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SGN2005-00099 CITY TIGARD SIGN PERMIT �.1 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00099 -I 'l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/19/2005 PARCEL: 2S 112AC - 01801 BUSINESS NAME: OREGON BOLT ZONE: I - SIGN LOCATION: 14965 SW 72ND AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 36' - "X36" TOTAL SIGN AREA: 109 sq. ft. WALL AREA: 1,165 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 11 ft. PROJECTION FROM WALL: 1 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one 109.8 sq ft permanent wall sign. East elevation MATERIALS: FORMED PLAST EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 37.00 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: i PERMITTEE SIGNATURE: fiv\- DATE: 4/19/2005 .� it it SIGN PERMIT APPLICATION ,L CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project Site Oregon Bo/t, r . FOR STAFF USE ONLY Address/ StreetXddress Permit No.: S L-N. Z - -'Cc c>s'l 7 Location 14 SW 72nc1 Ave Suite /Bldg. # ' City /State Zip Expiration Date: Tigard OR 6 17224 Receipt #: 5 - 14a 2 Name Approved By: Pi k . Property r'ST Di ve ±tmehtS 11--C , Date: V( / !ice Owner Mailing Address Suite Map/TL #: Pa, Box 23 /75 zoning: j City/State Zip Phone Tigard , OR� g72SI ;9a • 8 269 Tenant or Name Electrical Permit Required? ❑ Yes 1-No Business U/"eOQY) BOCt' . Building Permit Required? ❑ Yes El.--No Name q i Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc Sign signCra -t • jE /F'cfr' /-t dver1<' Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit F-0, E?X 03(.0.31.42 (Note: applications will not be accepted issuance, the required submittal elements) , a w ithout th uired bmittal elts copy of all City/State Zip Phone Q ) licenses are ! r a�.�,t OR �-i 23 2 -\ required if 9 ill 2 Z 6 ��� expired in the Oregon Const. Cont. Board Exp. Date Completed Application Form City of igard's License # 1 65420 q '22'65 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Proposed (3 copies, if a building permit is required) ro p ❑ Permanent ❑ Freestanding ❑ Freeway s e requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary © Wall ❑ Electronic (Check all that ❑ l ❑ ❑ 2 copies of elevations, d apply) Other Billboard Balloon drawn to scale (3 copies, if a building permit is required) ew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 3(.' 36 " ❑ $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): / 09 g5 , �, 9 ❑ $17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) /VS- & Jurisdiction: 11 City ❑ Urb (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): J / 4-' • Wall signs do not need to be drawn to scale, Projection From Wall (inches): /► /Z " but must include dimensions of wall face and Copy: OREGON PELT, INC. sign placement. Materials: �I'r»eG/ [ la Sf1 G ' Wall signs do not require site/plot plans. • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ building permit. No • If work authorized under a sign permit has not ype: ❑ Internal ❑ 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. 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 l dayof # / 20 �S Signature of 0 er /Agent 6 hel /ey eQkw 639 Contact Persoh Name Phone No. Non - Illuminated Wall si OREGON BOL1 1NC. 56"131ack #2025 Injection molded Gemini Minnesota letters, stud OREGON BOLT INC mounted to building facia. o T tal Sign Sot. Ft.: 109.8 wnie inuou Total Frontage Sq. Ft: 11S. ARD rrsw^d [S‘ Acpro 3c1 I (. Or ■s, 1:ie work as described in: NO 5/J251c3 qF v _ Lctter to Follow [ 1 1 Attac t.,) qh-CY.- Froject: Oregon Bolt Inc. 14965 SW. 72nd Ave. - SignCraft Fortland, OR 97224 "NW" Date: March 28, 2005 SIGNCRAFT ELECTRICAL ADVERTISING LLC. Contact Ron iiede 9033 SW BURNHAM FO BOX 23636 TIGARD, OREGON 9722 man 5 : 505-639-4910 F: 503-659-4999 Approved: email: sigricrft@pcez.com CITY OF TIGARD 4/12/2005 13125 SW Hall Blvd. 3:01:27PM ii„,,,M, i Tigard, Oregon 97223 ,_ �� (503) 63 9-4 17 1 Receipt #: 27200500000000001620 Date: 04/12/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00099 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 SGN2005 -00099 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00 SGN2005 -00100 [SIGN] Sign Permit 100- 0000 - 437000 32.00 SGN2005 -00100 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $74.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check SIGNCRAFT ELEVTRICAL MS 2678 In Person 74.00 ADVERTISING LLC Payment Total: $74.00 'BReceipt.rpt Page 1 of 1