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SGN2002-00086 , ' A CITY OF TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2002 -00086 � ' r7f li 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/24/2002 EXPIRATION DATE: BUSINESS NAME: PILLOWS PLUS PARCEL: 2S110DC -0230 SIGN LOCATION: 11525 SW DURHAM RD D -2 APPLICANT /AGENT: PILLOWS PLUS ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 14' TOTAL SIGN AREA: 28 sq. ft. WALL AREA: 277 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 11 ft. PROJECTION FROM WALL: 10 in. • ILLUMINATION: NON DESCRIPTION OF SIGN: PERMANENT PLACEMENT OF (1) NON - ILLUMINATED WALL SIGN. MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N 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 tem. - : ry sign shall expire) ays from approval date. A balloon sign shall expire 10 days from annrnval data / / 4'i " £ f APPROVED BY / � PERMITTEE SIGNATURE: ' AMMTh DATE: 5/24/2002 Ir. :14 ,. 'gill; 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 � i 1� C S I l�l s . A � a00: d - ®d 0 t& Address/ Street Address Permit No. Location t\ 5z s SIO VW Itxtvl Rai . Expiration Date: /V' /3 /q0 Suite /Bldg. # City /State Zip D 2 1 ; 5 ,r- 4 Ott- ct --- 7.2z3 Receipt #: n Name Approved By: 46e ' Property Lc,- y4 ryr.) Pjc ,QPce- - 1 ; c, S , Date: 5/.2 2 ��(`� M ailing Address Suite M /TL #: a ' v D C - O a ✓`� O Owner P 5, SW (o +t_ `jWte_ Li 0 a Zoning: — City /State Zip Phone 6 -- \ -- 0 t2 C 7 Se 3 Zz a -2.13c, Electrical Permit Required? ❑ Yes 13 Tenant or Name Business (1 -, � a „ e( ,.-5 Building Permit Required? ❑ Yes o Name �” Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc Sign \'`()© Qt-' Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a n� 1 o / taw/ ae (Note: applications will not be accepted all `1 copy of all City /State Zip Phone without the required submittal elements) licenses are tt �� required if �; ow ek O2. 5-1e1 - `t 4 O Lt' Completed Application Form expired in the Oregibh Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) ( 7 (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", or 11" x 17" Proposed , /Permanent ❑ reestanding ❑ Freeway — / Sign ❑ Temporary [w all ❑ Electronic L/ 2 copies of elevations, drawn to scale (Check all that (3 copies, if a building permit is required) apply) ❑ Other I: Billboard ❑ Balloon Sze requirement: 8'/2" x 11 ", to 24" x 36" New sign? ❑ Alter to existing sign? $50.00 Fee (Permanent sign, any size) Sign Dimensions: Z I ' 1 (Temporary g y typ ) X y El $ 5.00 Fee sign, any e Total Sign Area (sq. ft.): Al . H- NOTES: Total Wall Area ( ft.) r • Wall signs do not need to be drawn to scale, Sign Data a 7 �"f but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): • sign placement. Items in this section) N S 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): / b' 4" building permit. Projection From Wall (inches): /0 "• • 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? El Yes ONo BECOME NULL AND VOID. Type: ❑ Internal ❑ External 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 / / 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. 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 0( 1 0.y , 20 c'Z Signature of Owner /Agent `))4 3-l9l rtLlC`9 Contact Person Name Phone No. \ l -■ .2i —1 l ,. t ..... .-D _ , _____I - _ ...... t - _ 1 2 . e 1-0.-f2-* r-■..) 0,.:-A--1..e-A ., , Lf \ c Arl..rayso .. -.:-. Conditomely Approved For anly the workAs descrilo :o: F ERMIT No. St e leikerf to Follow_ I . / Caw ._ Jots AJdi 5A 1/4512A" rze ALAA ... 2_ ily:_...44 ____ ... _La ..., E 9 Fill COPY (....... Rilotos PLLs t15,5 sio 0- 2_ ---- r - raidwi aL Tn2.3. Receipt #: 27200200000000001919 �� Date: 05/24/2002 T I D E M A R K COMPUTER SYSTEMS, INC, Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00086 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00 SGN2002 -00087 [SIGN] Sign Permit 100- 0000 - 437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. - Amount Paid t Check MNO CORPORATION DCP 4260 0 $100.00 TOTAL AMOUNT PAID: $100.00