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SGN2009-00168 CITY OF TIGARD SIGN PERMIT •• c Permit#: SGN2009-00168 COMMUNITY DEVELOPMENT Date Issued: 07/28/2009 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S115BA02600 Jurisdiction: Tigard Name of Business: Business Address: 16230 SW PACIFIC HWY 120 Applicant/Agent: Work Description: Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A-Board: No Sign Dimensions: 2.6'x15' Total Sign Area: 31.08 Wall Area: 400 Wall Face(Direction): West Sign Height: 2-0 ft. Projection From Wall: 13 in. Illumination: Internal Materials: Lexan Electrical Permit Required: Yes Building Permit Required: Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: 5r2C.A..-4,14-01Th Permittee Signature: ,��;_' Er SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hail Nut, Tigarg OR 97223 Phone 503.639.4171 Fax:503.598.1960 6 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site r.4\2—\2— C1 Address/ Street Address PermitNo.: c�A)2ao9--°DI /''8 Location 1(C'S ) �! 'Rli % l�J-�L t,y/ Expiration Date: Suite/Bldg.# City State Zip N Receipt#: Name Approved By: K.-"5-e Property Date: 7/Z;/c Owner Mailing Address Suite Map/n#: Zoning: (—C9 City/State Zip Phone Tenant or Name Electrical Permit Required? s ❑ No Business Building Permit Required? 9 Yes ❑c 'No Name Rev.7/5/06 ��N m is\curpin\ asters\land use applications\sign permit app.doc Sign cam'`Q t\'(2\ �1c?c Contractor Mpg Address e L J �\ \ rior toance,pe a �)rmit 24Z4 `{` ( issu copy of all City/StateREOUIRED SUBMITTAL ELEMENTS Zip Phone �`�2 licenses are ' �J` (Note: applications will not be accepted required if "�( 1 1 � g A'2. 16 `-' without the required submittal elements) expired in the Oregon Const.Cont.Board License# Exp.Date City of Tigard's database) I'g.fl 9 Completed Application Form Proposed ❑ Freestanding 0 y 9 2 Copies of Site/Plot Plan,Drawn to Scale P Permanent Freeway Sign 0 TemporaryWall Na Electronic (3 copies,if a building permit is required) (Check all that 0 Other 0 Billboard Balloon 1 apply) size requirement: 8 h" x 11",or 11" x 17" New sign? 0 Alter to existing sign? 0 2 copies of elevations,drawn to scale Sign Dimensions: 00 / (3 copies,if a building permit is required) 4•� X - size requirement: 81/4" x 11",to 24" x 36" Total Sign Area(sq.ft.): !