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SGN2003-00311 , CITY OF TIGARD SIGN PERMIT V DEVELOPMENT SERVICES PERMIT #: SGN2003 -00311 ` r ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/11/03 PARCEL: 1 S135AA - 01400 BUSINESS NAME: INTEGUMEND ZONE: C - SIGN LOCATION: 10215 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4'X8' TOTAL SIGN AREA: 32 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 32 sq.ft. permanent monument sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. MATERIALS: ALUM /PLASTIC 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. APPROVED BY: 1( PERMITTEE SIGNATURE: 6.' C(--12-74 DATE: 12/11/03 , ., I ry ih, SIGN PERMIT APPLICATION CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Proect �rvvw, FOR STAFF USE ONLY Site l0Z t j S wv 1--\-$1 - 3L,ov Address/ Street Address Permit No.: C 4 2 -co-- 3-0 03 i C Location Suite /Bldg. # City/State Zip Expiration Date: Receipt #: Name Approved By: Property Date: / 2 /// /0. `- Owner Mailing Address Suite Map/TL #: /c5/3 J - 07 V o d Zoning: A ?_L, , Z City /State Zip Phone Tenant or Name Electrical Permit Required? } Yes ❑ No Business t k-X TV-C" L) 1,1,1 � O Building Permit Required? ❑ Yes [ No Name Rev. 8/7/2003 is \curptn\masters\revised\sign permit app.doc Sign �.G.c. )-ITT S ►(911.,.( 5 Contractor Mailing Address Suite (Prior to permit REQUIRED SUBMITTAL ELEMENTS • issuance, a t41(0 STz. 1 (Note: applications will.not be accepted copy of all City/State Zip Phone without the required submittal elements) licenses are required if \\* t, . Gil I- 23z L i 172 expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form City of Tigard's license # - iao:,:i ❑ 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 1 1 ", or 11" x 17" Sign ❑ Temporary ❑ all ❑ Electronic (Check all that other ❑ ❑ 2 copies of elevations, drawn to scale apply) ❑ ❑ Billboard Balloon New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: i 4-1' n g ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): .2 ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): L}' • 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: . Wall signs do not require site /plot plans. � Materials: AC„v„ i wV • Freestanding signs over 6 ft. required a Will sign have illumination? / L es ❑ 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 ❑ Yes ❑ No BECOME NULL AND VOID. 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 • Sign- - . owner /Agent L (--G7 � cQ 5O3.237. L( 7 7 Contact Person Name Phone No. • CITY OF TIGARD 12/11/2003 13125 SW Hall Blvd. 2:49:08PM i ,��r, ii Tigard, Oregon 97223 c (503) 63 9-4 17 1 Receipt #: 27200300000000005349 Date: 12/11/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00311 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00312 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00313 [SIGN] Sign Permit 100- 0000 - 437000 31.00 ELC2003 -00717 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80 ELC2003 -00717 [TAX] 8% State Surcharge 100- 0000 - 207020 8.54 Line Item Total: $208.34 • Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check SECURITY SIGNS, INC. BB 010785 In Person 208.34 S . 