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SGN2003-00313 CITY TIGARD SIGN PERMIT � DEVELOPMENT SERVICES PERMIT #: SGN2003 -00313 " ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/11/03 PARCEL: 1S135AA-01400 BUSINESS NAME: INTEGUMEND ZONE: C -N SIGN LOCATION: 10215 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4'X4' -10" TOTAL SIGN AREA: 16 sq. ft. WALL AREA: 1,376 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 0 ft. PROJECTION FROM WALL: 10 in. ILLUMINATION: EXT DESCRIPTION OF SIGN: Installation of (1) one 16 sq. ft. permanent wall sign. 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 10 days from validity date. APPROVED BY: K PERMITTEE SIGNATURE: Cfr■-•-_ —/ DATE: 12/11/03 ' I- SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 .GENERAL INFORMATION Name of DevelopmenUPro ect �� FOR STAFF USE ONLY 5 Site 10 v 5 k-i\i L —13`,OS7 Address/ Street Address Permit No.: Y/° Z 3 -- oo 3 ( Location Suite /Bldg # City/State Zip Expiration Date: Receipt #: Name Approved By:_ Property Date: ' I( Owner Mailing Address Suite Map /TL #: / 5 9 - 0 CS= Zoning: City/State Zip ' Phone Tenant or Name Electrical Permit Required? Yes ❑ No Business I /1/4..k 1"C.-"%e." V �--f.J O Building Permit Required? ❑ Yes No Name Rev. 8/7/2003 is \curpin\masters \revised\sign permit app doc Sign J AG c.19--1T l £ 5 , Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a CRo' SSZ.., 1"27 (Note: applications will not be accepted copy of all City/State Zip Phone without the required submittal elements) licenses are required if C) (L. . c.� �- 232, L( rrz . expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form City of Tigard's License # database) 22 �"1 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is re Proposed g p required) ) Si n ❑ Permanent . ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" g ❑ Temporary Er ❑ Electronic (Check all that i apply) ❑ Other 11 Billboard El Balloon El copies of elevations, drawn to scale Blew sign? (3 copies, if a building permit is required) g ❑ A lter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: 4' A L f — 1 O ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): (6 ri ❑ $15.00 Fee (Temporary sign, any type) Total Wall Area (sq. ft.) Sign Data --z. g/ 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): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): 10" but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials:At ik,vr,,,,, jpLf C • Freestanding signs over 6 ft. required a Will sign have illumination? / Yes ❑ No building permit. • Type: J. Internal External • If work authorized under 1l er 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. l (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. CITY OF TIGARD 12/11/2003 13125 SW Hall Blvd. 2:49:08PM M Tigard, Oregon 97223 ► l (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 Payment Total: $208.34 • • • • 30 FOUND IC IR • • FOUND % " IRON ROD LS = 1841 FOUND BRASS 37' ti' SCREW WASHER •' ff N �. - .' ° • ' ; . — • /4ii ' • . • N89'42'30''E -1E 22' - . °:.••: _ S /, 10 "' - - 6 SLO EA SE NT - 3 6416 fr ""_%, \ 17_r yc 6 _ -- _ . �� 6 RECORDING NO. 9 (. ` N , • \ � O �6 N89'42'30 ° E 168.62 r 1 6 s 10'0' 1/ 1.1 • ° ,* 111 �, ITNONDmcllt . PLACE TREE PROTECTION 11,111rWt < ,.�FENCE PER DETAII (TYP.) . � �� I � I SP .. I I 30' OAK _ a i • 30' 30 ` C,YF 2.7% :. ilk •2.0% u ... o f ►I • 1 .0' $•- I - •-. �I 52' 40' ta.5' 25.W-----I FF = 184.00 I ( ° o 9 .5' BI KE RACK - 4 ' ) , FOUR BICYCLE 18� �8� PARKING STALLS -01 i i 1. 7 , ..9 /--.81 J1 3.0% � O G i � � rn a ' ///// )'" 6. 2. .. 11:1 h . CO r 21 Q � c 7 � f I❑ I P ��� 0.79 VANP00 - -; 0 • • i / 96'1 1 I ' � �� �� r 1 ' \ dam � �y. �o , a te 1� 1 � I , I I " • / I 4DG0 �^ ,..-.-;.)-,-,11 (+ J h '8 I L � 8 28,5' (.(\.).4) � I • � �O 3.6 �ti `�0 I 4' x 104' DETENTI N IP E � S'9N ) 11 �� I D � :No. �� /�� l 1/12" ASH — 10.2' -: 78 i i a. .: cA .. L e 4r 1.2% O �1 a � / ' N89'42'33 "E 172.21' �•f � Li /1 y I . ! 7' F4CFMFMT FnP c,i nPFS. TV — , CITY OF T6G�4RD Conditionally Approved ...................................... . I K I 4' -10" For only the work as described in: PERMIT NO. CAN Z -o3– See Letter to Follow ................. �— Attach Job &ddre s: v 2( / 6 }� • 1 230 -22 " _ sy:... ._,T„,_.„,, A . _,,,, ., , _.: ____, 230-49 BURGUNDY RED VINYL BLACK VINYL Date: _._L Z(, „ ,.,,s,„ SHOW -THRU (WHITE) ,,, 1, 4 w . ' � ' r , L . : .., DER MATOLOG . _ , 1 I ; t. t --717-1 _ I - Y i _ � et 1.. _ i\ , , ASSOCIATES o La1 I ' �a t 0 , il DIVIDER 3AR IS BLACK VINYL .”, ■ _ 230 -22 BLACK VINYL , ` ' y �s S I 1111111fil spEciAu , MS. NW 4 ' .0 .— - -- 1 -- , -- —' s ` r DRAWING SCALE: 0' -1" = 1' -0" -., 1 c- DA . 1 v' a DERMATOLOGY SCOPE OF WORK: .� �.- k � r ASSOCIATES j PERMIT MFG & INSTALL: ONE (1) SINGLE - FACE INTERNALLY ILLUMINATED WALL SIGN SSI TO PERMIT & INSTALL SIGN (HOOK -UP TO EXISTING ELECTRICAL CONNECTION) `::8t .� -4 - ', I H HAIR SURGERY _ - BY CONTRACTOR , ,, 5 r CABINET: OF ALUMINUM / PAINT BLACK (SEMI- GLOSS) ,. s SP ECIAUSTS, N W FACE: OF WHITE LEXAN I� BKGRND: 230 -49 CARDINAL RED VINYL " ALL COPY: SHOW -THRU (WHITE) f , ILLUM: FLUORESCENT INSTALL: FOUR (4) 3/8" X 3" LAGS TO BLOCK WALL -!` �� f - © Copyright 2003 Security Signs, Inc. D ATE 12/01/03 CLIENT APPROVAL _ j This original design and specifications arc ,. t Y ; �� —_ �— cxclusivcpropert of Security ity Signs, Inc. I N T E G U M E N D � � ^ - - � t DRAWING # 03- FS223R1 ? 4,, � — - / The use of these desi t pro a sim sign without written authorization from _ --' QUALITY SINCE 1 925 Secunty Signs, Inc is forbidden PAGE # 2 OF 3 PLEASE SIGN HERE . . WWW.SECURITYSIGNS.COM PROJECT MANAGER 10215 SW HALL BLVD. 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 CUSTOMER AGREES BY JIM CHRISTENSEN TIG ARD, OREGON DATE PORTLAND, OR 97214 F. 503.230.1861 WA SECURSIO20CF INITIALING HERE _