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SGN2002-00161 4 � I DEVELOPMENT SERVICES PERMIT #: SGN2002-00161 s F °' SIGN PERMIT L. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/11/02 EXPIRATION DATE: BUSINESS NAME: IMPRESSIONS DANCE CLUG SIGN LOCATION: 14363 SW PACIFIC HWY PARCEL: 2S110AB -00201 APPLICANT /AGENT: IMPRESSIONS DANCE CLUB ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 12' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: 2,500 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary sign permit for (1) non - illuminated banner sign. Valid 14//02-11/2/02 (Sign #� 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 the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All , •r• will be done in a o • ance with approved plans. A sign permit shall expire 90 days from approval date. Ate' po - sign shall expir- 31 day from approval date. A balloon sign shall expire 10 clays frnm annrnval riata _ / s / / / / rI � ,/ APPROVED BY _ PERMITTEE SIGN U . `-''-' —'- DATE: 9/11/02 24 b4: 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 FOR S USE ONLY I (,, Address! tee ��� ��� � 0\41.2c j Permit No.: GG IQ �� ` -- 4 © "o Location /V3 (P 3 ) l� (6 1 4(--0(/ Expiration Date: an 0 • - 1 E ° 0 Suite /Bldg. # City /State Zip Lo-px oe 4 Receipt #: 0' i s �v N e J Approved By: l'm , � . Property /`, V Q Date: l/ QQ J/ �� Owner fling Add s Suite Map /TL #: as q ,g :J VQ0 Zoning. C- 9 City /State Zip Phone 7 U0(2_ a Electrical Permit Required? ❑ Yes [j"No Tenant or me Business � ' / p I ki M c c y_te, Q Building Permit Required? ❑ Yes Ni/No `, �.} Rev. 01- Jul -02 is \curpin \masters\revised\sign permit app.doc Sign game .. Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS i (Prior to permit / / / l 1 (Note: applications will not be accepted ssuance, a ` `/tP� j � '� ercil 1 k J without the required submittal elem nts) copy of all City /State Zip licenses are / l �j3 5777,70 C C required if / V _ ompleted Application Form expired in the regon Const. Cont. Board xp. Date City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ P anent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" • Sign Temporary ❑ Wall ❑ Electronic (Check all that Other ❑ B illboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (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: ❑ 0.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): $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 E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): . sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a building permit. Will sign have illumination? ❑ Yes ❑ 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 over) a tenant space? BECOME NULL AND VOID. ❑ Yes No If "yes ", a list or diagram of sign dimensions and square footage must also submitted. _ (OVER FOR SIGNATURES) • Receipt #: 27200200000000003405 T I D E M A R K Date: 09 /11/2002 COMPUTER SYSTEMS, INC. Line Items: F72- EIEC*PY Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00159 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00 SGN2002 -00160 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00 SGN2002 -00161 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check IMPRESSIONS DANCE CLUB DCP 3079 0 $45.00 TOTAL AMOUNT PAID: $45.00 • • y i C{-C CC ( Ga PILEC - \� U (9 0_ C G'o = =ndhc;> .i;y Approved...- Fo: ,zn1y t o ! cnt�s 3• f- N he u s �` 15 itoo I tQ 1 Sit Lett to Fo!low .... ............. ) .v, r..... +LV by._�__... e_.qe (1 0/9 he • A W Apar •irs Aar 6 4\/ b CQ j C CC 4----------- eio i •-?, .- 't R4g.P- - .\\ . . . --_,-- C-________=-------, : , • 4 -- J . (--- /--------, c.,,,.. , ---,'"-------„,