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SGN2003-00119 • CITY OF TIGARD SIGN PERMIT *tw DEVELOPMENT SERVICES PERMIT #: SGN2003 -00119 c- "' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 5/28/03 PARCEL: 2S 115AB -01900 BUSINESS NAME: CARDWORKS ZONE: C -G SIGN LOCATION: 16200 SW PACIFIC HWY G -1 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 12 sq ft temporary A -frame sign. Sign must be place on private property and not in the public right -of -way or visual clearance area. Sign #2. Valid 6/29/03 thru 7/29/03 MATERIALS: WOOD 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 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 ays from validity date. APPROVED BY: , i PERMITTEE SIGNATURE: a='��" `� DATE: 5/28/03 / , A 4» ,�1. SIGN PERMIT APPLICATION qx . 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 /lG /ab j& l) 30 iiIl S C-1/°1--00 Address/ Street Address Permit No.: 3 - Od 11 4 Location l‘ )o S,a), f Fly- I� t' , 7 �/`!' Expiration Date: ( v Z-� �� 3 / Suite /Bldg. # City /State Zip 776446 Op . Receipt #: 2 •` - 24 3 Name Approved By: Property t~J 4 (20 p r Date: 572- 0 Owner Mailing Address Suite Map/TL #: /a50 5:W - /C'tt.). - 1 Zoning: 'C City /State Zip Phone 50 :i /U1104:174 ; o4 91t 69i -0255 Tenant or Na e ❑ Yes [t No Business nab WO-5 Building Permit Required? ❑Yes © No Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a w ithout the required submittal elements copy of all City /State Zip Phone q elements) licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. 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 ❑ Permanent freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign [Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other El Billboard ❑ Balloon El 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) Flew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: I j( ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: • section) N S E W NE NW SE SW Height to top of sign (feet): L ' • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Co py: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes [ct building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. ❑ 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 .0 0 � day of flA y , 20 a itti 61A446/) Signature of 0 ner /Agent Si/4E4W LODAWC-t___ &)3)6,821--,_3:23 2_ Contact Person Name Phone No. A CITY OF TIGARD 5/28/2003 13125 SW Hall Blvd. 11:09:02AM Tigard, Oregon 97223 nal.e (503) 639 -4171 Receipt #: 27200300000000002173 Date: 05/28/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -001 18 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2003 -001 19 • [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 Line Item Total: $30.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check DANIEL J CONNER kip 9011 In Person 30.00 Payment Total: $30.00 3k >,, 60 k 1C 5 /7 A5 PA-Aj /L-6 Ho LE. HO RE 1 - 10 Fu At /lOe,J t7 P En) ' a� u ,A A 4 ul (------------------ Q Cy I ¢e 4 '' <.r .7 �, 'iT y OF TI r'3 f.. ,..1+, thew rk a � in: er' en: 1.----')1 4 i -!v;ii NO. _ C / - (x7 e `q u Let - tc Fol low_.... ..... _ ............ .__...._..... t / (3 S ph� e