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SGN2001-00218 CITY TIGARD SIGN PERMIT 4 DEVELOPMENT SERVICES PERMIT #: SGN2001 -00218 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/20/2001 EXPIRATION DATE: BUSINESS NAME: SENIOR BENEFITS GROUP PARCEL: 2S110AC -0110 SIGN LOCATION: 11300 SW BULL MOUNTAIN RD APPLICANT /AGENT: ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 5' X 1' TOTAL SIGN AREA: 5 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 10 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one awning sign. Copy on awning is 5' x 1'. MATERIALS: ACRYLIC /STEE EXISTING SIGNS: 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 temporary sigma expire 3 s from approval date. A balloon sign shall expire 10 (JAVA from annmval riatP . APPROVED BY: : f . I ' PERMITTEE S G NATURE DATE: 11/20/2001 , aiew.-94.0.- y,. 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 Sen r e J � /5 Cr6 Air P .�- Address/ Street Address UU Permit No.: 4J A) J 0 Location /i,50 SW Ad/ / )� Expiration Date: Suite /Bldg. # City /State Zip 0?'_ q 7a- '/ Receipt #: e o 1 ' ! 7 Name -Fro( Approved B/ - / / / ` Date: � � � rp. 6A 1/aKk �5erZ Dt l Property 14 l "---/7 � �-.- j / Suite Ma /TL #: S l U A c J too Owner Mailing Address P I , 50 C(cul Zoning: City State , / Zip Jf Phone „ � gi 90 - p Electrical Permit Required? 121 Yes No Tenant or Nam Business U D/j9 /dY .j i, r 6,..„0 Building Permit Required? ❑ Yes No Rev: 30 -Jul -01 i:NcurpinUnastersUevised\sign permit app.doc Name P/ k� ' / 4' Sign �/i�:� „_ •. ∎— „! - Contractor Mailjhg Addre s rita/ /Suite REQUIRED SUBMITTAL ELEMENTS' (Prior to permit G /1 EGG (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all Ci tate Zip Phone licenses are (/1 � ' A/ r , 3-65 required if Completed Application Form expired in the Oregon Const. Co =card 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) size requirement: 81/2” x 11 ", or 11" x 17" Proposed ' Permanent ❑ Freestanding ❑ Freeway Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that . �r El Billboard El Balloon (3 copies, if a building permit is required) apply) J °� size requirement: 81" x 11", to 24" x 36" ❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: 5J x 1 / ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 5 n z NOTES: Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale, Sign Data but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this • Wall signs do not require site/plot plans. section) N S W NE NW SE SW • Freestanding signs over 6 ft. required a Height to top of sign (feet): I 0 / building permit. Projection From Wall (inches): __ • If work authorized under a sign permit has not Copy: 5,i:n, or . n4 -I C' been completed within ninety (90) days after Materials: ArA,v j i C . 5 ) 7 0 the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? ❑ Yeslo Type: ❑ Internal W External Are there any existing freestanding or wall signs at this (— Not all jurisdictions accept credit cards. please call jurisdiction for more information. ❑ Visa ❑ MasterCard location, including wall signs that overlap a tenant space? Q�J / �y Credit card number ❑ Yes No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shorn on credit card square footage must also be submitted. 5 ,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 a O day of //A , 20 a / z • ature of • • r /Agent L _5" - W S Contact Person Name Phone No. - '.145' ..°2: — _ . . •-• •- '• • -'", -,,,." !•- •••, - .- - - . ' '-' ' ' ' ' 'f. -.? • - ; LI ) i, cl, --•,, - . , • - - 4 .. ' e ,, .. CITY of TIGARD ' ' - -- ,'," - 'If .‘ , 4 '1 ' ,- . : --...''‘, 11', , ••-• Z...,. " t .: " 'F:• l ;', i - • _jilt ir ,. i L , et s, a." .. ,..-4; , .]:..?„,.:,-.? - I GEOGRAPI.0 INIpplmA110 AURELGLE, n5,TEm •:.. .. ' 1 ii'. 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'-';', - ' ' ' 'I '''''' '''''---,-. 1 , .... - ''' ''''•• " - ' * 'rr - Information on this map is for general location only and - - ""'"'!•"' . , . .7 • ' , ' 1 - „,,, . _ ,, .. c should be venfied win the Development Services DVISIOn - t* 4 i'... . ' , .-•-■ ' I. - ' - -.• - ,../ .-; , • ,` , i,,,AKt . if. ,, , ' . ..4r7-___, . 3r, ' . _,..F • , ,, ' - - • , ..0. ,__rE •:' , r Ar......,- 14 . '' -.;.,..,.. . ..T 4 ,, ,t,..,,,, 2 , •, ,,,,,;‘ .. , • ' ..: ,I.t., .-. -,114,4 ; al. ...- -} - :' ,41 * . ',..-,, ._ -9 ;',.;., fi . _ t. 4...,. 1,.,.17, Lk . 1 .. ,.-- . 1. 13125SW Hall Blvd - r ' C ...4 " • . '5,. ... • I 7 ., '....' 7,...... ' ... 451 - : .4 ,,..•,- 'AA, 4 ... VII Tigard. OR 97223 --...'. ( :''' `' • -- - Pj - ' . jr . , • ' ..., .." ' ',J:t1.4.1s" ,7„•• ' - • - 't ,••• • • e. 7 - • -,_‘? ',Wei" -• • ' • •,.''' • -..; ' - ' -,,, 72" 't - 114,. ' ' ' • ',. . r •l r _isi.•_..,aN:, - '1•4•..4i1;4 ° _,-1,1r.,,,,,„,g • ....; ii‘fe,,,,,,..• ... -;• : t,;. C : -- . ... ... -4 : , f; -'* M41,14 al ' .,,e'R' " ' ,., "rif,"'ttl,&..1,. . ,. :1.7.4 3i ". ■ ?xj - 7,,; (503)639-4171 Mils //www ci tigard oi us :^... _ -' h.'. ..",:. 's " ' 1 •. .-":": 5 . .•' .'.i..,.. -. - ...„. - . 1-4.,ii,, ...: • v _ ..., ._..-.; Community Development Plot date: Nov 19, 2001; C:\magic\MAGICO3.APR R eceipt # �� 2.7200100000`00.0.004579 ,_:, . .. „ _ ....40410 *, . .. :. Date: 1112012001 , T. I.;D E; M : A R K - . _ COMPUTER INC, - ' , Line' Items: ... - ... - . Case No . Tran Code Description Revenue Account. No Amount Due • • SGN2001 -00217 [SIGN] Sign Permit 100., 0 000- 437000 . - $50.00 SGN2001 -00218 [SIGN]. Sign Permit, • • . 100 - 0000 = 437000 . - $50.00 . • Payments .' Method Payer Bank No - Acct Check No Confirm No: Amount Paid ti` ' Check' - SENIOR BENEWFITS GROUP 0= 3041 $100 - TOTAL AMOUNT PAID: $100.00' •