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SGN2007-00023 f "�' CITY OF T I ®R D SIGN PERMIT =:° DEVELOPMENT SERVICES PERMIT #: SGN2007 -00023 IGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/7/2007 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: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 7' X 5' TOTAL SIGN AREA: 35 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): NE SIGN HEIGHT: 15 ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one (1) permanent freestanding sign. Cannot be placed within visual clearance area. MATERIALS: ALUMINUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: Y 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. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: r � . -Nook • PERMITTEE SIGNATURE: +�� +s� DATE: 2/7/2007 II .N . SIGN PERMIT APPLICATION . • . City of Tigard Permt Center 13125 SW Hall Blul, Tigarci, OR 97223 Phone- 503.639.4171 Fax: 503.598.1960 1 GENERAL INFORMATION Name of Development /Project / FOR STAFF USE ONLY \ Site N \6 1 S treet Address 4) o�b�'" DC) U '— Address/ � Permit No.: Location 12575 --LAJ �I , Suite /Bldg. # City /State Zip Expiration Date: Receipt#: 7 Name Approved By: � - TE T Property Date: o t t o 7 Owner Mailing Address Suite M /TL# : 0 Q-5 /D r3.1 Q I CC Zoning: (1- - City /State Zip Phone Tenant or Name Electrical Permit Required? 0Yes ❑ No Business V VLF L.) Building Permit Required? Et-Yes ❑ No Name Rev. 7/5/06 � is \curpin \ masters \land use applications \sign permit app.doc Sign �'9, ,1 Contractor Maili dress to (Prior issuance, permit nc, a 24'2/4 , ` j ^ 1 t r � J � \NA copy of all City /State Zip Phone e {� R EQUIRED SUBMITTAL ELEMENTS copy 2 ru are /�< ` r )0(A � c � �) I J �1+l� Q (Note: applications will not be accepted required aire red if `-5� ` (( /(Q I`1 without the required submittal elements) expired in the Oregon Const. Con oard License # Exp. Date City of Tigard's database) 1 ❑ Completed Application Form Permanent Freestanding Freeway Proposed ❑ g ❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 /z" x 11", or 11" x 17" apply) ze re Q [A New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 3 j�71/ JC_J ❑ $39.00 Fee (Permanent sign, any size) Si Sign Data Total Wall Area (sq. ft.) g ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W () NW SE SW Height to top of sign (feet): 16 ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. PY `Ne_-■ Li ♦ Wall signs do not require site /plot plans. Materials: a L0c n (NO fl) ♦ Freestanding signs over 6 ft. required a building Will sign have illumination? [] Yes ❑ No permit. Type: IZI, 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 ❑ 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 Signature of Owner /Agent Contact Person Name Phone No. f ...►. ' Typography 0 Pylon Display ABCDEFGHIJI‘L /ANOPQR8TV1IXYZ Approved (ATV OF TIGARD — I I S6 a9 FIJI L M NGQIIA1`� V�1XYZ SECURITY I Conditionally Approved...._ __.__ [ ; i SIGNS For only the work as described in: Quality Since 1925 PERMIT NO. Ca ? —OVUd3 www.securitysigns.com See Letter to: Follow ..__ [ I Logo Attach _ OR (CB# 122809 WA SE CUR51020(F Job Address: /2575 — So) 1.4.#4-i 4./ _ [ ] By: Address: - 2� Date: 2424 SE Holgate Blvd. �-P /a 7 Portland, Oregon 97202 503- 232 -4172 503- 230 -1861 fax • Painted Black • 2 Emerald Green PREPARED FOR c VEI LI I Pylon Display ACCQPUIVCTllftE 12575 SW Main St. I nternally Illuminated Cabinet Sign Tigard, OR 97223 , t r t .? Manufacture and Install (1) one D/F Illuminated Pole Sign PROJECT MANAGER \V F. 11. f T ;% Constructi Fabricated aluminum Dylan Martin <a , - - , . t° ' ACll FiINCTiI�.E Cabinet Color Paint Black �. Retainer size 1 '/2" f . x i _ `t CAIN , 5E 1111WAL.503- 254 -8218 Pole 8 " Diam. Tenant k , , e I Faces 177" White Lexan w/ PSV Applied 1st Surface Identification � il r . ; - z ALLEItGIE3 4 A8Th P\ A Divider Bars 3M Black 220/225 -12 PSV Colors 3M Emerald Green 230/126 ,gyp ., , ; F i� M Illumination 800ma High output fluorescent lamps '' ∎ ' ' r .