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SGN2009-00214 • CITY OF TIGARD SIGN PERMIT Permit #: SGN2009 -00214 COMMUNITY DEVELOPMENT Date Issued: 10/22/2009 TL£i'r°i;RD` 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102AA04900 Jurisdiction: Tigard Name of Business: Business Address: 12260 SW MAIN ST Applicant/Agent: Carver, Kelly Work Description: Placement of one (1) permanent wall sign 7' X 10' 9" Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 7' X 10' 9" Total Sign Area: 76 Wall Area: 1500 Wall Face (Direction): North Sign Height: 28 ft. Projection From Wall: 1.5 in. Illumination: Materials: CAB /Plastic Gemini Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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. k kial - Approved By: Permittee SignatureG ' � . el SIGN PERMIT APPLICATION • City of Tigard Permit Center 13125 SW Hall Blvd., Tigard. OR 97223 T li Phone: 503.639.4171 Fax 503.598.1960 GENERAL INFORMATION Name of Development /Project FOR STAFF USE ONLY Site /'‘..../ c G. Sr/"T/e+�L 44-4 —.c1...) Q Address/ Street Address Permit No.: Q7 r? ` - L Location / .-W M pj S Expiration Date: Suite /Bldg. # City/State Zip I ( �6 02 97223 Receipt #: i1 5 7 a-e Name Approved By: / a S' i IZ t Property / `a-10 I P �' lG.e7t.t�� �l�Lt�1L Date: t© Owner ailing Address Suite Map /TL #: ) S I D a ill A0 992) ? ( 5w 5 6-, R>�-Fa Zoning: $ GS City /State Zip Phone 5-03 TON. -KrI1' % `'Boaz 491-6080 Electrical Permit Required? ❑ Yes dNo Tenant or Name Business / "2tir L Building Permit Required? ❑ Yes ❑ No Name Rev. 7 /1 /07 ./ _ t \cutpl masters \land use applications \ sign permit app .doc Sign U 4 /Y ��JIC �. .. e )4e." LLC Contractor Mailing Address • Suite (Prior to permit r / I. Issuance, a Ao y / ✓� - //S 1 / . 4 4 7 11 a; copy of all City /State Zip 117 copy REQUIRED SUBMITTAL ELEMENTS licenses are .��,�[ p p�Qp (Note: applications will not be accepted required if �L Lba'Ip1 , Ol ;ti 9 ese 7, ,Ole without the required submittal elements) expired in the Oregon Const Cont B and License # Exp. Date City of Tigard's database) ,. ��8� X Completed Application Form Proposed p(1 `� Permanent ❑ Freestanding El Freeway n 2 Copies of Site/Plot Plan, Drawn to Scale Sign /`❑ Temporary Wall ❑ Electronic (3 copies, if a building permit is required) Check all that ❑ Other Billboard ❑ Balloon 1 " 11", 11" 17" aPPh) size requirement: 8 /z x 11 , or 11 x 17 X New sign? ❑ Alter to existing sign? Ix 2 copies of elevations, drawn to scale Sign Dimensions: a a (3 copies, if a building permit is required) 7 X I D D. size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ?� _. Xi $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) / 19.00 Fee (Temporary sign, any e /,BOO ..3 ❑ $ � P rY �> Y �'P ) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) 0 S E W NE NW SE SW Height to top of sign (feet): Z$ / • , Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 1 • 'iy 7 must include dimensions of wall face and sign Copy: f 49.4 �j j,0 placement. Materials: • Wall signs do not require site /plot plans. C , /� a 3 . �i�ST1 . GrbV1 /1I 1 • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes No permit. Type: ❑ Intemal p 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 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) 09/24/2989 21:08 5032199223 NWFRAMING WAREHOUSE PAGE 03 I hereby aciosenviedge that have read this application, that the infomation given is correct, that 1 am the owner or authorised agent of the owner, mid that place submitted are is compliance with the City of Tigard. - - DATED this , 0 day of C�e C if AAJ 1 c-' B i oc 114 4,„ - 6 c - k Sputum of Owner/Agent X /4 V(Z/2_ - Contact Per/On/slime Phone No Lf£86MOS •00 v6!g pBdwt dd 1:Z0 60 4Z as ■ m 20 ft All ompai , .,,.., F„...„,mliiiiwaill-, ..:-'::‘;',:,•-..1' frame C E M T R A L J [ ., 1 .„..—. ,' .. -. - - '..-'2 .-u l' „ - ' .'. ' ' ' _____ -`,,, , ',....r.,,- .,...,,._, .„,,,, ,..: • , ' :1 -''' - .- :-.- ' ' ' ' ' ; - I: '' ' '''''''''' 7'.;.:.''‘i'''''''''''''''''''''''''' 4.' . :4,,r 4 rx .,,,,i:lirc,,,,,,,,,09 2 .„. ,,,•• „' , ' ''' ;.'..7;1:.`-- i . . 14. ' ' , # ' .."0, CO, V. 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', , -:.f. , .3,1-'°„,:iii:_lj.*** - = ' — V ...1". -, Sttft a -,,, . . . " , .. .q:-;,,,,. " ' . (- - -1 v 1 . - 11' .1 ' -- -- - ,--•.:, ,'-' , -c.--,r1 , ..... . . ..., , .,.. - ,. . , .. ,....,. - - - , _ - --, ''''',,,,. , .--"1 - --_-0 . , ..., ..:%-..-. , 'Aii--'---:,.". ,'' '1'. #,,Pger''' \ ,i,tv,i.alg et" .._ '?-- ... , t.---- ■ ' - - ,e .. . K���� - ^ ~°^ v«mvARD Approved. Conditionally Approved__ ..... 7- For only the work a described In: z PERMIT See Letter to: art Approved OF -' '^~~~°""~~ Conditionally Approved j For only the work as described in: PERMIT 1711 CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TW4P Receipt Number: 175728 - 10/22/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 -00214 Sign Permit 1003100 -43115 $35.00 SGN2009 -00214 Sign Permit - LRP 1003100 -43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 7503 STREAT 10/22/2009 $40.00 Payor: Impact Sign Co Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1