� 0 $39.00 Fee (Permanent sign,any size) SignTotal Wall Area(sq.ft.) Data - 0 $19.00 Fee (Temporary sign,any type) (Complete all Direction Wall Faces (circle'one): items in this NOTES: section) N S ID W NE NW SE SW Height to top of sign(feet): 2,CY 1 • Wall signs do not need to be drawn to scale, but Projection From Wall(inches): (QjN must include dimensions of wall face and sign placement. spy 1 � C� s Materials: 1 • Wall signs do not require site/plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? .1S1 Yes 0 No permit. Type: 11 Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety(90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME 0 Yes No NULL AND VOID. If"yes",a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 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 2-f- day of c ,20 CR add. �F e o 4' er/Agent ECULIAPn 4 .i53 5462 4114 Contact Person Nam Phone No. Of42,71011e160/ 44/°/4‘tC4 I EQ CENTER SIGN EQ Channel Letters0 Z i Face lite on raceway ul ~ — • xrij Receive and install(2)two sets of internally SECURITY w 1-" illuminated channel letters (2)two logo wraps • I a & w -- - - r on a raceway :,. SIGNS # �« ' 3? tc .>_ "Little Caesars" x% xs s ti .' ..ta K Faces'3/16"Plexiglas#2119 Orange w/3M 3630-22 Black PSV border "1 t 5 r r`r.J4r d.`^t +v- ' 4 Trim Ca 1"Black Jewel ite y - '0'1):{ ,y r ;jui ' 4- saxrnwt£:suu consnt ' • e d. � ,� '�Y,�r^a„r �' Returns..040 Alum,5"Deep,Matte Black .- - -'. yyt?n.....„ � `•z PROJECT MANAGER {yi Ardis Whitebook a Backs:.040 Aluminum,pm-coat white DESIGNER •V • Illumination: WGE Tetra CL Goldenrod LEDs J.Ford \ Logo rap PROJECT NAME r N Faces:3/16"Plexiglas#7328 White w/3M 3630-22 Black&3630-44 Orange PSV ?! 'c Trim Cap:1"Black Jewelite 3cn x dl Returns:.040 Alum,5"Deep,Matte Black til ._ 411-11 Backs..040 Aluminum,pre-coat white Illumination:HO Fluorescent lamps N f '(l3..l ,o Raceway +�J 1l PAGE DESCRIPTION Construction:fabricated alum.,paint TM wall _. Tenant Installation Identification /" Wall Type:dryvit over plywood and studs REVISIONS / ri Wall Color:Venfy ♦NA Mounting: "lag bolts through top of EAST ELEVATION scale:nts raceway into studs,32"on center O10ENTER SIGN EO Transformers:Raceway mounted z Primary:120V — N "caMssw. w > `r fi 1,. a- • -t C a w w"-i aoi°�nW '� - '. Colors .o.,.., ZQ c .-- K r 1. cJ r4,_; I Plexiglas#7328 3M 3630 22 Q FT, LJ White II Black n APPROVALS > Plexiglas#2119/ ellen ignature 3M 3630.44 Orange I! �l d i t r ll JDATE:07/21/09 I 1 PAGE M: 1 of 3 f WEST ELEVATION scale nts 09-JF261 I DRAWING 9: V I. 15'-1" SECURITY SIGNS N o , . ` n- n tlY11 wsn • II id ..♦ _ �, '-6 �..� ,.1 •.II - \ uo4riv�.nwhrswr.rorrnt PROJECT MANAGER (2)WALL DISPLAYS-31.08 SQ.FT. Ardis Whitebook —1 SCALE '/2"=1-0" DESIGNER J.Ford , PROJECT NAME r BLACK OUTLINE MADE — -.040 ALUMINUM RETURN OF JEWELITE TRIM AND MATTE BLACK(TYPICAL) N FILM BORD54 __ A 1 1/8'BLACK OUTLINE MADE ai r JEWELITE TRIM CAP .,� • OF JEWELITE TRIM AND BLACK 6103(TYPICAL) �`_ B FILM BORDER o 3/16"PLEXIGLAS ACRYLIC ••� s 1'JEWEUTE TRIM CAP =d FACE COLOR:#7328 WHITE • ' ,' Pi BLACK 6303(TYPICAL) 0 3M SCOTCHCAL 3/16'PLEXIGLAS