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SGN2003-00202 1 14 CITY OF TIGARD SIGN PERMIT . , j , l DEVELOPMENT SERVICES PERMIT #: SGN2003 -00202 F�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/27/03 PARCEL: 1S135DD-00900 BUSINESS NAME: INTERIOR MOTIVES ZONE: C -G SIGN LOCATION: 11875 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: TAMMY LEFEVER BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 18 "X18 "X5' TOTAL SIGN AREA: 15 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 5 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: proposal for a 15 square foot temporary sign advertising a sale. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 rom vall jity date. APPROVED BY: `- �� - PERMITTEE SIGNATURE: DATE: 8/27/03 W r. 4Nt,i SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Nam of Development/Project FOR STAFF USE ONLY Site �in i nka UO Address/ Street Address Permit No.: -SC 0 2O63 00 D' Location ` . S‘. ' 1 5 S &a/nett- Expiration Date: 'S Co : 34 . - a 0O3 Suite /Bld # City /State Zip • t t� ) G 7 223 Receipt #: ©off_ 3s/S Nam "'� Approved By: writ; {v't3vv1(. 4e( (2 / Date: f\t,v\Sl i X 003 Owner Mailing Addre Suit Map/TL #: IS/35" 0,0 _00700 E[t15 ?Piaf! . ` t "' /t Zoning: C - �'' City /State Zip Phone V VW Cr- 5 c a-' 9O Electrical Permit Required? ❑ Yes A:1 No Tenant or 1/4 14 me Business Building Permit Required? ❑ Yes A No Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a copy of all City /State Zip Phone f without the required submittal elements) licenses are required if Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 1 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ,i. Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" Sign 'S, Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon EI copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) fC] New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Di slo y r' X 1 ❑ $346-40 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): /5 N. oq �O1( $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Ai/i. Jurisdiction: City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW Height to top of sign (feet): S"" • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: 5v1 • Wall signs do not require site /plot plans. Materials: WIW 1 kw/pr a Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes N No building permit. Type: ❑ Internal ❑ 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 overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. ❑ Yes % No 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 , • C X 4N Signature of Owner /Agent Contact Person Name Phone No. t -iY •, t - i�1 � •.'a t 1 • . , a 4 + - \\/ Pc gj 414Usvi. [ | - _ -__� ' | � ,/ v / .N. 0.. / ."*.%,„, 7 ^ / K�� . ~�� | �� _" | ." ' ^ 1 ` � |/^` -� » �w |\� � --. °~ ~� . ^/ �. ~ _ �[m- � ^� r - . ns-94,, x `- . u�tY�8 ��' _____� '--__'--__�_'_-__ --__'_'___ _ __ '-_--- __' i . � � • ` , CITY OF I , .„..., , Approved -''~ '� . tg° [~] ' Conditionally Approved / [ ] ' For M»workaa �� PERMIT NO. ��J �7�� ] ^/ See Lm�erbx' Follow to: , A�m Job Addreo�� //�/73' Se.,-) i CITY OF TIGARD 8/27/2003 13125 SW Hail Blvd. 1:56:56PM , 14/ Tigard, Oregon 97223 " II. (503) 63 9-4 17 1 Receipt #: 27200300000000003858 Date: 08/27/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00202 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard TAMMY LEFEVER BMK 023390 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cRecei t t _ _` p .rp