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SGN2002-00211 CITY TIGARD SIGN PERMIT i, DEVELOPMENT SERVICES PERMIT SGN2002 -00211 i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/2002 EXPIRATION DATE: BUSINESS NAME: BULL MOUNTAIN CONNECT SIGN LOCATION: 11300 SW BULL MOUNTAIN RD PARCEL: 2S110AC 01100 APPLICANT /AGENT: BULL MOUNTAIN CONNECT ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 1.5' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: 300 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 9 ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one permanent 12 sq ft wall sign MATERIALS: ALUMNINYL 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 Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 1 from validity date. APPROVED BY: PERMITTEE SIGNATURE: � DATE: 10 '- 5/2002 IP It ,„ i .. ). , LI , SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name ofDevelopment/Project FOR STAFF USE ONLY Site a.ii Mo -,nlrt Cb Address/ Street Address ii } �^ Permit No.: � LAS 0 7 — - DO 21 I Location 11 &D �k 11` I l a Expiration Date: Suite /Bldg. # City /State Zip �cl a -- Yol q r —— ,rG( CD ' ` 1 q t - Receipt #: r f� Property n C C Na I i Approved By: ! --- .1 /� IlL J Date: 16 4310 C_ Owner Maili g Address Suite Map /TL #: Qb�S,5i la Zoning: 4. C'. / Zip Phone ' Y l t0 / o Electrical Permit Required? ❑ Yes No N ame � /, El or ` .ai2 ��,,( Building Permit Required? Yes gNo : Business i >. Name 4 Rev. 01-Jul-02 is \curpin \masters \revised \sign permit app.doc S j j `t l �'y Sign ' r S . 7 Contractor Mailing ess i Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 1 �j (Note: applications will not be accepted issuance, a ( 9 without the required submittal elements) copy of all City /State Zip Phone licenses are I l YG C — required if ' l l ( ❑ Completed Application Form expired in the Oreg onst. Cont. Board Ex Date City of Tigard's Licen e ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) . (3 copies, if a building permit is required) Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ B ❑Balloon El 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ,ErRew sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: s . . X \ % il 5V $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.) 1 2, / ❑] $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) ! � J x �/1 i (Complete all Direction Wall Faces (circle one): Jl � NOTES: items in this �� section) l NV) S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): Oil but must include dimensions of wall face and Projection From Wall (inches): „ S " i sign placement. Copy: aut P'flau,n -°,„ C1,►'1it D)$!� 1"� .fall signs do not require site /plot plans. �` "�' V i ri Materials: 1 inu 1'11 4 `� 11 � 1"'� Freestanding signs over 6 ft. required a ( U building permit. Will sign have illumination? 1=] Yes g 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 overlap a tenant space? BECOME NULL AND VOID. ❑ Yes < o 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 G day of , 20 0 ' R re of Owne ,gent Salt ) 4( '70-() Contact Person Name Phone No. M e -1 � /o r f (A)a 1 I' s act- t/ 30 7 . B /7 mo fr,_*(AA,7 /sl Ale-6/0A CITY OF TIGARD 10/25/2002 13125 SW Hall. Blvd. 3:44:46PM /Apt lA Tigard, Oregon 97223 IL (503) 63 9-4 17 1 Receipt #: 27200200000000004099 Date: 10/25/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -0021 1 [SIGN] Sign Permit 100- 0000 - 437000 30.00 SGN2002 -00212 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $45.00 Payments: Method Payer User 1D Check No. Approval No. How Received Amount Paid Check BULL MOUNTAIN CONNECT KIP 4005 In Person 45.00 INC Payment Total: $45.00