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SGN2003-00281 CITY TIGARD SIGN PERMIT , 1 1 1 4 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00281 c � l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/7/03 PARCEL: 1S136DD-02600 BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY ZONE: SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 41"X28" TOTAL SIGN AREA: 8 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 8 sq ft temporary A -frame sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. Valid 11/7/03- 12/7/03. Sign #2 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 expir 10 days from validity date. APPROVED BY: PERMITTEE SIGNATURE: c--Jf'r,a. DATE: 11/7/03 5036847297 10/06/2003 14:23 FAX 5036847297 City of Tigard 071001 , • A. �,.; 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/Project . FOR STAFF USE ONLY Site Moulu TA1,N; ' M I A i MA-tit (A) E2.i Address! Street Address , Permit No.: S �� 3 - oc -D- c) Location i tt1Us 5w CA A t /� " / Z - Expiration Date: It 17'4 (z'j7 Suite /Bldg. # City /State Zip Ov �`rfi'`i 3 "r &AP)/ Dg c Z � Receipt* Name 7 Approved By: 1 Property • Dlkr\l Va l \TA- Date:, ti b rb. 3 Owner Mailing Address Suite Map/TL #: 15/3 ( „ . „ p p -(j.2.4,, nD I\ 7 S 1,V c is e. Zoning: - City /State Zip Phone ,�_,,, �iCrP�r M, Of— `l 722-3 cc'; l039' 305 Electrical Permit Required? ❑ Yes L e` o Tenant or Name Business Moto; TAlnl O-+ Ft C MACH 14 &-21 Building Permit Required? ❑ Yes o Rev. 8/7/2003 is \curpin \masters\revised\sign permit app.doc Name Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a — without the required submittal elements) copy of all City /State Zip Phone licenses are required if rgl Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # PI 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 ❑ Wall ❑ Electronic (Check all that © 2 copies of elevations, drawn to scale apply) ❑ Other ❑ B illb oard ❑ Balloon (3 copies, if a building permit is required) ® New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: 4. if it X. c 2 $ ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): Scb E -t $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW • Wail signs do not need to be drawn to scale, Height to top of sign (feet): 3 �� • but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: - • Wall signs do not require site /plot plans. Materials: LJDOh s Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ®' 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 1°:.t or diagram of all sign dimensions and square foc /age 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 �i / .. , , 20 0 / ir Sig . ure of Owner /Agent MIA 0 Fr-c CH- ((5 0 S 63 - 6,5'- - t- Contact Person Name Phone No. CITY OF TIGARD 13125 SW Hall Blvd. Atto 1 1 /6/2003 11:29:22AM Tigard, Oregon 97223 � '�� . (503) 63 9-4 17 1 • Receipt #: 27200300000000004893 Date: 11/06/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00281 [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 Check MOUNTAIN PACIFIC KJP 7961 In Person 15.00 • MACHINERY INC Payment Total: $15.00 o ..„ '7 .....„.(:, cL:), 0 .... .., ,.., .., ..‹. t) ,k) f -,...... 0 --- (v/ I 7 .- .., : \ , t ':., 3 ‘ --- •,, •. 7 / N. ' • 1 ‘• ( Y .... ' (1,4 C N...., . i , Q j \i'\, =,---) ./ • • C OF "VIAND Approved . -------- • i )(.: Conditionally A 1;: 9 roved i. i For I )t the . w o r g described r i b in: sy _ See Letter to: F:. -low [ 1 "A .Ai , . 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