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SGN2003-00207 I : , ' CITY OF TIGARD SIGN PERMIT 1 '1 4 ' DEVELOPMENT SERVICES PERMIT #: SGN2003 -00207 Al- n' � 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/03 PARCEL: 1S126C0-00100 BUSINESS NAME: MR. FORMAL ZONE: SIGN LOCATION: 09225 SW HALL BLVD A JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 17' X2' TOTAL SIGN AREA: 34 sq. ft. WALL AREA: 766 sq. ft. WALL FACE (DIRECTION): NA SIGN HEIGHT: 14 ft. PROJECTION FROM WALL: 13 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 34 sq. ft. permanent wall sign. MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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 ys from validity date. p APPROVED BY: /� PERMITTEE SIGNATURE: ' )( �� �- DATE: 9/2/03 r :,.. ._ -, ���rrti SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Nam e of Development/Project FOR STAFF USE ONLY Site AAa 0 F © AA. q. C.- s Address/ Street Address ,, II Permit No.: - t"- < - - 1 -e" , 7 Location ©r Z Z . t (R L L. � LVDr Expiration Date: Suite /Bldg. # City/State Zip A / L DE W z z5 Receipt #: Name Approved By: Property C412.L LC vrsT.NvAtT� Date: ¶, `"l o Owner Mailing Addrei Suite Map/TL #: 67 Z I s \l( Ot.L ( Zoning: VA (A, c- City /State Zip Phone "' Kt' Vl� 9 IZ®5 .z 21-4010 Electrical Permit Required? [g4es ❑ No Tenant or Name Business AA k2. Vbis1u Pt L Building Permit Required? ❑ Yes Lo Name n Rev. 30 -Jul-01 i. \curpin \masters \revised \sign permit app.doc Sign 1UluLTt— l,tC- -t 6 t4,-4 C.), Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS' (Prior to permit c n' (Note: applications will not be accepted issuance, a . ®1 I u �1 84/8. 17 copy of all without the required submittal elements) . //State Zip Phone licenses are ,t^� tJ r, required if 0 9Z " 1 FZ// z /' o93 ❑ Completed Application Form expired in the Oregon Const. Cont. Board Date City of Tigard's License # �- 4 i 0 4 . r z- o 4 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) l (3 copies, if a building permit is required) Pro Proposed size requirement: 8 x 11 ", or 11" x 17" p 1WPermanent ❑ Freestanding ❑ Freeway Sign ❑ Temporary ErWall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other 1=I Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 8'/z" x 11 ", to 24" x 36" Erriew sign? ❑ Alter to existing sign? ' ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: i .7 ' x Z' ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 4 NOTES: Sign Data Total Wall Area (sq. ft.) o • Wall signs do not need to be drawn to scale, Si g Wac. t S but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this �,, section) IN J S E W NE NW SE SW • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Height to top of sign (feet): /.SL/ building permit. . Projection From Wall (inches): /3 • If work authorized under a sign permit has not Copy: AR 'C . Pc (- . been completed within ninety (90) days after Materials: AT -ra.0 i Et, the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. i Will sign have illumination? ❑ Yes ❑ No Type: [-internal ❑ External Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information. location, including wall signs that overlap a tenant space? visa ❑MasterCard Credit card number 1 1 �es ❑ No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount (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 0 3 .%11 Signature of owner /Agent 440L r- L ibAfrf wi t G, Contact Person Name Phone No. 0 ( ALL- ' Lki D . ) ( ' Nil . 