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SGN2000-00074 CI TY OF TIGARD SIGN PERMIT `° u o DEVELOPMENT SERVICES • PERMIT #: SGN2000 -00074 � - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/11/2000 EXPIRATION DATE: BUSINESS NAME: MADDY'S PARCEL: 2S102AA -00491 SIGN LOCATION: 12085 SW HALL BLVD 130 APPLICANT /AGENT: MADDY'S ZONE: CBD BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 30" X 30" TOTAL SIGN AREA: 6 sq. ft. WALL AREA: 346 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: ft. PROJECTION FROM WALL: 6 in. ILLUMINATION: • INT DESCRIPTION OF SIGN: Install 1 permanent 6.25 sq ft wall sign. Oregon Lottery MATERIALS: PLASTIC/WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: • TOTAL PERMIT FEES: $ 50.00 • • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A temporary s n shall expire 30 days from approval date. A balloon sign shall expire 10 days from annrnval data APPROVED BY: n ��J , PERMITTEE SIGNATURE: ts7'_ L C DATE: 05/11/2000 • . . . �;, Merchandising Schematic pRt-(,prj Retailer Nam 2/# � 4711:-----. Retailer I X240 LOTTERY f – //� FR Nam - –�--� l AO Date 4` 7 1 0 2 r..) LSC Signs t, a . �ljorr1./s ' '--' L.o7 Pole Signs " E W I t s/ 7 s z 143IPlir" .3 0 V,t aliCk.., .t) %'e /c' Facing the front of 7K49^1.7-- uilding from the outside, c raw the location of the LSC Show location of LSC sign and provide the distance from the ground to the bottom of the LSC sign. sign and indicate door(s), windows(s) or other signs near the LSC sign. Show streets as reference points. Facing the front of the building from the outside, indicate side ildin where sign will be placed t[t- ont ill Back [heft Pifight Is there an existing sign, wiring or outlet within six feet? eYes ❑No Narrative: (to give more information or details such as sir stry names, the distance from the ground to the bottom of the LSC sign, etc.) .!. — /C/ 4 s i mil/ . - ',.. - -1.5" -- 7 S. A! _ — 7 / G �J�c.r S .�p • �� s ` _. erc 7 6� / S 5/:7,7), In- Counter Dispensers , N Sr 74 W E e s' ITY OF TIGARD �/ C .11y Approved [VI PP I For only the work as described in PERMIT NO. SGIJA –oCo ly Sae Letter to: Follow I Draw the counter and indicate placement of the dispenser. Attach [ i Jt b Adare ;., / _. Is there an electrical outlet within six feet? Yes ❑ No [111 P — Date: S t t /r/J Is there electrical wiring or an electrical outlet that may impact dispenser installation? Ycs ❑ No ❑ If yes, indicate location of electrical in drawing. Narrative: (to give more information or d tails on permanent placed items around the i -counter dispenser, i.e.cash register, cigarette racks etc.) A.A. /`I /`I G /` #? G (94z Ar Revised: 11.97 Copy 1 (white): Field Support Copy 2 (yellow): FR • 3 (pink): Field Manager Copy 4 (goldenrod): Retailer � Ou i e ,-!--se ; G J,yam '0 %,__ i Merchandising �� /ze i,�r - �v L.r Presite t -s eeP- OREGON LOITERY. P.O Box 12649 ,,-/�7- Salem OR 97309 Retailer Na e City /State �>P /'- ... l Retailer IL177- 40 Addresy 0/5" / 5"J • /1��/7 / '� / %'Yr' Zip 1:19‘(.. Coun / / ,�S 7 ' 7 SIC Code Contac .1 ' 7 J Z 7 ' Phone i '� County v p n re Hours Of Operation Mon - Thur ,Cf-ri - �/ . ()d Sat I - /� un P - - Hours Of Accessibility Mon - Thurs Fri / l Sat / Sun Preferred Hours of Installation Mon - Thurs J Fri / ' Sat l Sun / e n NEW INSTALLATION n RELOCATION ©JCCOND LSC SIGN ❑ SECOND IN COUNTER DISPENSER LSC Sign Type I I Interior Exterior Wall n Pole n End Projection Mount' Scratch It Dispenser Model # 'A sign mounted to project out from the wall, roof or another sign so both sides of the sign are visible. To assist LSC retailers meet their contractual obligations, the Lottery will provide Scratch-it dispenser(s) and LSC sign(s) to improve sales and create better visibility and recognition of Lottery products. The Lottery will provide the retailer with the first in- counter dispenser and first LSC sign at no cost to the retailer. The Lottery will pay for the installation of the retailer's first in- counter dispenser and first LSC sign, including labor, electrical work and permits necessary to complete the installation. . TERMS AND CONDITIONS First Installation • I understand that the equipment provided to me is to be used solely for the use of promoting the Lottery or the sales of Scratch - it tickets. • I am