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SGN2004-00226 � & 441.. CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00226 +�- .JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/15/2004 PARCEL: 2S 110DC -02400 BUSINESS NAME: THE BLITZ ZONE: C -G SIGN LOCATION: 11565 SW DURHAM RD JURISDICTION: TIG APPLICANT /AGENT: RAMSAY SIGNS, INC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 12' X 1' 10" TOTAL SIGN AREA: 21 sq. ft. WALL AREA: 500 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of permanent wall sign. (12' x 1' 10 ") MATERIALS: LEXAN /ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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: �` / P "� `�' `-6 PERMITTEE SIGNATURE: � �"�' ` C "� DATE: 9/15/2004 ,_� a • . 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 FOR STAFF USE ONLY Site 1 hL— ?-.)c -1T-?-- Address/ Street Address Permit No.: S&Aiaoo'4 - 00 aa (o Location 5. SW bug-\A-A414 �� �0 Expiration Date: Suite /Bldg. # City /State Zip UVC-‘2. c),D(2_ 41,-7(-f Receipt #: Name (�, Approved By: C • ea -�+'w- Property P`�U.L.- V \V l (1/1 Dp b`)' Date: 9 /S" -o Owner Mailing Address Suite Map/TL #: c2S / /ODC - oay00 R iI j&)L J/ ii CR Zoning: C -6 City /State Zip Phone UaNP,I" lia, LA- cf g(o ( o,, 503 K490 DZ3S— Electrical Permit Required? ,r Yes ❑ No Tenant or Name Business — l..j.1 7 (..:121-2.... Building Permit Required? El Yes , - No Name Rev. 8/7/2003 is \curpin\masters\revised\sign permit app.doc Sign ?4,m514Y St6NS, J--i Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit Q( �_ O s � �7 — /` (Note: applications will not be accepted issuance, a I uU GC w ithout the required submittal elements) of all C ity /State Zip Phone p ) licenses are required if OAZ41\00k a7kb 503 7 `7�� mpleted Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License�n ?j (..../Dg... 2 Copies of Site /Plot Plan, Drawn to Scale database) vw �' (3 copies, if a building permit is required) Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x '17" Sign ❑ Temporary 0 Wall 0 Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon Lrd 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? ize requirement: 8 x 11", to 24" x 36" Sign Dimensions: 13 ` x 1 ' /o" $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): Q ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft SD Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E g NE NW SE SW Height to top of sign (feet): ( Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and 0 sign placement. Copy:Tj,,� Ncr. p,0 I,,NWi 17,113-L- c,ny Foe ;r7, Wall signs do not require site /plot plans. Materials: 5e�j.�rTtAt -H-+rm • Freestanding signs over 6 ft. required a Will sign have Illu nation? Yes ❑ No building permit. Type: Al ❑ 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 overla 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 day of , 20 AI Signature of Owner : gent atA,e/iA— 64 Contact Person Name Phone No. CITY OF TIGARD 9/15/2004 13125 SW Hall Blvd. 4:17:41PM A Ti ard, Oregon 97223 1 .:A LYti (503) 63 9-4 17 1 Receipt #: 27200400000000004093 Date: 09/15/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00226 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 ELC2004 -00584 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40 ELC2004 -00584 [TAX] 8% State Surcharge 100- 0000 - 207020 4.27 Line Item Total: $ 88 . 67 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check RAMSAY SIGNS, INC CAC 1711 In Person 88.67 Payment Total: $88.67 a INTERNALLY ILLUMINATED WALL SIGN 8" CABWET M �,� LAG SCREWS WITH _ ";,. ANGLE CLIPS INTO REMOVABLE --; i i - WALL ACROSS TOP RETAINER I I I I I I I 0 , ACRYLIC OR POLYCARBONATE 1 1 1 . SIGN FACE I I 1 I 1 FLUORESCENT . 