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SGN2003-00072 e�:I'iiA SIGN PERMIT APPLICATION .• • CITY - °: F TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site - 1 - e( IL'iL -.E- •-- Address/ Street Address Permit No.: 5 G Iv ao03 -O007c)-- Location `�j27 -\ S ‘'''' ( 676-th g'''‘2KVU Expiration Date: N' A Suite /Bldg. # City /State Zip ---11" Receipt #: (D.-0 o 3 — Name ( Approved By: C U ek Date: ''f - ,.)- - o ( Property p d U 1 1D A — 60 10. Owner Mailing Address Suite Ma /TL #: Zoning: P u--E City /State Zip Phone Electrical Permit Required? Yes ❑ No Tenant or Name I `` II Business I, -6A L- N T Building Permit Required? ❑ Yes ❑ No Name Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc Sign .-G0011 . 0l S1 Li - Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a ' L +3 GC . S - l -- without the required submittal elements) copy of all City /State Zip Phone licenses are .7 �-a-�Z 4 required if 1. c?`ZT . Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # `Z [r' 2 Copies of Site /Plot Plan, Drawn to Scale es, building p database) ( copi if a buildinermit is required) Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ogf�all ❑ Electronic (Check all that ❑ Other ❑ B ❑ Balloon ❑ 2 co of elevations drawn to scale apply) (3 copies, if a building permit is required) vIl New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: r t t. Z 'S Z (' -8 " x$30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 0 ❑ $15.00 Fee (Temporary sign, any type) • Sign Data Total Wall Area (sq. ft.) ! Olt) (Complete all Direction Wall Faces (circle ond): NOTES: items in this section) N S OW NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): ( -47 / but must include dimensions of wall face and Projection From Wall (inches): l 3' 1 sign placement. Copy: F4- -r14 )...4 . • Wall signs do not require sitelplot plans. Materials: At. L stnir-v,M Pj/,�i v1 • Freestanding signs over 6 ft. required a building permit. Will sign have illumination? s ❑ No . If work authorized under a sign permit has not Type: G - Enternal ❑ 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 ❑ No 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 Signature of Owner /Agent • 417 • Co . =erson Name Phone No. • CITY OF TIGARD 4/2/2003 13125 SW Hall Blvd. 2:35:41PM i ' � I �, Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200300000000001295 Date: 04/02/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00072 [SIGN] Sign Permit 100- 0000 - 437000 30.00 ELC2003 -00190 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40 ELC2003 -00190 [TAX] 8% State Tax 100 - 0000 - 207020 4.28 Line Item Total: $87.68 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check SECURITY SIGNS BB 009729 In Person 87.68 Payment Total: $87.68 Page 1 of 1 cReceipt.rpt Scope of Work: • ` Manufacture and install one (1) new set of internally illuminated channel letters /logo on exposed 40.- raceway structure. ' ---',-.- -- � - . 5ir.9s I n Channel Logo: H ealth y Ne W Ii 4. '- ` - , Face to be White Acrylic with translucent Turquoise (230 -236) reverse cut vinyl applied to the first surface. NMI +(�( ' � • 1" Teal trim cap and five inch (5 ") returns painted Health Net Teal (PMS C). ill -`w ini 0. i ,4;.;,-.-,-:--,,,,r- i i i 1, ^ ' \ Internally illuminated with EGL 6500 designer series White Neon. _( } v L E I A IIN�O r 1., , g I I _, Channel Letters: ■rte . 1 a, • J Faces to be White acrylic. 1i►11 "� ��4�� tt® ' White trim cap and five inch (5") White returns. PLAN `I Internally illuminated with EGL 6500 designer series White Neon. -- _ . ,,,., ,___:,, _,,,,1 ,,, r- . All letters /logo to be mounted to an exposed raceway. Raceway to be painted to match wall c iRri O ( ] ....... N.T.S. pro C di-- •.i'''''+ Ap< as �,'.escri ;pd Ict.c��a -7 a , ; he wn r _ (..) - 01 -2 ° _.--- --- - -- - c ' lAU}IT NO.._ -- t I 21' 2" .,� _e ... w ��_ >, ic; 1 3 1 5 _ t. 4'v3 201- 8 �.�I. c; — >, d 5 .„ _4_, .,.,„, _ „,,, .., *, ,,,,, i,... F ., 9 ..: '- ' 24 ` Y :-.•''.. _ ms s': I N c ,. „,, 7/ _, f : alth i-.0 ' :: / ___________ _ .,,•/,,,,,, ,...,...... .,‘„,„,„„,_ _ ° East Elevation Scale: 1/2"= 1' - 0" ©Copyright 2003 Security Signs, Inc. DATE 022403 LANDLORD APPROVAL CLIENT APPROVAL - r „ ' — This original ,nal dcsi n and s eeifications are c= Qc, L U 7� ' `� � _it � e xc property of Scc i Signs, Inc. I �° (--- 1 � � a III —J hJ" The use of these de to produce a simil D R. �W I N G O3 -KSO49 1,c sign without written authorization from # 2 OF 2 „�:;- , QUALITY SINCE 1925 Security Signs, Inc. is forbidden. PAGE 7�' PLEASE SIGN HERE PLEASE SIGN HERE WWW.SECURITYSIGNS.COM PROJECT MANAGER 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 CUSTOMER AGREES BY TRIANGLE CORPORATE PARK PORTLAND, OR 97214 F. 503.230.1861 WA SECURSIO2OCF INITIALING HERE KE KELJO PORTLAND, OR DATE DATE