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SGN2007-00018 CITY OF TIGARD SIGN PERMIT ` `` ..r DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00018 ti Akl7, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/1/2007 PARCEL: 2S 102AC -01000 BUSINESS NAME: WEI LI ACUPUNCTURE ZONE: CBD SIGN LOCATION: 12575 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: WEI LI BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' - X 4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: 260 sq. ft. WALL FACE (DIRECTION): SE SIGN HEIGHT: 10 ft. PROJECTION FROM WALL: 1 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 12 sq ft. permanent wall sign. MATERIALS: ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 39.00 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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: PERMITTEE SIGNATURE: X LOP' !f 7 DATE: 2/1/2007 i t fir! { L —; '` SIGN PERMIT APPLICATION City of Tigard Penrit Center 13125 SW Hall Blul, Tigarc4 OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development/Project Site \,\ 1-..\ c-iiJ STAFF USE ONLY Address/ Street Address Permit No.: s-ec7 (1 "7 — 0 3 0 Location + 2 "n 6 \ 32_,0 Expiration Date: 2.-q'' — (..)<- 1 13/ Suite /Bldg. N City /State Zip • Receipt # : Name Approved By: I P 2 Property Date: 'i 0 3 Owner Mailing Address Suite Map /TL# : /�, Zoning: l / to 1.) City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes M/fv Business _A--F9 J‘ I. '` Building Permit Required? ❑ Yes U N o Name Rev. 7/5/06 is \cutpin \masters and use applications \sign permit app.doc Sign k'6? s, Contractor Mi ng dress to e (Prior to permit n, 1. 4 ' ` ^ 1 ^ w ) \ issuance, a GL.�- {� (_ r �'^� " ' J� \ copy of all City /State Zip V hone 55 REQUIRED SUBMITTAL ELEMENTS licenses are /,, (� Note: applications will not be accepted required if �C {{� (A dh f 5 a"' I1 I without the required submittal elements) expired in the Oregon Const. Co oard License d Exp. Date City of ,tgatd's � ��Q database) I El Completed Application Form Proposed ❑ Permanent ❑ Freestandin ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign El Temporary M Wall El Electronic (3 copies, if a building permit is required) (Check all that apply) CI Other Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17" igg New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: ie a (3 copies, if a building permit is r equired) 2 , 5( 4 . l size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 12a ❑ $39.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) g 30CF ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW © SW Height to top of sign (feet): ID ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 1'' must include dimensions of wall face and sign � - placement. CoPY: � N. e Wall signs do not require site/ lot plans. Materials: Q l t ern i f l g P P Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes isi No permit. Type: ❑ Internal ❑ External a 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 ❑ 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 day of , 20 g a er /Agent 01,e0,5`99- . -O den Contact Person Name Phone No. t Wall Display 0 SECURITY SIGNS Quality Since 1925 www.securitysigns.com 4' -0 " OR CCB# 122809 WA SECURS1020(F 1" N 2424 SE Holgate Blvd. r g [ �RD and, 97202 tt ; Y („ [ ! 503 232 4172 - rl --Al ............................. .... [ i 503-230 Oregon fax _. r l -, ?hf W k 61s ddacribed in: -- PREPARED FOR , i- KJ■ 'JD. ........ L WEI LI r: h. ........ "_ ._..... AEI LI 1 ,, , -. CiresS: s ‘k2,,./ o7 ao Date: r L 12575 SW Main St. 1 - cm AC II P II N'C T U E Tigard, OR 97223 PROJECT MANAGER Dylan Martin CIlINE8E flEItBAL 503 254 8218 Identification WALL DISPLAY - SQ. FT Project Number: 06- g1275r3 O SCALE: 1" = 1' -0" Date: 01/22/07 Scale: Noted Drawn By: G. Leckband 4'-1" Revisions No. Description Date 20 --- _- Typography Wall Display I ABCDEFGHIJKLN\1017QIt8TVVXYZ Non - Illuminated - Approvals ABCDEFGIiIJItL1 `INOPQIl8TU11V?XYZ Manufacture and install (1) one S/F non-illuminated wall cabinet sign Client Signature °. . � � � Landlord Signature I?34567890 — BII� 1`1INGllA 1`1 WeuLe 1 Construction 1" Square Tube Frame, Fabricated aluminum ' Ac EI LI LI Cabinet Color Painted TM 3M Emerald Green 230/126 � c UI M. nr l © Copyright 2006 Security Signs, Inc. PSV Colors 3M Light Gold Metallic 220/231 50C-254-8218 This original design and specifications are exclusive property of Security Signs, Inc. VEI LI Logo Installation -= Y The use of this design to produce a similar Wall Type Siding sign without written authorization from Security Signs, Inc. is prohibited. Mounting Shielded Lags or expansion bolts across top and bottom - Position Center beside window Hat. tri. D Awu 1. 3M Emerald Green 3M Light Gold Metallic SIGN ASSOCIATION. - ---- .,— ...... —.. East Elevation 06 GL275r3 1P0F3 0 Site Elevation (ID SECURITY SIGNS Q uality Since 1925 www.securitysigns.com `' OR CCB# 122809 WA SECURS1020Cf : 1i 2424 SE Holgate Blvd. Portland, Oregon 97202 \ 0 503- 232 -4172 o . / ,,. 503- 230 -1861 fax h PREPARED FOR EI LI • - ACCUPUN'CTURE 12575 SW Main St. Mt ;_ Tigard, OR 97223 / µ; f PROJECT MANAGER Dylan Martin P ylon Sign Locati n 4 ,� Tenant ._ .iiiai . . ... Identification . \ it 111 j ,,,,,, — Project Number: 06- g1275r3 n. s Date: 01/22/07 Scale: Noted °' Drawn By: G. Leckband Revisions Ign Locatioi No Description Date . _ pk -,,,,,Iiii i _.. 0 , . .. , ,. y Approvals Client Signature f Landlord Signature .,, 1t . , 1 t } : A I igerd, #,. . * © Copyright 2006 Security Sig n% Inc. This original design and specifications are ;, exclusive property of Security Signs, Inc. use -. ; ° The this design puce a similar - Image ° 2 00 6 IV- ' , < i' : , Am -, s sign without written authorization from -' - „. ;f 2006 t t ,, .r Security Signs, Inc. is prohibited. Agit A. Agin " INTERNATIONAL c;o ointer +45'25'44.35' N 122'46'28.99' W e . E � , , if' ,r `, ■ _0' '1 't SIGN ASSOCIATION. ..o,.e.,a.....o...... IMIS ................,. 01 06— GL275r3 30F3 r i rw, CI TY OF TIGARD 2R /2007 Q _ 13125 SW Hall Blvd. 10:32:04AM ' , ' Tigard, OR 97223 503.639.4171 TIGAR Receipt #: 27200700000000000438 Date: 02/01/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00018 [SIGN] Sign Permit 100 - 0000 - 437000 34.00 SGN2007 -00018 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $39.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MELISSA HAYDEN /SECURITY KJP 521839 In Person 39.00 SIGNS Payment Total: $39.00 cReceipt.rpt Page 1 of 1