ACRYLIC :51- WITHTRANSLUCENT GRAPHIC FACES COLOR:#2119 ORANGE FILM 3630-44 ORANGE 8 /� •��� - - WITH 3M SCOTCHCALFILM UNEWORK&BORDER / TRANSLUCENT GRAPHIC ~ 3630-22 BLACK(TYPICAL) ENLARGED VIEW FILM BORDER 3630-22 ca BLACK(TYPICAL) I.NOTE: SIGN SQUARE FOOTAGE: NOTE: SIGN TO BE U.L.APPROVED 1111'Ntt3e(9'S1 SIGN OUTLINE =22.65 LETTERS ILLUMINATED WITH AND LABELED effiligka SIGN SQUARED OFF a 30.91 GE TETRA CL LED PAGE DESCRIPTION (GEYGCLS1 NOTE: 8 LE s PER FOOT)GOLDENROD Tenant Identification Details SIGN TO BE CONTINUOUS SEAM WELDED OR RIVETED POWER REQUIREMENTS: WITH ALL JOINTS SEALED5'WIDE,.040 ALUMINUM RETURN TOTAL WATTS-227 REVISIONS WITH WHITE SILICONE MATTE BLACK(TYPICAL) TOTAL AMPS =3.30 ®NA 1'JEWELITE TRIM CAP BLACK 6303(TYPICAL) U.L.LISTED TRANSFORMER BOX\ &PAINTED TO MATCH FASCIA 3/16"PLEXIGLAS ACRYUCACCESS PANEL FACE COLOR:#7328 WHITE WITH 3M SCOTCHCAL 3/16'PLEXIGLAS ACRYLIC I ACCESS PANEL LM363TRANSLUCENT GRAPHIC FAWITH COLOR:CHC ORANGE NII uc••r vs�. _ FILM 3630.44 ORANGE 8 _ WITH 3M SCOTCHCALFILMUNEWORK&BORDER TRANSLUCENT GRAPHIC ,vtsyns s..,,,. 3630-22 BLACK(TYPICAL) FILM BORDER 3630-22 �,"�;;y BLACK(TYPICAL) / w s+ ws,a>a--s,..,.-�� SIGN CABINET INTERIOR 3 GE TETRA CL GOLDENROD LED ISI S ..........-.....1... • •rr N WHITE(TYPICAL) (TYPICAL' S /tat to `r0,./...,,,,, GE BALLAST 348 P` /,m LED POWERSUPPLY JI ".{�,�-✓ (GE GECLPS3 TYPICAL) >' "APPROVALS GALV.NIPPLE THRU BACK ,7�—EXISTING WALL SECTION t Client Signature GE F24T12CW/HO LAMPS •31 wN:.2- (3 TYP.) SIGN CABINET INTERIOR I -F WHITE(TYPICAL) I La .lord •tore I EXISTING WALL METAL MOUNTING BOX SECTION 1 A ( _(I I L I DEPTH TO MATCH LETTERS 8'WIDE..040 ALUMINUM RETURN &PAINTED TO MATCH FASCIA ' DATE 07/21/09 MATTE BLACK(TYPICAL) .063 ALUMINUM BACKS(TYR) FLUORESCENT LOGO LED LETTERS I PAGE#: 2 of 3 RACEWAY MOUNT RACEWAY MOUNT DRAWING II: 09-JF261 1 0 SECURITY SITE PLAN NORTH AREA MAP NORTH 02 SIGNSr144160 Avg Cry ,... 1 _ , Gal,Cr 4 l to ea0 i j bur, I]41/1-a ....itio.414 = AP i i ; I P - I Durh.,Rd rf — g ttTAMITA eiorriroirsur.comae(E) I I Id II I At LIIi-JAZ Al 4..., . _-_A.---,.-.‘ i'.'i, ; ,r)/,1 . ,',.,..''41V-P.'1'.... 4 = .kitid PROJECT MANAGER Ardis Whitebook DESIGNER 7`7"‘'...7Fx.:..•..7-..'7:71:',2':''-,- '''''. f'2 ' -;' -. .:' '. ,' ''.!..,,,"';',i, .3,,00'?.-,'..L4 ,,, 47 J.Ford i ft- .1 I. PROJECT NAME••• -,,or, ', ao ae e;,..* #7' '. s '' r',. , .4,,,T,'7.-.. .,.,. I , 4 i, , - ‘ '.-5.7.tot ,.' •OillY ' • t--: . --,, ' -74‘7?' • 4.. ,,,::-, • '''' *t r ''.,-F,....r.• ..-‘-.% 2 in r•J ,-• I w 6 : '-''' ' ' ''''' ' ' `', ' ''.;:4... i :r..- 4-.::'.":,:....,,,,,, ,,-4•.:.:,,,‘ 1 / g• 9. I -2... ..., ct: ., -..,,iir,,,,,, .,•.'• --•-.4.