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SGN2012-00191 CITY OF TIGARD SIGN PERMIT Permit #: SGN2012 -00191 COMMUNITY DEVELOPMENT Date Issued: 12/17/2012 T I G A R 0 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113AC00102 Jurisdiction: TIGARD Name of Business: Indio Spirits Business Address: 7272 SW DURHAM RD, STE# 100 Applicant/Agent: Miller, George Work Description: Installation of new, permanent, 40 square foot wall sign on E face of 7272 SW Durham Rd. Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 13'x3' Total Sign Area: 40 Wall Area: 3500 Wall Face (Direction): East Sign Height: 20 ft. Projection From Wall: 3 in. Illumination: No Illumination Materials: Plastic Electrical Permit Required: No Building Permit Required: Total Permit Fee: $171.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 10 days from validity date. i ll i o Approved By: Permittee Signature: 4a t!P `� ,��, CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 - 503.639.4171 TIGARD Receipt Number: 189515 - 12/17/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00191 Sign Permit 100-0000-43115 $149.00 SGN2012 -00191 Sign Permit - LRP 100- 0000 -43117 $22.00 Total: $171.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 217170 TLEHRBACH 12/17/2012 $171.00 Payor: George R Miller Total Payments: $171.00 Balance Due: $0.00 • • Page 1 of 1 • • .� City of Tigard 4 rr #: Sign Permit Application _ TIi • GENERAL INFORMATIOI'PACTRUST BUSINESS CENTER Name of Development /Project Site PACTRUST BUSINESS CENTER FOR STAFF USE ONLY Address/ Street Address Permit No.: 561\320 12 — OOP 1 Location 7272 Durham Rd. Approved By: 1-10,P Suite /Bld # Cit Zip #100 Portland, Or 97224 Date: 1211712012 Name Pacific Realty Associates, L.P. Receipt #: ('q 51 S Property (PacTrust) Map /TL #: LSS IIAACOOIOZ Owner Mailing Address Suite Zoning: 1 15350 SW Sequoia Pkwy #300 Allowable Total Area: I c J 0 e Ciry/State Zip Phone Por land, OR 97225 503-6246300 Tenant or Name Electrical Permit Required? 1:1 Yes Er No f Business Indio Sprits . Building Permit Required? ❑ Yes - No Volk V Name • Rev. 7/1/12 Fi ve Star Signs, Inc. is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite 8219 SW Cirrus Dr. City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS Portland, OR 97008 '503- 641 -1002 (Note: applications will not be accepted Oregon Const. Cont. Board License # Exp. Date without the required submittal elements) • 192835 01/26/2013 Completed Application Form Proposed © Permanent ❑ Freestanding ❑ Freeway D 2 copies of site /plot plan, drawn to scale Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that apply) © Wall ❑other size requirement: 81/2" x 11 ", or 11" x 17" 2 copies of elevations, drawn to scale © New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: 13' wide x 36" high / size requirement: 8'/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 40 sq ft $171.00 Fee (Permanent sign, any size) ❑ $54.00 Fee (Temporary sign, any type) Si Data Total Wall Area (sq. ft.) 3,500 2 % (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S O W NE NW SE SW Height to top of sign (feet): 20' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 3" must include dimensions of wall face and sign placement. Materials: Plastic, plant & gold • Wall signs do not require site /plot plans. Will sign have illumination? e} Yes 2 No • Freestanding signs over 6 ft. required a building Type: ❑ Internal Di. External permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? © Yes ❑ No (OVER FOR SIGNATURES) If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard- or.gov I Page 1 of 2 APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the "Required Submittal Elements" box. NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of this form or submit a written authorization with this application BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: • If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. • All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving and denying the application. 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. SIGNATURES of each owner of the subject property are required. Applicant Signature Date d Si: ature of Owner /Agent Date George Miller - Five Star Signs, Inc. 503 - 641 - 1002 Contact Person Name Phone No. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 2 of 2 roved CITY of [Ita RCy _ [ ,4 Conditionally Approved.... [ For only the work as described in: PERMIT NO. See Letter to: Follow. [ fl Attach._ Job Address: �, ,� B - Vic. , Date: �= � - ty ' °$ , . 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