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SGN2005-00230 CITY TIGARD SIGN PERMIT ' 1,1 � DEVELOPMENT SERVICES PERMIT #: SGN2005 -00230 .�f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/3/2005 PARCEL: 2S101 DA -00104 BUSINESS NAME: FARMERS INSURANCE ZONE: MUE SIGN LOCATION: 13333 SW 68TH PKWY JURISDICTION: TIG APPLICANT /AGENT: FARMERS INSURANCE BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 7' X 20' TOTAL SIGN AREA: 140 sq. ft. WALL AREA: 3,617 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of a wall sign (framed banner). 7' x 20' MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 38.00 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: -' ' ` 6t,`" PERMITTEE SIGNATURE: - rr DATE: 8/3/200 f , A i AIX i SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site Fair vv\ ecr5 ZV.S L&.u ..(.P, Address/ Street Address Permit No.: 56k/ a OUS- ou a 30 Location X3333 S. ( 6gGCt„ �/a y Expiration Date: Suite /Bldg. # City /State Zip Receipt #: 3 t`' 7 7 l i t C�(". 912.2:3 A roved By: 0- eo Name //�� laird pp y: Property t'• Z • G.. `1.p(CL v q CO. Date: ri'' o S Owner Mailing Address Suite Map /TL #: a Sr V 1 /OA — Go / 0 '-f 46 4 /LA6Lre 1Diu4 Zoning: [W (.1 E City /State Zip Phone �`'�kv.at �s Ca 3Z3-43.3Z Electrical Permit Required? ❑ Yes No Tenant or Name Business Building Permit Required? ❑ Yes No Name Rev. 7/1/05 is \curpin \masters \revised \sign permit app.doc Sign Q.aUv. s 6 oO'4 S is v. , Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a 16 � S� N{ N hVC 1 t the without required submittal elements) of all City /State Zip Phone q ) licenses are required if io(klav/.l pi. x`12,06 503 - 1 4 L(SS ' ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # O 63 K Z 2_ /loci . Zan 6 [1] p 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Er Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign 15K Temporary IS1 Wall ❑ Electronic (Check all that ❑ Other El Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ❑ New sign? Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: , 4 x ZO ` ./ ❑ $38.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): i 4 ❑ $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq ft.) '36 (1 Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N SO W NE NW SE SW Height to top of sign (feet): 60 ♦ Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and Copy: Gie.l° A f4-act, exi sign placement. ♦ Wall signs do not require site /plot plans. Materials: (j A i k wv ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes j building permit. No ♦ If work authorized under a sign permit has not Type: ❑ Internal 2c External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? 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 uthorize agent o t e own and that plans submitted are in compliance with the City of Tigard. DATED this j Y d day of A cAl a 5 , 20 O S at/k Signature of Owne Agent aocActn Ca(o(e SO3- UL4 Contact Person Name Phone No. Cect 4S 503- (237) CIF , wid ` • •_ • • iiiiu if r y _ Farmers firsf-ever multi-lines sales promofion! -,. _ irbiarti g i ".. _ ________.._ __ _ _ _ ......_ .....:.::...:. `' „ >( - zip.." )1 ____ __ _ __ .. _ „_ . - , , ,_ ____ _ _ . _ __ _ _ _ . _ _ . . . . ,_ . _ _ , _ , * __.... _ CITY OF TIGARD . .. ____ . _ Approved a .. roved [ ' For only the wor as described in: -MIT NO. l"p^j.ZOU5_oo 3 -___ Soe Letter to: Follow 1 • w. Atta h .. . #.i„` f, .0 J b d • ress: �j _ .Cl �_ _ E;y C Ccc% Dato: _- rte _.. .1Qs is A ( 1 S Q .C4-- 4 _ — « . 4 . ______ _ 1 c 20` ( SCZ E C l.eT y t CavNeS 3..� �8-_755I ._ M __ .v i ( E11tMEp5 :� "U.,i, FARMERS Gets you back where you belong' t I /11Ml ' AI FARMERS INSURANCE GROUP OF COMPANIES r __ Green denotes location of partitions. !!Ft'CI 1M 1333R S.W. HAL GOTH PKWY. 11!lARO. OREGON 97723 ITT() n 7 \ , a • . u it O • i O Ki ,...,,... %' ` . • Pilillp . . c am . ��,� MITI FLOOR = II AS —BUILT ��� ^ PUN � s -. 99 1/1'.0 -o -- - FOURTH FLOOR no - „ O/72 -9000 A1.04 holding line only - do not print For Auto Insurance , c all Farmers a Agent at 1-8OO-FA wir before after " Hamm FARMERS' Gets you back where you belong: , 12' x 24' poster @ 1/2" scale (5.375" x 11.5 ") Craig Mills, CPCU Marketing Specialist FARMERS /IN OROUP E / \ r '� FARMERS' 13333 SW 68th Parkway "Tigard, Oregon 97223 Phone: (971) 506 -4026 Fax: (503) 443 -6364 Crai . mills @farmersinsurance. Registered Principal Farmers Financial Solutions, LLC 2423 Galena Avenue, Simi Valley, CA 93065 Phone (805) 306 -3400, Member NASD 1 CITY OF TIGARD 13125 SW Hall Blvd. ii A ,, , iii ,i T igard, Oregon 97223 4 ':. (503) 63 9-417 1 . Receipt #: 27200500000000003677 Date: 08/03/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00228 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 SGN2005 -00228 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2005 -00229 [SIGN] Sign Permit 100- 0000 - 437000 33.00 SGN2005 -00229 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2005 -00230 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2005 -00230 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 Line Item Total: $114.00 Payments: Method Payer User ID AcctJCheck No.Approval No. How Received Amount Paid CreditCard CRAIG R MILLS CAC 413871 In Person 114.00 Payment Total: $114.00 cReceipt.rpt Page 1 of 1