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SGN2003-00279 CITY TIGARD 'SIGN PERMIT '14 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00279 v "" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/19/03 PARCEL: 1S126CA-00300 BUSINESS NAME: BILLIARDS & MORE ZONE: C - SIGN LOCATION: 09385 SW GREENBURG RD 100 JURISDICTION: TIG APPLICANT /AGENT: BILLIARDS & MORE BUSINESS TAX NO: 00300 SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3.5 X 24 FEET TOTAL SIGN AREA: 84 sq. ft. WALL AREA: 2,450 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 14 ft. PROJECTION FROM WALL: 1 in. ILLUMINATION: EXT DESCRIPTION OF SIGN: Application for an 84 square foot wall sign on the west wall of the building.MUC Zone MATERIALS: PAINT 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 10 days from validity date. APPROVED BY: P PERMITTEE SIGNATURE: DATE: 11/19/03 I i A vit SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297 GENERAL INFORMATION Name of Development/ roject n AA,, FOR STAFF USE ONLY Site g.filic „,s5 k o ✓e Address/ Street Address Permit No.: )003 - 00'ana Location Gj33S Su/ G✓ RrQ 9 Expiration Date: , -- Suite /Bldg. # City /State Zip IOU 1 ©Z 017223 Receipt #: p00 ?- y3 ( Name /r Approved By: e.fil IC Property Les ' L1 d y Date: I I `i-1' 03 Owner Mailing Address Suite Map/TL #: 151 a (oCA - OO OO 6/3 sr st- �ree4 4.'? RCP Zoning: I(N\UC. City /State Zip Phone 1 �cQ 012. 0172_13 Electrical Permit Required? A / Yes ❑ No • Tenant or Nalfie Business Building Permit Required? ❑ Yes ❑ No Name Rev. 8/7/2003 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 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 # [ v ] ' 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary 2- Wall ❑ Electronic (Check all that ❑ Other 1=1 Billboard El Balloon V 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) lEr New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: z'x j f /.s'X2y E( $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): � $ ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft 2q - 0sr Jurisdiction: City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E 7NE NW SE SW Height to top of sign (feet): lot ' • Wall signs do not need to be drawn to scale, Projection From Wall (inches): .13' but must include dimensions of wall face and sign placement. Copy: $:11,04s k e o'r -Ow. CA.,.‘ Aoo•i+ SleVe • Wall signs do not require site /plot plans. Materials: PsJ,, • Freestanding signs over 6 ft. required a Will sign have illumination? S Yes ❑ No building permit. Type: ❑ Internal a 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 Signature of Owner /Agent Contact Person Name Phone No. • • v. 1 •v AI%LP I I /4 /LUUS 13125 SW Hall Blvd. 3:14:381M . Tigard, Oregon 97223 ll. (503) 639-4171 • Receipt #: 27200300000000004867 Date: 11/04/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00279 [SIGN] Sign Permit 100- 0000 - 437000 31 SGN2003 -00280 [SIGN] Sign Permit 100- 0000 - 437000 31 BUSTAX Business Tax - 9.1600 @ $1.0000 100- 0000 - 430000 9 Line Item Total: $71.16 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Cash CASEY LEBOLD BMK In Person 71.16 • Payment Total: $71.16 Page 1 of 1 cReceipt.rpt 0 p i/ 1 A l l o t s S z e 15 0 dc,,. I�,' -P A r V./5 100 x 1S- 7,5 �r 1 1 j� e ✓ p(oto.ec�c s v, Z X 2‘.1 ± I,S � so SQ '4af - e pA,ntPe V 14 5 _(� ��te 661.-."e �oo•^^ S 1 4S 4. 3t Ace -10 1,I .e 1 11,4. 1 4 1 P M 1:$ 4 a ►tG� 1 e SCI f G�e I G +vI A S See e.41,21„1.1 p l -- B I L LI - ) F___ MORE. . . .... . . . - 7- , ,,,,..,, ,, ,,,. , YilL(-A-". . ...... TP&AIVE RO 5 � ,.> V OF TIGARD ! ppzOVP".l .. ............................. ,.................................... [)c] Conditionally Approved L I a: only thew rk asdescjibedlni, PERMIT NO. � Z_ N See Letter to: Follow L ] Attach....., . [ I , � O0 J,b Ad re 93 By: _ Date:_ 44 - _, S ec . 1 . ' C41/ 4 A 5 { tAle Pac; sir,d • L . .