•-•:-. ,:-5,-.:',-,•71 41.'::.,>:.1,- ...,,,,h2, 0.. :,..., :s- •,if z lir. , --"-- _ ' , - .,.1.1,. ... . .....- , , i x E 1 u 0 T. 1, i . • --, -i j\ '`...., ,. 40 , .:,.:--.- 'f, -,'. %'.*44-44,,'4i,f,t. at,,,\ 4 SW Rube.Pa ' t P 0 ' .,VA , -..-46. 1 , t. /44424 A-.,tc ' '•'''' . :;&..4' -'1; 12 4L.C'*'4(Y/ : 4'. /01 ' — •.•. t • 44 7'\ ..... .. p r _ SIGN TYPES -? . n 7A Tenant Identification-Qty.2 PSRAaEGeVIEPSillIDaO.in tE N,SS . C N *NA r—,.... .. . . r ' c- , - if,,, '17 ,. ' - . ,. if--,''.4'1,, ,:;/V,-,44.1..-,,,...., l' i C ocen•O•2•••."'"• s,'. %., ...- , :,-•itt ,., --‘:3,,i,-,--•••,' - t:‘,.1., —ia- r 4 1 - • - 1 • •••— '.- .0 ,,. (likt.. .4 15:',,-, k illit. APPROVALS . , , ' --...T` P-...•:...',1. .•''..,'",'..1'1,0',,,„;54:......,4,4..1,,,-.0. . ' 'ft ',,,,1,-- o.,:.r•,. . 4,-,#?"-.•?'.i./'4,i...." .I.,-. Client Signature 14W - ' .,. . r-, , r __ _ : __ .— 4; :..._ __ Scale:nts - dlo L.Si•n e /IA 1 f4 j DATE:07/21/09 PAGE#. 3 of 3 I DRAWING#. 09-JF261 jpqCITY OF TIGARD RECEIPT „ g 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 174562 - 07/28/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009-00168 Sign Permit 1003100-43115 $35.00 SGN2009-00168 Sign Permit-LRP 1003100-43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 111310 KPEERMAN 07/28/2009 $40.00 Payor: Melissa Hayden Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1 r EQ CENTER SIGN EQ I Channel Letters Z Face lite on raceway 1 „/ N Receive and install (2)two sets of internally SECURITY Lu illuminated channel letters & (2)two logo wraps SIGNS t11 _ ._ ... _ on a raceway Quality Since 1925 ur 2424 SE Holgate Boulevard Z z Portland,Oregon 97202 0 "Little Caesars" 503-232-4172 fax503-230-1861 _ WWWsecuntyslgns.tom J P E t.A °k' OR CCo 1I2809 WA SECUR5102OCF Q Faces: 3/16" Plexiglas#2119 Orange w/3M t] M � a;�y � m�. /; 3630-22 Black PSVborder1Lit1eCaesarsj.. SIGN ASSOCIATION: : .... Trim Cap: 1" Black Jewelite „r,',,, NORTNWESTSI6N COUNCIL VIIIIIIIMMINNIN_ _1110.11.11M Returns: .040 Alum, 5" Deep, Matte Black PROJECT MANAGER Ardis Whitebook Ye F Backs: .040 Aluminum, re coat white � ._, = DESIGNER Illumination: GE Tetra CL Goldenrod LEDs J.Ford 3, ` Logo Wrap PROJECT NAME 0 Faces: 3/16" Plexiglas#7328 White w/3M - ._,i- - Srinar' ` "- - 4.'` ' 3630-22 Black&3630-44 Orange PSV in . Trim Cap: 1" Black Jewelite 3 m - . _ P. :,- .' Returns: .040 Alum, 5Iii " Deep, Matte Black y , Backs: .040 Aluminum, pre-coat white .-. .. _. � '"- V) O - _.