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SGN2002-00152
N . CITY OF TIGARD SIGN PERMIT PERMIT #: SGN2002 -00152 A jlj DEVELOPMENT SERVICES D ATE ISSUED: 9/3/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: OREGON MARTIAL ARTS PARCEL: 2S110AB -00201 SIGN LOCATION: 14335 SW PACIFIC HWY APPLICANT /AGENT: OREGON MARTIAL ARTS ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 9' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SW SIGN HEIGHT: ft. PROJECTION FROM WALL: 4 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary placement of (1) wall banner sign. Valid 9/4/02- 10/4/02 (Sign #1) MATERIALS: BANNER EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 This permit is issued subject to the regulations contained in t. - Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Al or' will be done in accor: a e with approved plans. A sign permit shall expire 90 days from approval date. A te po -ry sign shall expire 3'4 d- f'um approval date. A balloon sign shall expire 10 claw frnm annrnval rlata / ./ APPROVED BY. — ;r /" • - (,�. PERMITTEE SIGNATURE: , _ DATE: 9/3/02 /J -1 I ��al�, l'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 Development/Project Site 0 c'e ( 50 ^ 0.r ) r `,o,\ 1\ 4 S FOR \\ STAFF USE ONLY Address/ Street Address Permit No.: N �— oc) �" Location 14 ... 5(,J PC.C t \-6(6. p wt�. Expiration Date: Ct I I C - (0 Suite /Bldg. #- City /State Zip t Ti a r0( f CC criX),y Receipt #: �` �1 Name Approved By: ' Property G esr -.. k \ 0 \P-e/ Date: C , J 1 D� Owner Mailing Address Suite Map/TL #: Zoning: Ci k City/State ,Q Zip Phone Tenant or Neale' °° �"` b� El ectrical Permit Required? ❑ Yes 11] No Business . 0 � �© � tc " I )-. lF I RriS Building Permit Require El Yes ❑ No Name Rev. 30 - Jul - 01 is \curpin \masters \revised \sign permit app.doc Sign - Contractor Mailing Address . Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a without the required submittal elements copy of all City /State Zip Phone q elements) licenses are required if Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) :r Proposed size requirement: 8 x 11 ", or 11" x 17" p e ri ertf`�❑ Freestanding ❑ Freeway Sign Temporary ❑ Wall ❑ Electronic 2 copies of elevations, drawn to scale (Check all that Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 81" x 11 ", to 24" x 36" ® New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) • Sign Dimensions: , 2 X � 1 $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): I$ NOTES: Total Wall Area (sq. ft.). • Wall signs do not need to be drawn to scale, Sign Data but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): • sign placement. items in this section) N S E W NE NW SE CO • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Height to top of sign (feet): building permit. Projection From Wall (inches): y • If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: 5a,,,./,C_S the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes in No BECOME NULL AND VOID. Type: ❑ Internal ❑ External \ Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information. location, including wall signs that overlap a tenant space? visa ❑ Mastercard Credit card number / / ER Yes ❑ No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. \ Cardholder signature Amount (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 .3 �� day of , da S 2 T 20 0 flipr Signature of Owner /Agent 3+e_ ve (A) 3 c?is - '60 s3 Contact Person Name Phone No. Receipt #: 27200200000000003289 TIDEMARK Date: 09 /03/2002 y COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00152 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid CreditCard STEVEN S WARD /OREGON MARTIAL ARTS DCP 0 115521 $15.00 TOTAL AMOUNT PAID: $15.00 0 u)„...?„. v ,,,_ ____.--- -- ..e.' ,, . I \ 7 I \.-- i\?< 5 - L5 < 6 - 15 5 5 Q -c-c I . 1 JP1L!CO S _ ,.... / , $_, , ,--______________-„----; -- - D.\ T o S , 7 Approved .... [U } I-1 Condii;,nA,Iy Approved ..._ [ t Fr, c.nIy the w rx as ttescri ed in: PERMIT NO. at) (5 Sep Levier to: Follow_.. I j job Addrcs:',A- = 3 [ � �l qr by: —_..- ! __.._____Gals. :._. . 1