1/ 6/ W. �.JV 0 1 . - 30 v� - ■ FOUND %" IR - FOUND Sig" IRON ROD • LS = 1841 — FOUND BRASS 37' I �`� SCREW WASHER ___--------- — x--30 • . . ° _ - , -: ° .. a - • i'i .2 ' . °:.••:•• � _ _.... V '- - - 6 SLOP S M NT - 36416 9, " ,.. -F. , i 9 S �• . . . RECORDING N0. 9 ,/ 1 ) O S pS , i n O - - (56`.N89'4-2.3-07'E-7------68.62. 1� 0' — =C 4 5 3p 1 /�/ 86 ii X. ID walls = f SS _ _ �1� �Y : ,: PLACE TREE PROTECTION IR , 1 ��. <= FENCE PER DETAII (TYP.) � I 1 I . 30' OAK .• • 30' 30 ' ,� � 2.77 1l : co Iiii, I ir I J i I tri 2.07 li : o I : 1 1.0' S-- I i I •. I i 52' I 40' 18.5' I 25.0' --I FF = 184.00 I o • - 9.5' , " BIKE RACK - I o n I FOUR BICYCLE / a / '8 I PARKING STALLS . bI , o I 11, 3.07 ��VA "1 °OOL `CS • I _ :°:031 1 II oI 4 i C Z u kl..."1 / : "' : ' ci / - .• ‘1 :� tO ( 1 • r I r lil I I I • P - Sib D I I .. ��� 0.77 VANPOOL � !S T I . 96I I o. ,, . , ) \i k ° 0 \ 7 7 WAL.1 ..� .,� �. • i �� I 9 N .r h �S I ic s, 2B.s' ( ■ 3.67 •1 2 ° . p p ' x 04' DTI N IPE r d : T 1 O 10.2 � a. lS i a� 6 I � o �� o o c S0 — ` o 1 .27 J 1t o. - ,-+ .. - -� / r 9 µ � � s / _ — — — ._ e ..._..-- 1 _�� J _ . 4.5' { I � 4 \ N89'42'33 "E 172.21' � !^ I I -. A I �- 7' rAc,rMrNT rnp CI nPFS. TV — $ ,_ 0 „ i I CITY O F 3'6GAR® a SHOW -THRU (WHITE) Approved--- - - - - - --- --- -- - Conditionall Ap proves - - [ /` , 230 -22 i —_._ __ ►'ERMlT N O - - w as described in: 2 30-49 BURGUNDY RED VINYL ?" �' - ' o ' 3t See Letter to: Follow ----- , - - - - -- _ BLACK VINYL _ d o-- mD ISSOCIA O 230 -22 - - — — — --- - - - - -- DIVIDER BAR IS BLACK VINYL BLACK VINYL — ► - - , H ., ,, RI., . 5 ! id, . 5 0O11ONIiI NI 1 A 1 _ k 7 . - - DRAWING SCALE: 0' -1" = 1' -0" - - " ; I, • I ENGINEERING &BASE 0 - . ' ,-. I > �_' I BY JOSEPH HUGHES CONST. \ L� 1 f f f f 5„ -� ! = +� I DE I V 4 4 SCHEDULE 40 PIPE THAT RISES 4 -0 .-:. , ,-_ i Assoc I ABOVE TOP OF BASE - WELD SIGN TO PIPE — . -. ` '' C! ' �" .-; 11..-4--4.- ___r s m�= 1 - SCOPE OF WORK: a —--�_ _ PERMIT, MFG & INSTALL: ONE (1) DOUBLE - FACE INTERNALLY ILLUMINATED MONUMENT SIGN �� 01 CONTRACTOR TO PROVIDE ENGINEERED BASE ; ; --- -_____ SSI TO PERMIT & INSTALL SIGN (HOOK -UP TO EXISTING ELECTRICAL CONNECTION) i '-- -J CABINET: OF ALUMINUM / PAINT BLACK (SEMI- GLOSS) FACE: OF WHITE LEXAN � BKGRND: 230 -53 CARDINAL RED - :e �' -�< . ;' . � ALL COPY: SHOW -THRU (WHITE) . ,, 4' �. 4u n - 1 � ■ ILLUM: FLUORESCENT : : ,, � , , � x , . INSTALL: CABINET ON BASE ENGINEERED & INSTALLED BY GC _ { ' .--,-- .6 ,. .: , :tk x k © Copyright 2003 Security Signs, Inc. DATE 12/01/03 /j � . ' ,, C , J L This original design and specifications arc INTEGUMEND CLIENT APPROVAL i I ,, -- exclusive property of Security Signs, Inc. 03 FS223R 1 r - , - - -- The use of these designs to produce a similar DRAWING ° 0 sign without written authorization from 1 OF 3 10215 SW HALL DVD. QUALITY SINCE 1925 Security Signs, Inc. is forbidden. PAGE ��±± /� pp pp PLEASE SIGN HERE WWW.SECURITYSIGNS.COM PROJECT MANAGER TIGARD, OREGON 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 CUSTOMER AGREES BY INITIALING HERE JIM CHRISTENSEN DATE PORTLAND, OR 97214 F. 503. 230.1861 WA SECURSIO20CF