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SGN2004-00296 . CITY TIGARD SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00296 II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/13/2004 PARCEL: 2S 112AC - 02700 BUSINESS NAME: CLUB K - ZONE: I - SIGN LOCATION: 07360 SW BONITA RD 100 JURISDICTION: TIG APPLICANT /AGENT: CLUB K - BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 3' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary A -frame sign. (2' x 3') Sign #3. Must be placed outside of right -of -way. Valid from 12/14/04 through 1/13/05. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 0.00 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 10 days from validity date. APPROVED BY: at r', � . (tom.„. . PERMITTEE SIGNATURE: ' ez DATE: 10/13/2004 i 1 SIGN PERMIT :iyr.al APPLICATI 1 O N CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297 GENERAL INFORMATION Name of Development/Project Site v �_ c, e • FOR STAFF USE ONLY Address/ Street Address Location ? 3 C.; U 5t.,) 3 (5 ; o ' , P ermit No.: �� N � v`qg Suite /Bldg. # City /State Zip Expiration Date: - 13 - 7 - " , if f a Cr2. 6 i722_ Receipt #: „:1ob4 - 4531 Name Approved By: (2 , C- -- ,-..,.�, Property S r z / C._,-,;.,,,-.) Date: / 0 13 -- 04 Owner Mailing Address Suite Map/TL #: 90.3 w `14 ,,� s� d S 1 1,3 � �- - v.� - 7 00 Zoning: 1 - L City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business Building Permit Required? El Yes ❑ No Name Rev. 7/1/04 i:lcu •Inlmasterslrevisedlsi•n •ermit a•..doc Sign Contractor Mailing Address - uite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a e i ' (Note: applications will not be accepted copy of all City/State Zip Phone without the required submittal elements) licenses are -- required if — expired in t Oregon Const. Cont. Board ❑ Completed Application Form Cit igard's License # Exp. Date atabase ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Proposed (3 copies, if a building permit is required) Sign ❑ Permanent ❑ Freestanding 1=1 Freeway size requirement: 8 x 11", or 11" x 17" Tem ora ; p ry ❑ Wall ❑ Electronic Check all that j• ,l ❑ Other =1 Billboard 1=i Balloon ill copies of elevations, drawn to scale ❑ New sign? ❑Alter to existing sign? (3 copies, if a building permit is required) 9 g size requirement: 81/2" x 11", to 24" x 36" - Sign Dimensions: 7. x , ❑ $32.00 Fee (Permanent sign, any size) 1 Total Sign Area (sq. ft.): ( Z; ❑ $15.00 Fee (Temporary sign, any type) iign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb complete all Direction Wall Faces (circle one): ems in this NOTES: ection) N S E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and Copy: sign placement. Materials: i ����; • Wall signs do not require site /plot plans. $` `lot `-)% `)-■ 66 " • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 0. No building permit. T .e: ❑ Internal ❑ External • If work authorized under a sign permit has not re there any existing freestanding or wall signs at this been completed within ninety (90) days after cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL ❑ Yes ❑ No BECOME NULL AND VOID. "yes ", a list or diagram of all sign dimensions and i luare footage must also be submitted. (OVFR Fno clnAI Ar..n.-,.. 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. k h , DATED this 1 3 day of C- G , 20 0 / Signature Q Owner /Agen J r c. ��,�. G u.w� SQ3 C2`5LI , U'141`7 Contact Person Name Phone No.