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SGN2002-00004 CITY OF TIGARD SIGN PERMIT f !� DEVELOPMENT SERVICES PERMIT #: SGN2002 -00004 DATE ISSUED: 1/8/2002 • 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: LAMBS THIFTWAY MARKETPLACE SIGN LOCATION: 12220 SW SCHOLLS FERRY RD PARCEL: 1 S134BC -00301 APPLICANT /AGENT: LAMBS THIFTWAY MARKETPLACE ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: SEE APPL. TOTAL SIGN AREA: 202 sq. ft. WALL AREA: 6,000 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: 13 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. MATERIALS: ALUM EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N 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 tempora sign shall expire 30 days from approval date. A balloon sign shall expire 10 rlavc from annroval Bata . APPROVED BY PERMITTEE SIGNATURE: ig� FJ DATE: 1/8 ii 4 :1 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 FOR STAFF USE ONLY Site LAc•» - r14 Ct. t - 1MiAY Mtn rzr( -. Address/ Street Address Permit No.: sGka _ - omoit-- Location 1 S w '`Dc--t• BLS f''t= 7'QD+ Expiration Date: A Pt Suite /Bldg. # City /State Zip + 0 Receipt #: .. 04.1 Name Approved y: Property Date: 1 `i tea Owner Mailing Address Suite Map/TL #: 131 -0 030 0 Zoning: C City/State Zip Phone Electrical Permit Required? "Yes ❑ No Tenant or Name Business lJar�35 TI- +y2►FTNGV t-,) ArLIGf_'C1pf: Permit Required? ❑ Yes �No Name Rev. 30 -Jul -01 is \curpin \mastersVevised \sign permit app.doc Sign 2 ■T S IL�+LL S Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit applications will not be accepted issuance, a L e Se_ � 2 copy of all City/State Zip Phone without the required submittal elements) licenses are required if e) • 4 T?Z i4 X232 '•1172 Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # Copies of Site /Plot Plan, Drawn to Scale database) ( Z - 2 Sc:) 1 • O? (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ g ❑ size requirement: 81/2" x 11 ", or 11" x 17" Freestanding Freeway Sign ❑ Temporary Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 81" x 11", to 24" x 36" ❑' New sign? 3N, Alter to existing sign? [9-1 Fee (Permanent sign, any size) Sign Dimensions: ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 4'-czz'. ea. anrb _ )a G' "!4' '1 C 5 3G,tp NOTES: Sign Data Total Wall Area (sq. ft.) • x L O . ^ 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 section) 45 E W NE NW SE SW • 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): 13'' • If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: the issuance of the permit, THE PERMIT WILL Will sign have illumination? [r Yes ❑ No BECOME NULL AND VOID. Type: Igr Internal ❑ External 7- 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 1 1 ❑ 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 / day of , 20 (f) 2 Signature of Owner /Agent lT r t-17� PeArA30 -5 .2 3?. 7/ Z Contact Person Name Phone No. F cl 1 I y QUALITY SINCE 1925 436 SE 12TH AVE PORTLAND, OR 97214 • WWW.SECURITYSIGNS.COM OR CCB #122809 =; i . WA SECURSIO2OCF 1 T. 503.232.4172 O R 503.230.1861 ! • ee v 0111- -- •-m4llr.n • DATE 1 mss�t _ --__ � __... cam,: � _ .. � — �s;a3��= nu= _ — . CLIENT LAMB'S ` 4°- . THRIFTWAY - _. PROJECT MANAGER -' - ., TOM KELJO O)31I .-.„, . ... CLIENT APPROVAL PLEASE SIGN HERE AP F' «.......- .......,._ Conde i,•,-1h,ly A PP r o '. d ._......_ [ 1 " u� C.r the v� rt � � �• / r ' DATE fl -RMIT NO. - — `�' S�w Let -:,• to Follow_ ( J 1 1 • © Copyright design Secur Signs, Ina ll `� ', • This original design n a and specifications are IAV. _« ..,. 1 1 _ —, + t 4t�: exclusive property of Security Signs, Inc. The use of these designs to produce a similar sign without written authorization from Security Signs, Inc. is forbidden. Receipt #: 27200200000000000070 Date: 01/08/2002 T I D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due ELC2002 -00006 [ELPRMT] ELC Permit 220 - 0000 - 431510 $160.20 ELC2002 -00006 [TAX] 8% State Tax 100 - 0000 - 207020 $12.82 SGN2002 -00004 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check SECURITY SIGNS INC 0 081263 $223.02 TOTAL AMOUNT PAID: $123.02