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SGN2003-00037
C ITY OF TIGARD SIGN PERMIT 1 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00037 °' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/13/2003 PARCEL: 25101 DA - 00100 BUSINESS NAME: US BANCORP ZONE: C - SIGN LOCATION: 13010 SW 68TH PKWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 22.5" X 28' TOTAL SIGN AREA: 42 sq. ft. WALL AREA: 5,120 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 28 ft. PROJECTION FROM WALL: 12 in. ILLUMINATION: INT DESCRIPTION OF SIGN: PLAAr_ aC y, � '�L - • S � G � MATERIALS: ALUM /SHEET EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 30.00 • 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 expi 0 days from validity te. APPROVED BY: l n A PERMITTEE SIGNATURE: �'V C" " -- "'` DATE: 2/13/2003 r / .,:: 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 e h, t `Q�; a s r t y -_ Site a �J G+�c.G�Y� �t m FF - ®N r w Address/ Street Address 4 " , 3 ' - , A : „ T ,` , . gy . m „ ` Location c �u> e , � � �� . Suite/Bldg . # 5 f�() / 1 I z � wA .. 3 t. a a � k i City/State Zip ; I • D e y � a: � > r Name �ix� • r . , 3 " c de � d 04, e F 4 u"�Pr � z r CO ., � P4 , Property . ID. e � t � � " - Owner Mailing Address Suite s ",y 1. , ps , M 4 V City/State Zip Phone £ q d - t f�,'-''''''At-'7, n �. Tenant or Name /' � ` c al 'w Ai! It ° o Ir, • ` R E ". � o� - Business 1 �(" t/Cvs1 a z '±te . i t t +� � v r � r Nam Buld i n • ' e i f+ , I e• � rr F ,a ; f R e , 1 i r•r'1: • . n -stern - vi n;•'' �•.•oc . __ . — Sign c Contractor Mailing Addr s ( . Suite (Prior to permit / O issuance, a (�Q 1 0-)C `7 copy of all City/State • Zip Abe REQUIRED SUBMITTAL ELEMENTS licenses are q. � required if p-9:e.�t e _O C 7a./ G7-I e- 0 (Note: applications will n9t be accepted expired in the Oregon Const. Cont. Board Exp. Date without the required submittal elements) City of Tigard's License # database) �� L l �i a. / -'• j - U - f kf Completed Application Form Proposed VA Permanent ❑ Freestanding ® Freeway Te mporary �' Wall Electronic :r 2 Copies of Site /Plot Plan, Drawn to Scale Sign ❑ ❑ (3 copies, if a building permit is required) (Check all that Other ' ❑ Billboard ❑ Balloon size requirement: 81/2i x 11 ", or 11" x 17" ® New sign? ❑ Alter to existing sign? V 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) Si i3 Dimensio s: , size requirement: 8 x 11 ", to 24" x 36" 10.0 Total Sign Area (sq. ft.): ❑ $54,Ge-Fee (Permanent sign, any size) Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type) Sign Data 5 t - (-) (Complete all Direction Wall Faces (circle dne): items in this NOTES: section) N S i(ED W NE NW SE SW o Wall signs do not need to be drawn to scale, Height to top of sign (feet): a 7 ' but must include dimensions of wall face and Projection From Wall (inches): /, " sign placement. Copy: GQ,,,,,, • k c a.-0,/,' < < 4 cwt- yy,tt o Wall signs do not require site /plot plans. l ter-ials: i z, J , _ e Freestanding signs over 6 ft. required a � • building permit. Will sign have illumination? 1�� es ❑ No o If work authorized under a sign permit has not Type: ® Internal ❑ External Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenants ace? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. ❑ Yes C O No V - 1 5 t-- i if "yes ", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES) -;3-°; .�zax e `. - , ::�zw ;� !. rain" °also be sub mitted. • t 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 / 3 day of 20 0 3 Sign tuts of Owe Agent Sd3 6 �Sr a (l Con. act Perso� ame Phone No. l 11 Y it 11 V ti1W - 13125 SW Hall Blvd. 8:26:57AM Tigard, Oregon 97223 4 I L (503) 639 -4171 Receipt #: 27200300000000000571 Date: 02/13/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 - 00037 [SIGN] Sign Permit 100- 0000 - 437000 30.00 ELC2003 -00069 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40 ELC2003 -00069 [TAX] 8% State Tax 100 - 0000 - 207020 4.27 Line Item Total: $87.67 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check BLAZE SIGNS OF AMERICA, BB 1912 In Person 87.67 INC. Payment Total: $87.67 Page 1 of 1 cReceipt.rpt • FEB -04 -2003 14 52 US BANK 1 503 408 9599 P.01 —27-7' si n ` of America PERMIT AUTHQR ZATION , Please consider this letter as authorization to obtain any and all permits or other documents required by state and/or local governments to install the following: (0 ( ' i ) �r/ � //. ., .�! / / / -� - ti y t L� �. ti .. Located at: /3 © /D. S Building Owner /Agent: Name: Address: -- - -... . - Phone: • ..• edby: $ e " # Date Name . Title Date ' Name Title Date • d • P.O. Box 23910 ig Portland, OR 97281 -3910 r (503) 639 -3262 I FAX (503) 620 4477 eeo_rva_nmm-a 1 .I• rao =m, G'DG+ MA77 Q7% P. Gil I I � • I ® s • -- — , — j L —.� - -- — — {. 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