�. �= ��'`�:- �,� =�`' "'•*- •-�-- = �`-� - Illumination: HO Fluorescent lamps - M IN�� % Raceway V °k IV ,:i " Construction: fabricated alum., paint TM wall PAGE DESCRIPTION ` Tenant ai Installation Identification A; Wall Type: dryvit over plywood and studs REVISIONS *N,1 V •- Wall Color:Verify 0 NA Mounting: 3/8" lag bolts through top of EAST ELEVATION Scale:nts raceway into studs, 32" on center 1EQ CENTER SIGN FQ1 Transformers: Raceway mounted i- Primary: 120V Z ' Tp, t O Copyright 2009 Security S igna.aa. l t $�r � ' aMI Rights Reserved :i a„„ = ,_ -i " t .,, .ggs. „`'w s- :- i . Unauthorized use,reproduction,and/or clop*shall render the Infringer leable L11 I Colors for up to$150,000 n Statutory Damages, ,., - h -moi.„ plus attorneys Foos and costs,for ouch infrin ent,under the U.S.Copyright r^ £..,,s I _ 'sti. Act(17�'Ur..S.C.412&504) Z < Plexiglas #7328 ■ 3M 3630-22 - (9 - - - White Black APPROVALS Q to 0;, + Plexiglas #2119/ Client Signature '=' 3M 3630-44 Orange Landlord Signature CITY OF TIGARD -Grr to ' w [x T:)ri Eiti7natiy Approved. .» »».»»..__.._ ;... [ f DATE: 07/21/09 -or only the work as described In: PERMIT NO.--S-- -z-t.. ate e1. ..r tc/l,1 PAGE#: 1 of 3 See Letter to: Follow ....»_ l WEST ELEVATION Scale:nts Attach ..°°( • DRAWING#: Jas Addre iti 3 .SZ----;d �---; 4.� . 09-JF261 _--X . r 15'-1" (2) SECURITY 2'-611 12'-5" SIGNS Quality Since 1925 2424 SE Holgate Boulevard Portland,Oregon 97202 — -- 503-232-4172 fan503-230-1861 !� www.securitysigns.com .5 r• OR CCBN 12809 WA SECUR5102OCF O s INTER NATIONAL N -S 51GN ASSOCIATION. -.............. ..-... C ` . ORTIIWESTSI6r COUfaUu TO PROJECT MANAGER (2) WALL DISPLAYS - 31.08 SQ. FT. Ardis Whitebook I� SCALE: Y2" = 1'-O" DESIGNER J. Ford PROJECT NAME ' 1"BLACK OUTLINE MADE .040 ALUMINUM RETURN OF JEWELITE TRIM AND _ MATTE BLACK(TYPICAL) ID N FILM BORDER �� * ((\ 1 1/8"BLACK OUTLINE MADE ig 1"JEWELITE TRIM CAP • J, \ / O OF JEWELITE TRIM AND BLACK 6103(TYPICAL) •••• FILM BORDER o 3/16"PLEXIGLAS ACRYLIC `_ •■ s 1"JEWELITE TRIM CAP =9 FACE COLOR:#7328 WHITE d BLACK 6303(TYPICAL) u O WITH 3M SCOTCHCAL r 3/16"PLEXIGLAS ACRYLIC u-2- TRANSLUCENT GRAPHIC ---4"" ® n�� • FACES COLOR:#2119 ORANGE to WITH 3M SCOTCHCAL cn FILM 3630-44 ORANGE& FILM LINEWORK&BORDER TRANSLUCENT GRAPHIC Ln~ 3630-22 BLACK(TYPICAL) ENLARGED VIEW FILM BORDER 3630-22 0 BLACK(TYPICAL) ti NI NOTE: SIGN SQUARE FOOTAGE: NOTE: SIGN TO BE U.L.APPROVEDIT( := ,9 SIGN OUTLINE =22.65 LETTERS ILLUMINATED WITH AND LABELED ; ILIe Caesars SIGN SQUARED OFF=30.91 GE TETRA CL LED PAGE DESCRIPTION (GEYGCLS1 GOLDENROD NOTE: 6 LED's PER FOOT) Tenant Identification Details SIGN TO BE CONTINUOUS SEAM WELDED OR RIVETED POWER REQUIREMENTS: WITH ALL JOINTS SEALED5"WIDE, .040 ALUMINUM RETURN TOTAL WATTS= 227 REVISIONS WITH WHITE SILICONE MATTE BLACK(TYPICAL) TOTAL AMPS = 3.30 ®NA 1"JEWELITE TRIM CAP BLACK 6303(TYPICAL) U.L.LISTED TRANSFORMER BOX &PAINTED TO MATCH FASCIA 3/16"PLEXIGLAS ACRYLIC , ACCESS PANEL FACE COLOR:#7328 