• ECZE PkA & I ORE Installation Poured concrete footing(s) ` 0' • Installation Placement -Check for obstructions Project Number: 06 - g1275r3 t r Date: 01/22/07 ; 1 ' , !.- - ..o .,� � "- _ Scale: Noted � : ,., � .. �.' - _ • Drawn By: G. Leckband - . . \ ? 7-0 " 10 " t, I } t ° Revisions • No Description Date ACUPUNCTURE immo ' - . , CIIIr' LBE lltftUAL. 254 -8218 = ua INIONNWOMpli- ro t t I t ALLERGIES •ASTllP A Approvals Client Signature Landlord Signature d CO Copyright 2006 Security Signs, Inc. This original design and specifications are I = exclusive property of Security Signs, Inc. The use of this design to produce a similar ED sign without written authorization from T Security Signs, Inc. is prohibited. 1 1 4 [ I at . Ira A vra "0 NOT TO SCALE INTERNATIONAL PYLON CABINET - 35 SQ. FT. SIGN ASSOCIATION. ..o "," .,...........-- 0 SCALE: 1/4" = 1' -0" o e a, �._,..r,,,_.,,.. 8" 06— GL275r3 2OF3 (�CD Site Elevation (ID SECURITY S Qual ity IGNS Since 1925 M , www.securitysigns.corn , N ORC(B #122809 WA SE(URS1020(F tl► , T . ' :b"° ` ' 2424 SE H olgat e Blvd. Portland, Oreg `" . 503- 230 1x , y. PREPARED FOR a , FEi Li ACCUPUN s 4 h 12575 SW Main St. Tigard, OR 97223 ,,. ' } • PROJECT MANAGER 4110 T Dylan Martin Pylon Sign •c n :ication ilk il y 4A Id \ ._ 0 iri ` ..0) 9 ,.., 4 Project Number: Ob g1215r3 '' , Iv Date: 01/22/07 A .10 � Scale: Noted ` " ' ` s ue' Drawn By: G. Leckband tr Revisions vu 5 i (j I �ocat��, yip- * No Description p on Date 1116 ) 1111°1 ,111 li � _ Approvals doiii Ne I 1<0 9 Client Signature IP 3 Landlord Signature a =, 1 ,a Ti � = " g , • © Copyright 2006 Security Signs, Inc. ' _ _ This original design and specifications are ik or 10 exclusive property of Security Signs, Inc. 3 The use of this design to produce a similar Image02006 Metro. Portland C , sign without written authorization from ( 02006 Europa Technolo e ' i Security Signs, Inc. is prohibited. P _1 1k ,� fl;: IN_ s_ , . INTERNATIONAL ; _ ,Pointer 45 N 122'46'26.99" W elev 1 *7 Q� ; ,,'e -� -.k ,., - r' ' I lik l ^ . 1 �P111Stra;- mini 11llllllll 100% t=0. Alf 380;I1 SIGN ASSOCIATION. _o.,e.,e.....o...... PAGE 06- GL275r3 30F3 u N 3 -F CITY OF TIGARD 2/7/2007 ^: _ " �� 13125 SW Hall Blvd. 9.31:OOAM ' Tigard, OR 97223 503.639.4171 T[G Receipt #: 27200700000000000528 Date: 02/07/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00023 [SIGN] Sign Permit 100-0000-437000 34.00 SGN2007 -00023 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 BUP2007 -00074 [BUILD] Permit Fee 245-0000-432000 81.70 BUP2007 -00074 [BUPPLN] Pln Rv 245- 0000 - 433000 53.11 BUP2007 -00074 [TAX] 8% State Surcharge 100-0000-207020 6.54 ELC2007 -00084 [ELPRMT] ELC Permit . 220 - 0000 - 431510 53.40 ELC2007 -00084 [TAX] 8% State Surcharge 100-0000-207020 4.27 Line Item Total: $238.02 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard MELISSA HAYDEN BB 989703 In Person 238.02 Payment Total: $238.02 CITY OF TI6ARD PER I 3125 SW HALL BL s . TIMARI_ OR. 972 i R, " I 6 , 1, 340 i 1,ii 1 1:0 44 ' ''fJ. I . AU$ :9 I l t F 0 <I 7 '1 LISA110 : {I 1 I t �l � l T :OUE ,. � ACC' ,r '6 i .I'D • SSU: (HERCHAHT AR: ,� I ' w . C. �.1.i1.--11 iiILJER) C ''' OHER ' Page 1 of I