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SGN2002-00099 3 CITY TIGARD SIGN PERMIT A DEVELOPMENT SERVICES PERMIT #: SGN2002 -00099 DATE ISSUED: 6/11/2002 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: CHILDREN'S PARK SIGN LOCATION: 10540 SW HALL BLVD PARCEL: 1 S135AA 02801 APPLICANT /AGENT: ZONE: C - BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 7' X 3' TOTAL SIGN AREA: 21 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 6 ft. PROJECTION FROM WALL: in. ILLUMINATION: EXT DESCRIPTION OF SIGN: Installation of (1) one freestanding 21'sq ft sign. Sign not to be placed in visual • clearance area. MATERIALS: WOOD & STONE EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 50.00 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 work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A temporary sign s - = . pire 30 days • m approval date. A balloon sign shall expire 10 day from annrnval rtat APPROVED BY: G PERMITTEE SIGNATURE: — - - DATE: 6/11/2002 , w„,.,,., l,, 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 i FOR STAFF USE ONLY Site ebiLV ariAl S f4c;/<' Address/ Street Address Permit No.: S C7AJ Z 0 7 — 0( 7 tY Location / Suite/Bldg. # � C City/State k) Z 1 I- Expiration Date: ri K,/f10 /7 772-2 Receipt #: ,2- cc, - Y7 Name / Approved By: DID Property �r'�0"/<(,' x_ I,)) LC. Date: i ti ) Z Owner Mailing Address Suite Map/TL #: /S/3 ( - 0 Z 6 706 /1 6 0 0 S i) 6 fit k Zoning: C, City /State Zip Phone 7— Z 4-AO /91-14 ‘T0'? iy; Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business 00 s jOAh Building Permit Required? ❑ Yes ❑ No Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc Sign gooprzkri O A 1 C Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit // i 00 j-� tao-chlTil/Ri (Note: applications will not be accepted issuance, a without the required submittal elements copy of all City /State Zip Phone q elements) licenses are i required if - 0 G/•1 -/►-O 77 2-1- - 4 CO- 1 f/' ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City database) Tigard's License # - 7.46)7 . Z /o ?/o 3 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed Permanent Freestanding size requirement: 8 x 11 ", or 11" x 17" g ❑ 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: 8 x 11 ", to 24" x 36" NI New sign? ❑ Alter to existing sign? Sign Dimensions ❑ $50.00 Fee (Permanent sign, any size) 7 DC ,� / roc Sio.<S ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.):, ' NOTES: Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale, but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): - sign placement. items in this • Wall signs do not require site/ lot plans. section) N S E W NE NW SE SW g q p p • Freestanding signs over 6 ft. required a Height to top of sign (feet): C building permit. Projection From Wall (inches): • If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: 6✓D,J j_ 577,,,,l,E „ the issuance of the permit, THE PERMIT WILL Will sign have illumination? E Yes ❑ No BECOME NULL AND VOID. Type: ❑ Internal ig External \ Are there any existing freestanding or wall signs at this No all jurisdictions credit sdictions accept cre cards, please call jurisdiction for more information. location, including wall signs that overlap a tenant space? visa ❑MasterCard Credit card number / / ❑ Yes ji4 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. s \ 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 day of , 20 Sign nure of Owner /Agent Contact Person Name Phone No. pe 0 2 4),5 4. p j e :-4 /c5 0 542 /-114- 6 0 VP, Appravari [ X] Condi t.Nrmly Appro [ ! . 4e• S / (.7;/1 -1..` For only the work as iescri41941 in: I_ ____ 7 _ Set: Lett. te Follow.... .. t i • 1 1 . p Joh AldlOStr ''70'1 ` 1;(.1- 4C^I -4444.644 by....__ .-.4.-11.4.404-: _. Z.... __:_______ T T H , (IL ior 4 rill . i 1, i 1 ‘\ / I ,. '----- 7----N R F-NS P1K J 5 rAlig: / LEA NJNO ..!.7 .... \.. . / 6 , , i ____ __ 4 1 1' -1--- .._..„.3_, , ,....... , . 1 ri 1.......: / 1 1 r 1 i 1 . . . . . . . . . . . . . . ' . . . . . • • . . . . . . . . : . : ' .• . . . . t t ...: • . . . . . . ; . . . . . . . i . • ' t : : . . . . . t . . . . 1 , . 1 ' • , t . . . 1 . , . • • . ; i I ; .• . • . . . • . . . . . . . .. . • , • . . . • - . - i - , - • . . , . . . ; . • . . . • ' . , . • . . . . . . I . 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GRAPHIC PER .... r DUPLEX STRUCTURE 1 DETAIL 2/C4 - • •. 1 • .1. � � _ ! _ I o _ 1. C I O `�� i 6" WHITE I o ' Ci , STRIPES I • :1 ►r I I N. 18.0 23.98 i 18.50 'I 1 , CA/ Z 0 64 -77,0,/ ! o a 0 1 CO /7 • '• .1 \- .._ .._ 1 .. ...‘N\ . • • .• • • . - 1 - '�-• NEW CONCRETE . I• I , i PAVERS FOR • • • of + ! r I POROUS PA VEMEN T 1 — -- • I SEE 3/C4 - • 4►►1 MINaTED I . I 4" WHITE • STRIPES - • •• I SHARED ACCESS • 6" NEW CONCRETE EASEMENT .. .,• APRON (BROOM 8.78 16.00 • FINISH) "1 .° ' ILO DEMO EXISTING WALL (175.32' AFTER DI ! "...• 8" CMU WALL •.. N 88'36'45 "W 27.00 i Receipt #: 27200200000000002147 Date: 06/11/2002 T I D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 - 00099 [SIGN) Sign Permit 100 0000 - 437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check GEORGE WALL KJP 1178 $50.00 TOTAL AMOUNT PAID: $50.00 • •