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SGN2005-00150 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00150 DATE ISSUED: 5/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AB 05800 BUSINESS NAME: TIGARD CHAMBER OF COMMERCE ZONE: CBD SIGN LOCATION: 12345 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: CLASSIC SIGN SYSTEMS BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: P MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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. Chz- a . APPROVED BY: c PERMITTEE SIGNATURE: 5 DATE: 5/24/2005 I . . : � t SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 . 4 ._ S EP l K 3 GENERAL INFORMATION Name of Development/Project eslu b of- FOR STAFF USE ONLY Site t �LZ �3 L►a"t -e -- C pie/2� - Address/ S Address Permit No.:, 56N:A O 05 - 00 ego Location / 2.34 5 . till r mQ i..y` S 0 0 5 Expiration Date: `/ " Suile/Bldg. # City /State Zip , � rJ --i eunct 9 / - 7 22 3 Receipt #: Name ‘ rte Approved By: o a_4--J- , Date: -S ..?�F - v S Property C I NCI. y 1A loe--- I���e✓ Owner Mailing Address Suite MapITL#: c;?S / o •c3-fi 8 -- 0 S g oc) l 2 4 ,- t t1 m — Zoning: C! 8 f) ✓Yt�, rr� St . City /State Zip Phone 5 O 3 ' 7 ch '172- (pl y a / (o S 4, Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Building Permit Required? ❑Yes Q No Business -s " ` Name / Rev. 30-Jul -01 i:lairplrtmasterskevised perm app. Si '/f's� Sign c a<< i.c_ (S--J y Contractor Mailing Address . 80 d Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit a_0 (Note: applications will not be accepted issuance, a W D f HKi 3^ without the required submittal elements) copy of all City /State Zip Phone Sc2,3 licenses are required if q7 22-3 4 3 , 5 4054/ Jt Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date ❑ 2 Copies of Site/Plot Plan, Drawn to Scale City of Tigard's License # i! 3 .� ( 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 ail that Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 81 x 11'. to 24" x 36" ti New sign? ❑ Alter to existing sign? 0 $50.00 Fee (Permanent sign, any size) Sign Dimensions: 3 r )4 8 ' Vi $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): V 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 E �W� NE NW SE SW • Freestanding signs over 6 ft. required a Height to top of sign (feet): building permit. Projection From Wall (inches): b" • ff work authorized under a sign perrrlilt has not Copy: 5 fl y - A - a c - 1 , 4 , , d been completed within ninety (90) days after Materials: v the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? ❑ Yes M No Type: [] Interval ❑ Extemal Are there any existing freestanding or wall signs at this /Not all jurisdictions accept credit cards, please call jurisdiction for more information. O visa ❑ Mastercard location, including wall signs that overlap a tenant space? / / y � 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. i Amount Cardholder signature /IIVFR FOR Sir�lkl/tTIIRESI 1 I hereby acknowledge that 1 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. '� /'Y1 !q , 20 0 DATED this o2 4 day of y Signature of ent:) c U E iNd S &SCE Contact Person Name Phone No. CITY OF TIGARD 13125 SW Hall Blvd. ii,,,a� s\ Tigard, Oregon 97223 ' (503) 63 9-417 1 Receipt #: 27200500000000002322 Date: 05/24/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00148 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2005 -00148 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 SGN2005 -00149 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 SGN2005 -00149 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2005 -00150 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2005 -00150 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 SGN2005 -00151 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00151 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $88.00 Payments: Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid Check CLASSIC DIMENSIONAL CAC 12566 In Person 88.00 GRAPHICS, INC Payment Total: $88.00 cReceipt.rpt Page 1 of 1