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SGN2003-00030 CITY OF TIGARD SIGN PERMIT I 1 1- DEVELOPMENT SERVICES PERMIT #: SGN2003 -00030 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/11/2003 PARCEL: 2S112DC -00100 BUSINESS NAME: RELOCATION COORDINATORS ZONE: I -L SIGN LOCATION: 15605 SW 72ND AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 7' 8" X 2' X 10 TOTAL SIGN AREA: 22 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 8 ft. PROJECTION FROM WALL: 2 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Te - G�., MATERIALS: PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 N 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 days from validity d to APPROVED BY: J PERMITTEE SIGNATURE: '—''`' -#!"' . " .� /�.�it DATE: 2/11/2003 A ,,,Ii'b ^o, SIGN PERMIT APPLICATION CITY c TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Prr t6 FOR STAFF USE ONLY Site - e/ a•1 f�'r1 6(o 'CP'/f'14"7 663 - 0003C> Address/ S treet Address Permit No.: SG t\I a Location /54-.C � ,C7/ ) 7 Expiration Date: 3 / ' i ( 03 Suite /Bldg. # City /State Zip Receipt #: DS Z6n� ` CJ�� I i DC 0 (00 Name Approved By; Qvok a Property PINC- - 1 R. u 5� Date: 1t Owner Mailing Address Suite Map /TL #: Zoning: 1 L. City /State Zip Phone Electrical Permit Required? ❑ Yes a No Tenant or Name M7 7 1 Glit? / O!'<° — P.n ' B Permit Required? ❑ Yes In No Business 8 emoa f 01 ( //1Gf C. ©0v /6vs- r Rev. 01 -Jul -02 hcurpin \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 i without the required submittal elements) copy of all City /State Zip Phone licenses are required if Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # l4 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 ID Wall 1=1 Electronic (Check all that ❑ Other ❑ Billboard ❑ Ba lloon El copies of elevations, drawn to scale a ppl y ) (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: 7 % " .' (�i' ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ' 2 1p $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): g but must include dimensions of wall face and Projection From Wall (inches): a sign placement. Copy: • Wall signs do not require site /plot plans. Materials: 9'1c5-1-.c • Freestanding signs over 6 ft. required a building permit. Will sign have illumination? ❑ Yes t .ESI No • If work authorized under a sign permit has not Type: ❑ Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes V No • If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. . (OVER FOR SIGNATURES) M 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 ce Ls uat- `1 , 20 03 --'. -' 7 //,— Signature of Owner/Agent Contact Person Name Phone No. CITY OF TIGARD 2/11/2003 13125 SW Hall Blvd. 10:11:35AM �� „,; Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200300000000000535 Date: 02/11/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00030 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User 11D Acct. /Check Approval No. How Received Amount Paid Check ANNA •MARIE HARLAN BMK 37552 In Person 15.00 Payment Total: $15.00 • Page 1 of 1 cReceipt.rpt