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SGN2002-00123
CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2002 -00123 DATE ISSUED: 7/22/02 "` '� "�`" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: T MOBILE PARCEL: 2S112DC - 0050 SIGN LOCATION: 15895 SW 72ND AVE BLDG - B #100 APPLICANT /AGENT: ZONE: I - BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 1' - X 7' TOTAL SIGN AREA: 8 sq. ft. WALL AREA: 400 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 10 ft. PROJECTION FROM WALL: 3 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one permanent 8.4 sq ft wall sign. MATERIALS: ALUMINUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED:. N 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 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 si s expire 30 days from approval date. A balloon sign shall expire 10 nays from annrnval data APPROVED BY: PERMITTEE SIGNATURE: C3'1k. DATE: 7/22/02 n / 1 4;A. <,A.�,1t SIGN PERMIT APPLICATION Al, 411. CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site 'T k1 S. LJL Sc ddress/ Street Address Permit No.: J to "L.mo 2- DO / ( 3 Location 15 8 at S sCD - 4-Z NQ Expiration Date: Suite /Bldg. # City/State Zip 1 0 -116 W-1> T W- ZZ� Receipt #: Na a (' Approved By: P - Date: - - 7/2. �' Property T 14,MiL , Owner Mailing Address Suite Map /TL #: 2 S if Z. DC -C/o 5co' t5 89 S sz 1-2AJD' Zoning: 1 P City/State p 1� Zip Phone m ►`LP(J 1 c.I,c�oD. 1' 22'3 Electrical Permit Required? ❑ Yes [�No Tenant or Name Business '� . }-t OIN LET Building Permit Required? ❑ Yes El4lo Name ''tt ,, I (Da Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc Sign i E Contractor Mailing Address REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted copy of all City /State Zip issuance, a without the required submittal elements) re licenses are � - iv " 1 �' 8Z1-$ quired if l M ' Com P leted A pP lication Form expired in the Oregon Const. Cont. Boae City of Tigard's License # [ ✓2 Copies of Site /Plot Plan, Drawn to Scale database) I - 1 , ©y' (3 copies, if a building permit is required) Proposed Permanent ❑ Freestanding Freeway size requirement: 8 x 11", or 11" x 17" Sign Temporary Wall ^ qiG (Check all that 111 2 copies of elevations, drawn to scale apply) ❑ ❑ Other Billboard Ba (3 copies, if a building permit is required) IE•New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 2 Z X 7 D- $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): $'.4 r t ] ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) d (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): ) 0 r but must include dimensions of wall face and Projection From Wall (inches): 3 " sign placement. Copy: T• t-t C flL.Z • Wall signs do not require site /plot plans. Materials: prtAw44: f N wr✓. • 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: 1=j Internal ❑ Exte c nal 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. 1 ,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 It 5 day of I I I , 20_ Signature of Owner /Agent COSO Contact Persoin Name Phone No. 1 ►) L.. t,LIl ti A �E>� PITY S App;.m✓el [ XI Condi.= , +r:a,ly Approved._ [ For only the work s ° ice: F F RMIT NO. �iJOZ J/0 /Z, St) Le;:. - to• Follow.... ................. l 0 Ajtitz4: ',� Gt 1.,' i t Admin. Remove existing VoiceStream plate letters. Patch and paint holes. Install new T- Mobile 1/2" aluminum plate letters. Letters to have gold finish to match existing. --v: Y '�k 0's NOTE Photo for representational purposes only . Signs are not to scale and may appear larger or smaller than shown. 7'_0 " -- — ‘,„, • • ® ® •® ■ _ _ co co cn ti N T t N r O r-- Corporate Headquarters: Designer: And Location Portland O R 837 RIverfont Dr., Sults 300, Approval: Approval: Sheboygan, WI 53081 Revisions: x PHONE: (920) 208-0898 FAX (920) 208-0989 Address: 15895 SW 72nd �f laiority S` f^� x A rtwork # Drawing # i' _ Lake, I L El ken g C rystal L hem, AL X Date: 05 -31 -02 a shown C15785P1 INC. Atlanta, GA Knoxville, TN x Winston Salem, NC Receipt #: 272002000000 00002689 T I D E M A R K Date: 07/22/2002 COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. ELC2002 -00341 [TAX] 8% State Tax Amount Due 100- 0000 - 207020 ELC2002 -00341 [ELPRMT] ELC Permit $8.55 2 20 - 0000 - 431510 SGN2002 -00123 [SIGN] Sign Permit $106.80 1 00- 0000 - 437000 SGN2002 -00124 [SIGN] Sign Permit $30.00 1 00- 0000 - 437000 SGN2002 -00125 [SIGN] Sign Permit $30.00 1 00- 0000 - 437000 Payments: $30.00 Method Payer Check Bank No Acct Check No Confirm No. HIGHLIGHT SIGN CORP DEB Amount Paid 3483 $205.35 TOTAL AMOUNT PAID: $205.35 •