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SGN2007-00134 M I CITY O F TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00134 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/16/2007 PARCEL: 2S 102AC -01704 BUSINESS NAME: CORNERSTONE PROPERTIES NW ZONE: CBD SIGN LOCATION: 12720 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 3' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary banner MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: 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 /' ` J - PERMITTEE SIGNATURE: DATE: 7/16/2007 ■ , 1 14 q SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blul, Tigard, OR 97223 Phone 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development/Project FOR STAFF USE - - w ONLY Site tor Acc S4ar� Properk-i Qs 44 S Address/ Street Address n Permit No.: Za 3 1 Location 21 2.0 S �AG .t } I G w11,i . Expiration Date: 8 /1 6 I ZOO1 Suite /Bldg. # City /State Zip STE- A. ' ' ccA•Rb, Q/'Z 97223 Receipt # : 3a k1 Name 1R1CA AQ' 11 3RAEK dk °. Approved By 1 Property PO s\(..cr Pro per •V;Q5, Date: — iii (=> 1 —1 Owner Mang Address Suite Map /TLt : SAME. AS A$6.1£ Zoning: L' --r, City/State Zip Phone Tenant or ?CO Electrical Permit Required? ❑ Yes , ,No ame Business uilding Permit Required? El Yes RNo r nor �o �¢. `r � Qs•�¢.s 414 Name Rev. 7/5/06 i \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) Completed Application Form Permanent Freestanding Freeway Proposed ❑ ❑ g ❑ y 11 2 Copies of Site /Plot Plan, Drawn to Scale Sign ag4emporar ❑ Wall ❑ Electronic (3 copies, if a building permit is required) ( all ` ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17" New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: a � / x 3 • (3 copies, if a building permit is required) G size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ^' .Z� �" So( , 44 . ❑ $39.00 Fee (Permanent sign, any size) Sign Data Si Total Wall Area (sq. ft.) g I.1 $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this section) G S E W NE NW SE SW Height to top of sign (feet): 8 .ct . • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 4)- must include dimensions of wall face and sign placement. pY • Wall signs do not require site /plot plans. Materials: • • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ' No permit. Type: ❑ Internal tik Extemal • 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) 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 CD day of 6 )k N ,20 07 : ignature of Owner /Agent St� SO,3 -330 -- Abk, Contact Person ame Phone No. ,*,CoRNERSTONE ♦ P R O P E R T I E S NW 3 Residential & Commercial Realtors 503- 598 -9769 17! CITY OF TIGARD 7/16/2007 13125 SW Hall Blvd. 1:12:35PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000003281 Date: 07/16/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00134 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00 SGN2007 -00134 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00 Line Item Total: $19.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check CORNERSTONE PROPERTIES EAE 124 In Person 19.00 NW Payment Total: $19.00 cReceipt.rpt Page 1 of 1