6 1J fs =_ MY OF 33GARD ( l Approved [ X J Conditionally Approved [ [ r. I For only the work as described in: Q. l PERMIT NO. S 4 •/✓ t-- - C� 'f See Letter to: Follow [ J Attach t tr Job Addr ss: 2-1-s , --- 1 t. By:• Date: _.%/Z1 3 V C.� nn 2 14" ).- J i/ S K-1 � LP _......______________ . . • - „ - ______ ._ _ . . 1-'''' _ .. / 3 •_ _ _ , vi 9 su3 vvA.L.L., ''ii --L.,i0., --sT-L_ k . i 1 t C (k (2_ . ��� c� 5 0` . - ■ / -> _.. r mss: a, "_n om � ! ....ma '7 a a } x k t , - v j . °w4 3 ;% 4 an'+.. 9 B RETAINER I . ' 9 * Y i ' 1 ✓+' _ - 2 $ p .�- ` i? inaners thm.LR Oise fddT f a �, ,... x „ I 4F .+- r ,',71:"-',.':f , 4 v !.".4;;':- e” .'.' a'.,. �um.eox nreo rc _. _ r _ a ' � N Eflf iS Mr Foem � � l {S 1 � � �� eT f ax if � 4r c -, x r s v . e A �, } t' ,��� I ® IN- LISTED T.a coo NousING ? S "SiX " 1� f'''''''''4'''' �µ p � §, y NEON TUBINO IiLMOlAT10N TRANSFORMER AS NEEDED •� -4 t.. L .. 9 � .3 + '°"�"� N EON TUBE C ASS STAND FACE qq� �.' !P� { M 0 FLOR. TUBE 3 ''.;t74.' ',j. ` r:•x.. bsW.. Ak '.. ANGLE ASREO'D. i is bi' I I I BALLAST AS REO'D ..'m ? T © SCALE, _, � - -_ .4.s ,_,/ , F.,'„._.aes .=, -:. 3"nr ::;; -, 'e, _a:- c"`,-%,, , 3. t . 1 .t � A : _ AMMO SINGLE FACE SIGN DETAIL AND SKELETON NEON 17' -0" y 1 • . 11 . ..".. t.... i a , ,,,,... ,,, • T e . yt * t , a ' T DATE g -2g - p3 ADDRESS /COMPANY NAME DESCRIPTION 1 }! I � y, r,� } ^� Mr Formal Install existing sign above awning. I L E . (," ll PH.(503) 281 -3083 o 55-299- 29 03 Hall Blvd .. ...... — " "-. v FAX (503) 280 -9624 SC1LE a__ n FILE NAME:Mr Formal Hall Blvd / "These plans are the exoiusive property of Multl•Light Sign Co. and ere the result of the original work of Its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these plans or to purchase from Multl•Llght Sign Co. a sign manufactu according to these plans. Dlatribu Ton or exhibition o these plans to anyone other than employees of your company, or use of these plane to construct a sign similar to the one embodied herein is expressly forbidden. I the event that such exhibition 000ura, Multl Light Sign Co. expects to be reimbursed $800,00 or more In compensation for time and effort entailed in creating these plans I Im002342 jpg (640x480x24b jpeg) 0 1 4 Co`k v q, I,Lt - ---- ___....--,-----zt---1 - _ ____; ----------- " --T----7; ' -- "" ----- - ---. ------- - - ----- IMI - -6 4 - 1 I ... ------ _____ — -.. I 1 7 ; - ..... < ,,I. ■ l , ' W ( ) f :,, .'1:1, 1- ' , r• .-e.....,',4 ..... m l .. -,..,.A.,.. ..--- ".... , :.101.4.416100e! Ay +7, -1 lito ........ 7.' ,, . ,4 ;: ' '4"4.1.4.-; eC :, .. — , - ,,„a d : fr .,. ''''as - ., .p.- ' - ;', , % :..' 4 , e• , ^ • , . . .. - ,, - 'I e l-f:' :,,tiaf4, " ''. Ft ' :•:*.' ,z + ' 'r. ' + • im002207.jpg (640x480x24b ]'peg) • r w _ o I' r l t . • Q6o: J i117du� O6lll @�C( ^� C � ";, a a 'i ' U d _ !, yy � � ) l}� y (f • • • CITY OF TIGARD 9/2/2003 13125 SW Ha11 Blvd. 1:49:46PM 4% 40 Tigard, Oregon 97223 A. E (503) 639 -4171 Receipt #: 27200300000000003920 Date: 09/02/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00206 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00207 [SIGN] Sign Permit 100- 0000 - 437000 31.00 ELC2003 -00549 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80 ELC2003 -00549 [TAX] 8% State Tax 100 - 0000 - 207020 8.54 Line Item Total: $177.34 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check MULTI -LIGHT SIGN CO. BB 36390 In Person 177.34 Payment Total: $177.34 • Page 1 of 1 cReceint.mt