responsible for all costs to repair or replace Scratch - it dispenser(s) and /or the LSC sign due to loss, theft or damage. • The Lottery will cover the cost of repair or replacement of Scratch - it dispenser(s) or the LSC sign due to natural disaster or normal wear and tear. • I have reviewed and approved the location for the installation of the Scratch - it dispenser(s) and /or LSC sign as specified on the attached Merchandising Schematic. • I agree to notify the contractor at least 24 hours in advance of any scheduling changes. If labor, travel or costs are incurred due to changes in the agreed -to equipment location, or rescheduling of work caused by me, I may be responsible for these contractor costs. Sign Contractor - ProSign (503) 656 -9822 In Counter Dispenser Contractor - D.S. Carrick Electric, Inc. (503) 645 -3761 Relocations • I understand that I am responsible for all relocation costs affecting the Scratch - it dispenser(s) and /or LSC sign including, but not limited to, labor, electrical work, permits and building cosmetics after relocation has occurred. • I understand that any relocation of the Scratch - it dispenser(s) and /or LSC sign must be pre - approved by my Lottery Field Representative. • If I am a retailer purchasing an existing Lottery location with an LSC sign already installed, the Lottery will relocate the LSC sign to a location agreed upon by me and my Lottery Field Representative at no cost to me. • Final placement of the Scratch - it dispenser(s) and /or LSC sign are subject to all applicable city, county and state codes. Second In counter Dispenser or LSC Sign • Subject to the Lottery Retailer Sales Standards, the Lottery may provide a second in- counter dispenser or second LSC sign at no cost to me. I understand that if I meet the Retailer Sales Standards for a second in- counter dispenser or second LSC sign, I am responsible for all costs for the installation of the in- counter dispenser or LSC sign, including, but not limited to, labor, electrical work and permits necessary to complete the installation. The Lottery will recommend contractors that can perform this work. If I choose to have my own contractor, or prefer to do the work myself, I will ass e personal liabili and property damage for all work performed. • The location of the second in- ou - - - • 4 •nd LSC sign must be approved by my Lottery Field Representative. ry By signing below, I her: .y a•ree to . / • i d Conditions 'steel above. Retailer Signat - _ = �� Date / F.R. Signa . - t� % - = _ — F.R. #• /O,7j Date 4j/ iir Revised: 11 -1 8 -97 C..y 1 ite): Field Support Copy 2 (yellow): FR Copy 3 (pink): Field Manager Copy 4 (goldenrod): Retailer I • Merchand Schemat e rr,,/ /s OREGON Retailer Namr �� ti/ �� Retailer I�� /� <' wnER'V // — � Cr—CPO FR Nam- --�' Date LSC Signs 30 r L (s '�� am '' *. / Pole Signs W N E , S 1t ■Si 3 `.7 S,2G 248401 .3 o % a,//c/e„ 20 » ' /c . Facing the front of t e building from the outside, raw the location of the LSC Show location of LSC sign and provide the distance from the ground to the bottom of the LSC sign. sign and indicate door(s), windows(s) or other signs near the LSC sign. Show streets as reference points. Facing the front of the building from the outside, indicate side o uilding where sign will be placed [front I (Back ❑ Left P fight Is there an existing sign, wiring or outlet within six feet? es I INo . Narr tive: (to give more-information or details such as stre t names, the distance from the ground to the bottom of the LSC sign, etc )) /sC Sy #7 7 6 L° 27- PV . dc7rz lSrc/( O/ 4v G s . _L` /_ 7 f, V .S ) __ , . % G - /7c 5 ----C;,,- 0 7 �j ft .t l /5 y /1)r In- Counter Dispensers N W E S Draw the counter and indicate placement of the dispenser. Is there an electrical outlet within six feet? Yes ❑ No I Is there electrical wiring or an electrical outlet that may impact dispenser installation? Yes No ❑ If yes, indicate location of electrical in drawing. Narrative: (to give more information or d tails on permanent placed items around the i9 ; counter dispenser, i.e.cash register, cigarette • racks etc.) /`I C /, ^ xOG — -- ,, ©��� i le i� _ -4i" Aram. / / S Revised: 1 1 - 97 Copy 1 (white): Field Support Copy 2 (yellow): FR A o 3 (pink): Field Manager Copy 4 (goldenrod): Retailer