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SGN2007-00214 • 17 1 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00214 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/26/2007 PARCEL: 2 S 103 D D - 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: 16 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary banner 3' X 6' Valid 12/27/07 - 1/27/07 Sign #2 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: / � ' PERMITTEE SIGNATURE: C71P-1-41-a-67 (,° DATE: 11/26/2007 SIGN PERMIT APPLICATION City cf Tigxnd Pernt Center 13125 SW Hall Blzd, Tigmi OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site T i rri r ran cse Address/ Street AddresZ Permit No.: 'b. 6 i a-07.1 7- Uvi Location 13 7 - 7 0 5 W PQ.c t 1 c A w1 Expiration Date: Suite /Bldg. # City/State Zip csar 0 9722 -5 Receipt#: ?OD7.S171 Name Approved By 5 - TP - Property Date: 1, / p �Sfo3 iA- av�a Owner Mailing Address Suite Ma /TLS Zoning: N City/State Zip Phone Tenant or Name Electrical Permit Required? 1:1 Yes AK No Business Building Permit Required? ❑ Yes 2, No Name Rev. 7/1/07 is \cwpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, all a REQUIRED SUBMITTAL ELEMENTS copy of City/State Zip Phone licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Coast. Cont. Board License # Exp. Date Gty of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 1 2 Copies of Site /Plot Plan, Drawn to Scale Sign [g, Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17" apply) Ol ❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 3 . _ 4 i (3 copies, if a building permit is required) size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 1 g 3y f4 • ❑ $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. Co py' • Wall signs do not require site /plot plans. Materials: VI N A t_ • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ak No permit. Type: ❑ Internal ❑ 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 E] Yes 0-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 day of , 20 Signature of Owner /Agent Contact Person Name Phone No. • CITY OF TIGARD 11/26/2007 � � 13125 SW Hall Blvd. 10:12:01 AM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000005171 Date: 11/26/2007 Line Items: Case No "Fran Code Description Revenue Account No Amount Paid SGN2007 -00 2 1 3 [SIGN] Temp Sign Perri 100- 0000 - 437000 17.00 SGN2007 -00213 [LRPIT] LR Planning Surcharge 100 -0000 - 438050 2.00 SGN2007 -00214 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00214 [LRPF] LR Planning. Surcharge 100-0000-438050 2.00 line Item Total: $38.00 Payments: Method ('aver User ID .acct. /Check O. Approval No. How Received Amount Paid Check ERIC C OR DEBRA J MARGESON ST 4312 In Person 38.00 Payment "total: $38.00 r cRcceipt.rp1 PaiC 1 01' I