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SGN2008-00220 . . C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2008 -00220 ZI_GQRD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/2008 PARCEL: 2S 103DD - 00600 BUSINESS NAME: TRI SQUARES ZONE: C - SIGN LOCATION: 13770 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: TRI SQUARES BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 6' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign 3' X 6' Valid 11/22/08- 12/22/08 Sign #1. Must be placed on private property, not in public right of :way. Must meet visual • clearance area requirements. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 19.00 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: wt &,t-S PERMITTEE SIGNATURE: DATE: 11/17/2008 r SIGN PERMIT APPLICA EVER City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97� 1 4 Z00$ Phone: 503.639.4171 Fax: 503.598 CI7 T I G A R D v OF TrUgAD PLA E NGI'!EERI JG GENERAL INFORMATION Name nn , f It I , P FOR STAFF USE ONLY Site i i & 0-) �K 1‘/ 6 C / `� Address / Street Address Permit No.: S&I 3 0108 0 aka Location 13 77o . `' 1 6 i Expiration Date: Suite /Bldg. # City /State Zip t q 1 22- Receipt #: Name Approved By: s ' 1 iti 4-1 " �, A ^� ,) �,�� '/ Property k lc . eI/1►' + L 4 1 -0 -eil' Date: 11 //4071 Owner Mailing Address Suite Map /TL #: -2 51 b 3 t) D 07) b Ui) O� i I 0 SA)J 1 p, 1 Zoning. ei City/State Zip Phone 6 1 122- C °3 lOeP i f _(t:Nr f Tenant or Nye v (� ------5 Electrical Permit Required? ❑ Yes Er-No Business Tel S�X -+F Q' Building Permit Required? ❑ Yes 12- o Name ev. 7/1/07 ea \ � i� ?era ,,,,a 1 Y /[ n , , d e � \curpin \masters \land use applications \ sign permit app.doc Sign r 1 Contractor Mailing "--k i 1 • (Prior to permit 1 Ito go suJ ���Z - �QV lV Q 0 • `_ issuance, opy of all ofall 't City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS copy licenses are - 1 - 1 C' n ` ' > CI' 12 TDBs0C ' D (Note: applications will not be accepted required if E' without the required submittal elements) expired in the Oregon Const. Cunt Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign , Temporary Er Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Bil lboard ❑ Balloon t » " " " app s requirement. 8 /z x 11 , or 11 x 17 ,i New sign? N. Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: C , f / (3 copies, if a building permit is required) 6 size requirement 8 x 11", to 24" x 36" Total Sign Area (sq. ft.): l p ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N © E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes K No permit. Type: ❑ Intemal 0 External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME 1:1 Yes No NULL AND VOID. If "yes", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) ll 121jg lllj" J 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 day of NO VOA- , 20 6 kiCAA'a(b Signature of Owner /Agent I -6 C a_ v0 ,ca3 1(3 Contact Person Name Phone No. CITY OF TIGARD 11/17/2008 M i ll 13125 SW Hall Blvd. 4:08:39PM Tigard. OR 97223 5113.639.4171 TIGARD Receipt #: 27200800000000003884 Date: 11/17/2008 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2008 -00220 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2008 -00220 [LRPF1 LIZ Planning Surcharge 100- 0000 - 438050 2.00 SGN2008 -00221 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2008 -00221 [LRPF] LIZ Planning Surcharge 100-0000-438050 2.00 Line Item "Total: $38.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check . CAROLE VK PETRANEK ST 1 193 In Person 38.00 Payment Total: $38.00 ci ec ipt.rpt Page 1 of I