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SGN2007-00019 •e CITY O F TIGARD CARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00019 TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/2/2007 PARCEL: 1S136CD-01000 BUSINESS NAME: RECLINER CITY ZONE: C -G SIGN LOCATION: 11745 SW PACIFIC HWY 2007 JURISDICTION: TIG APPLICANT /AGENT: RECLINER CITY BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 2' TOTAL SIGN AREA: 6 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 3 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary A -frame sign. 3' X 2' Place on private property, not in public right -of -way Sign #1 Valid 2/3/07- 3/3/07 MATERIALS: PLASTIC 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. 4/ALL APPROVED BY: L oeec PERMITTEE SIGNATURE: DATE: 2/2/2007 1 . SIGN PERMIT APPLICATION City of Tigard Permt Center 13125 SW Hall Bh.d, Tigard, OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site Oe-cl 1 +'�2�t G Address / Street Address PermitNo.: -t9 Location 1 11 V1 5lA) Pd` c-- 1 Suite /Bldg. # City /State Zip Expiration Date: T � o g 0 1 - 12 - 2_ � Receipt # : ?{SL)7 D ��L Name v Approved By. --- 4-1--- Property mil. t-6— lL Q �S�Y\ Date: '�`l 7O7 Owner Mailing Address Suite Map /TL# : 1 / (° - / 010 PO 60)c. 201430 Zoning: C= City /State Zip Phone l zeJ' © 1e. a 3 5O3 _q44 -6558 Electrical Permit Required? ❑Yes ❑ No Tenant or Name Business Building Permit Required? ❑ Yes ❑ No Name Rev. 7/5/06 3 - + ^ �. is \cutpin \ masters \land use applications \sign permit app.doc Sign 1 `'J Contractor Mailing Address Suite (Prior to permit 23l 3 coy issuance, a REQUIRED SUBMITTAL ELEMENTS coy of all City /State Zip Phone licenses are `� i �ev��d1 � G1�2 503 588 -32,1$ (Note: applications will not be accepted required if c �c without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent Er Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign © Temporar ❑ Wall El Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon 1 apply) ` size requirement: 8 / x 11 , or 11" x 17 " A - bock ENew sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale - Sign Dimensions: Li 3 1 (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): .N.._ ❑ $39.00 Fee (Permanent sign, any size) Si Sign D ata Total Wall Area (s ft g [$19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S 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 copy 22c,�, ,,e +" C i 5 ale_ Tod y placement. J • Wall signs do not require site /plot plans. Materials: - '6 00, t C, kZ him 1510,5 ic_ • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes El- 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 ❑ Yes [2K\T-o 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. DA 1ED this 2 -�� day of Reio fuck , 200 - 1 ( -------k--1 - 1 i..-12.-Ad--4-4 Signature of Own r /Agent 2 I n 5a3 -quiet - (0 66 g Contact Person Name Phone No. recliner_city.plt 1/29/2007 8:48:23 AM Scale: 1:19.20 Height: 113.239 Length: 151.904 in C CjP � e)\' ° Q} R E(.1.11nER (.IT Y .. .... • .. • ... • . .. • ■ . • ■ •.• - . • ■ .. •- C I I' y .: .: , .:: . A RECLIIIER ,iN CITY 3 ... Po i E_ S I k) NOW „ .,,, OPEN " ' •_ • , 1 u • • . 7 .: 1 Sq . `'_ a-, - �//, 4IAC?iL C A p p ' ............................ [ o. Approved ......... .............. [ For only the low0cas PERMIT See Letter to: Follow ............... .................. [ Attach_ Job Addi ,ss: -Su-) 74 6-serc(-icay By: Y-11 D-t aV°1-77- CITY OF TIGARD 2/2/2007 13125 SW Hall Blvd. 12:55:07PM • Tigard, OR 97223 503.639.4171 T IGARD Receipt #: 27200700000000000462 Date: 02/02/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00019 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00019 [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 HEARTLAND HOME ST 5628 In Person 19.00 FURNISHINGS INC • Payment Total: $19.00 cReceipt.rpt Page 1 of 1