WHITE --� WITH 3M SCOTCHCAL 3/16"PLEXIGLAS ACRYLIC ■ ACCESS PANEL , TRANSLUCENT GRAPHIC FACE COLOR:#2119 ORANGE ■ FILM 3630-44 ORANGE& WITH 3M SCOTCHCAL ■ TRANSLUCENT GRAPHIC , ©Copyright Rights2009 Reserved Signs,Ins. FILM LINEWORK&BORDER ■ ghaeese v.d 3630-22 BLACK(TYPICAL) i FILM BORDER 3630-22 / dtpley e�dereh�h��n, and/orle p display shallger liable r N BLACK(TYPICAL) lL for up to$150,000mStatutory Damages, ■�■ plus attorneys fees and costs,for each SIGN CABINET INTERIOR 3 GE TETRA CL GOLDENROD LED Infringement,under the U.S Copyright . WHITE(TYPICAL) CEEX�w/ (TYPICAL) wC Act(l7 U.SC.412&504) __ /�' w LED POWER SUPPLY ' w. GE BALLAST 34E / ' (GE GECLPS3 TYPICAL) 1 GALV.NIPPLE THRU BACK — �'",� EXISTING WALL SECTION _ APPROVALS Client Signature GE F24T12CW/HO LAMPS(3 TYP.) \I SIGN CABINET INTERIOR : WHITE(TYPICAL) / Landlord Signature METAL MOUNTING BOX • EXISTING WALL DEPTH TO MATCH LETTERS 4 SECTION 6"WIDE, .040 ALUMINUM RETURN &PAINTED TO MATCH FASCIA MATTE BLACK(TYPICAL) DATE: 07/21/09 ALUMINUM BACKS(TYP.) FLUORESCENT LOGO LED LETTERS I PAGE#: 2 Of 3 RACEWAY MOUNT RACEWAY MOUNT DRAWING#: 09-J F261 (IND I� AREA MAP sEcu S SITE PLAN NORTH . NORTH SIGNS Quality Since 1925 '' 2424SE Holgate Boulevard �s Portland,Oregon 97202 King City oe'a 503-232-4172 fax503-230-1861 rn Golf Course ,z04.'5 www.securitysigns.com �� o ® .¢ OR CCB"122809 WA SECUR51020CF I $fir sJ�, ill -• I ® < d INTERNATIONALI g, ASSOCIATION, .: v ., SW Duman R -. **•::' ,y '.aNORTNWEST316NCOUNCILO- a. Mary Clre ' - _.. - 5W King Charier P.ve } atb RyA Q > �' gPROJECT MANAGER r' - a xz z - " "0* Ili � Ardis Whitebook ; dDESIGNER :: ,.< 10,''' i J.Ford -�„„ USYN Ktrsg James P. +� g �� PROJECT NAME Y W R3' N a `wR40000 or O s__ ror 17> -,!iF, _ - .:.- - , € +c ,..'-:: rn ,L to u 02 T 's,-'e LL -. c�'"INSAve p ,''T 7 ,- (!,, A �Q t, ,ll1 C�YSi a 01 csj f �lY M ” "� .S' SW KingRichara Dr , Ca D f.1.... c r -,.a, _ t c.y � . ( i r• .. __`__ _. _. . -_. 51.:�Fischer Rr! fn u 0 sl. ,.i.... ,it0; '-''''-•'''' ' IS. ` " r r PAGE DESCRIPTION 1.,•• t - .. _ 4 -- ' �. SIGN TYPES Site Plan Vfi _ ,..i. .4. , e ,._,,.:_., Q. ,--,:-., *= , ,'T., to =, f 1 Tenant Identification - Qty. 2 REVISIONS 0 NA illit w . , F : .i e .. i iik \d 1� ¢ t} i § s O copyright 2009 Security signs,Inc. - r•—• �� All Rights Reserved r �� - ' z dupe render the pinfingeraliable !...;is.,,,..:„;:,... r ,., .: .. .. .- for up to 5150,000 in Statutory Damages, z • _ gs 4 plus attorneys fees and costs,for each v ' ,��rw"sfr. 1 mfnngement,under the U.S.Copyright E lli i sem ' .e is Act lt7U.5.C.4125504) >� APPROVALS ? -. - ' ` Client Signature - '' yr Scale:nts Landlord Signature DATE: 07/21/09 I PAGE#: 3 of 3 I DRAWING#: 09-JF261