1 • ; M. 1 /2" CONDUIT LAMPS 1 1 THRU WALL 1 BALLAST i . irlari il: 120 V. TO J -BOX 1 1 1 IN CONDUIT I I 1 I I 1 I I 1 1 1 I I 1 r te LAG SCREWS THRU Iv, BACK OF CABINET & INTO WALL. (AS REQ) WOOD WALL --- 5--e-- e-86-c1-2- \IS(05 SUO Duiv_o" N ,-------- v_ Re \ keiwgs)(c9 08/24/2004 03:35 3608857629 PAGE 01 letter of Autttornatian • r • ri wwwfangentaraconl 9100 AE 74th Ave Portland, OR 97206 P. (003) 7774955 1.800013 -4779 F: (503) 777 I/We, , ',prevent that 1/we tire vwnvrtJlandlunis or ilia fulluwiiry oval puperIy. 11665 SW DUrMORI Rood Tiprtrd7 47224 - WashUtyloti Including trio budding con3tructod tnorcon. which propony is pre cntty Doing rented to The Blitz • (Mn•nr/ IN es aoKnowIeoge twat Ramsay Slpns, Inc. will be Installing the following described >aktn(tr) to: The Blitz ___.�_._... 3inyte face sign tem prop= of ate) 02700 this day of Ci75.,, , 20. (tli d aQwner o' Autlwr(ara .1 �w Q pnn14,rnmwnu nr AirInnnr rt ai'm) MAIL.INO ADDRESS PAUL W. 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Date I D 8.4.04 a , Cl ient Zo _ ® The Blitz Willowbrook Shopping Center Tigard, Oregon . • 2 o T 0 TA FlyA_IagE, cg DJ im ki,drAKI Account Executive • Doug Ealy SCALE: I " = I' - 0" Design FACE ILLUMINATION Ross Hilden MANUFACTURE AND INSTALL WHITE LEXAN INTERNALLY ILLUMINATE WITH PRODUCTION PRINT ( I ) SINGLE FACED FLUORESCENT LAMPS AS Approvals ILLUMINATED WALL MOUNTED GRAPHICS REQUIRED, WITH ENERGY 8.24.04 DISPLAY VINYL APPLIED FIRST SURFACE EFFICIENT ELECTRONIC BALLASTS Client Date CABINET /RETAINERS COLOR(S) INSTALLATION ` '''..77 Landlord Date ALUMINUM EXTRUSION 220 -22 BLACK INSTALL DISPLAY FLUSH ON n PAINT BLACK 230 -33 RED BUILDING WALL A T EXACT A C C O U N E X E C U E S I G N A T U R E LOCATION TO BE FIELD VERIFIED Revisions Date •6► . AR t R 5 04 Revision 8.24.04 Revision CITY ®F • < A P PrOVed . .............roved ........................................................... ..... - - : • • Condtttonally A PP cr► be- 00� - is F L ., -. 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'' I And are the result of the than employees of your i5. t ' _ , -." i original work of its design company, or use of these plans !e el _ tea t` - ',AL, , w ,, x ?0 �i.L`1 . T ?. •. .r....�T�A JJ]:`7 vw t herein, • t- , A.a" 'AP " ''` — -- e — s. - ir.k..a ` They are submitted to your exp expressly forbidden. g� similar to ' - : .. r - , � 4 a _ # .- � Y r _ . , company for the sole purpose t€# +(�= is NOTE TO GENERAL CONTRACTOR ELECTRICIAN m r - -•- r of your consideration of In the event that such oVN i4 ' r . � s Y - • " a - " • 1 whether to purchase these plans exhibition occurs, Ramsay Signs BRANCH CIRCUIT REQUIREMENTS ; - - " .e. ° ' a 1 5 . . i . or to purchase from Ramsay Inc. expects to be reimbursed • Tr - ' - . ,, - ` .. .'s!4° ' -j..,_ - Signs, Inc. a sign manufactured $1000.00 in compensation for ALL BRANCH CIRCUITS FOR SIGNS _ , - . ,. '• '. - - - ' - 1 to plans. time and • PER i MUST BE TQQUfDFDIGIEDTO8IGIn, 41 4" - - t. • ,® + - 1.: • r - creatin these effort tansenta led in . INCLUDING GROUND, lA-..r - - " x 1 I g P ON[IIR AND MENU. OBQIR reji - r .� i rs a ,s SIGN CIRCUITS MUSTN T BE SHARED WITH OTHER LOADS + .:- s. . * _ - f � ` , Ramsay according Signs these EQUIPMENT AS LIGHTING, AIR CONDITIONING, AND OTHER _ - 3 .- ' 9160 SE 74th Avenue Portland, Oregon 97206 EQUIPMENT - � ° - ■ s e . - p PROPERLY STIED GROUND WIRE THAT CAN BE ` T - I• A . - ;- 6503 717.4555 N 800 613.4555 0 777.0220 • TRACED BAC K TO THE BREAKER PANEL MUST BE PROVIDED aA _ • 4 ; s i � - 1 4 - li NUMBER AND SIZE OF CIRCUITS FOR EACH SIGN 'r , - t • _._..y_. ~� - ..... 4 1 r - 1 , f '' _ b J TO MEET MMSAY SIGNS REQUIREMENT `` • . , !:. _ .. .:: °. - �. • .. ` _ I Of I 0