRISON 800 Zoning: City/State Zip Phone PORTLAND , 97205 223- 31 i Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business URGENT MONEY Building Permit Required? CI Yes 111No Rev.7/1/04 is\curpin\masters\revised\sign permit app.doc Name Sign CMR/COLUMBII 1 :1C . Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance,a 1820 E . B U R N S I D E without the required submittal elements) copy of all City/State Zip Phone • licenses are PORTLAND , OR 97214 232-8153 required if ❑ 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) 104219 1-25-05 (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17" Sign ❑ Temporary n)Wall ❑ Electronic (Check all that ❑ Other III 2 copies of elevations, drawn to scale apply) ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) jxNew sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: 3 0" .x 12 ' ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq.ft.): 3 o SQFT . CI $15.00 Fee (Temporary sign, any type) Total Wall Area (sq. ft.) Jurisdiction: El City EI Urb Sign Data 280 S Q . FT . (Complete all s. -ction Wall Faces (circle one): NOTES: items inthis section) 5 E W NE NW SE SW • Wall signs do not need to be drawn to scale, 11) ght to top of sign (feet): 10 ' I but must include dimensions of wall face and I Projection From Wall (inches): 9 it sign placement. Copy: URGENT MONEY • Wall signs do not require site/plot plans. Materials:ALUMINUM , PLASTIC i • Freestanding signs over 6 ft. required a Will sign have illumination? nYes ElNo building permit. Type: xEl 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) r 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 7 day of 20 `) Signature of Owner/Agent L 7/0 DA- i/66:7G//t-'-f' (52)3> 3 - /J_ 3 Contact Person Name Phone No. . . 12'-0 ° H To., I 4.decll.Gm. v Iwx..Ty cover C 1- - RE Tyco 1 Fla. E'Y E D :=T-7.7.. - SE --FYI.pd Frt. � _ tt 2004 URGENT ili :4±11k 1104±% I M 1 II_A'I it : LoA yN TYPE 1 SECTION DETAIL ft Afil 74 r R® ep.F4ING —_Y SINGLE FACED WALL SIGN- `1^� OF , GARD EXTRUDED ALUMINUM CABINET PAINTED WITH MATTHEWS POLYURETHANE, (K3 INTERIOR FLOURESCENT LIGHTING, RAPID START H.O. BALLAST, r` ' ✓ :,�,0 al', Approved.......:_...-..--.... WHITE POLYCARBONATE WITH TRANSLUCENT VINYL LETTERING: ;:'�; ,,ty the w:Frt:tklalaiswhitdi escribed in. HOLLY GREEN (230-76) & RED (230-33) ;�E �+Ih r °. .' .� ` G—..-(............................... '' 115A3 �(� pee_ r.. - ,,U �,ddrese._ _ __. f4 .,,,i,, Date. . ,�, p / - Reit r ►I _.l SIGNS URGENTIV ,OneYV ipir:_,.,...e• 7,7 rJ3�223�3171 mai 4, 4 `-,-;.„,:-",,,,,.:,-,,,,-*,,,,,10;;;".:,,,,,,,,,, „rrr _117 V -N-C, _I ii : I 411 f� NI i T • } T VERit. 11E32 ya rii:irsop,rs C/`� tl� �Il PRINT 1 ,,2,:i'-•:,,:.,‘,•1,-,',. "';',' < - x ;,U ,q "`.,'� "4;.--1', ,.. NI , a f 5,# �,_ ..,.Allo!'` �"b-,I.„.,a „ p T c - 4V*1110.0t1 0 R.0 0,.# -13, ,.--, —___ , _ ,. ,-- ,*..- :r.,;,,,, ,,,,- ----- -- ... . ,,. Itt n, tom. .. R4P//r0,eEP sE4/r�r�a#v#« 0.0 tr.Ali 111111 a Mt �°t e TO 4O76'&COLOR&A,17T�P/�/sI� PCE�P 43 SCALE: 3/4"=1'-0” Ckl CASH CONNECTION #34 S/NC COLUMBIA NEON OR Zs-sssccs AUGUST 31, 2004 �� 1820 E. BURNSIDE STREET ,�t DESIGN # C0408314 PORTLAND, OR. 97214-1597 WA CMRSIS*1O1Jz SALES PERSON: LINDA 11523 SW PACIFIC HWY. (503)232-8153 FAX(503)232-8155 ©2004 CMR/COLUMBIA INC. DRAWN BY: LLP TIGARD, OR. 97224 This original design and its engineering details are submitted solely as part of our confidential proposal and remains the exclusive properly of Columbia Neon, Use of this origin. +esign and its engineering to convey specifications or tc � ` 1. 1 A , Mink. solicit bids by any other party is strictly prohibited.All property rights in this drawing,including but not limited to the right to make copies thereof,are reserved to Columbia Neon. Duplication by photocopy or any other means is not allowed, 9/27/2004 CITY OF TIGARD 13125 SW Hall Blvd. 3:15:24PM i4�,; �ir7 iL Tigard,Oregon 97223 • (503) 63 9-417 1 Receipt #: 27200400000000004281 Date: 09/27/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004-00268 [SIGN] Sign Permit 100-0000-437000 32.00 SGN2004-00269 [SIGN] Sign Permit 100-0000-437000 32.00 ELC2004-00618 [ELPRMT]ELC Permit 220-0000-431510 106.80 ELC2004-00618 [TAX] 8%State Surcharge 100-0000-207020 8.54 Line Item Total: $179.34 Payments: Method Payer User ID Acct/Check Approval No. How Received Amount Paid Check MICHAEL/LINDA PEPLINSKI CAC 1677 In Person 179.34 Payment Total: $179.34 MICHAEL PEPLINSKI 2424-680 16 7 7 LINDA L. PEPLINSKI 1230 3207 15821 NE ROSE PKWY. 18996979 PORTLAND, OR 97230-5137 Date Pay to the V / 14. ' '� / I / Order of ar I 10 44WOrs' K/ Wells Fargo Bank,N.A. WELLS 310 Southeast Taylor FARGO Portland,OR 97214 wellsfargo.com I Memo "\—...----' Ay .: L 230068001: L139969 79 2 20 L6 ? ? Page 1 of 1 cReceipt.rpt