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SGN2005-00030 C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00030 I, DATE ISSUED: 2/11/2005 — ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S134BC -00900 BUSINESS NAME: TIGARD SUV AND AUTO REPAIR ZONE: C - G SIGN LOCATION: 12394 SW SCHOLLS FERRY RD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: • SIGN DIMENSIONS: 18" X 8' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of a new, additional sign on an existing freestanding sign structure. MATERIALS: PLASTIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: • BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: �N ` Q/ i'�' " ` - ' (/ PERMITTEE SIGNATURE. An't. - DATE: 2/11/2005 - 02/10/2005 16:58 FAX 5035981960 CITY OF TIGARD U002 �>",,.rr,,,,. „.I ., :SIGN PERMIT AP P LI CATI O N CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION _ Name or Development/Project FOR STAFF USE ONLY Site Address/ Street Address Permit No.: 64)a005--0030 A � Location /;.3 �� HY7lt! / �� r'J Expiration Date: Suite /Bldg. # City/State Zip � �'t q7Zig Receipt #: 2 s OSD 9 Name Approved By: CG( -G �� / C ,2n!, fOL.vl7 77>0 Date: - /".C S Owner ress Suite Map/TL #: / 6 / 34 Z3 e — O) o0 owner Mailing _ % / �_ p c;• - f ' 2„; Zoning: G . City /State Zip ✓twei Phone J Z4 ' 2 E lectrical Permit Required? El Yes ®' No Tenant or Name t Business --ft/b 4 4S1.) V .4./a 4 �� Building Permit Required? ID Yes / El No Name Rev. 1/3/05 i:\cureln\maatere \revlsedlslgn permit app.doc Sign 3Z- b L. A. '\; (I LUk''bc Contractor Malting Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit ( q k9 5uJ O.-- Sr (Note: applications will not be accepted issuance, a _ without the required submittal elements) copy of ell city/State Zip Phone licenses are `'t -0o1 ,S`0.3- 0e. L ( required If A L+oI ( - ❑ Completed Application Form expired In the Oregon Const. Cont. Board Exp. Date City ofTigard's license# database) (Js S - ri (, ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed 0 Permanent g Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ E llboard ❑ Balloon apply) (3 copies, if a building permit is required) • g New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: / 0 r r X 0 ,U ❑ $37.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft): / Z SGT FY: ❑ $17.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) /I.) / Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items In this section) N S NE NW SE SW • • Wall signs do not need to be drawn to scale, Height to top of sign (feet): N �,, • but must include dimensions of wall face and Projection From Wall (inches): 134 sign placement. Copy: f,) 1 r 6 • Wall signs do not require sitelplot plans. _ Materials: l „I Iry • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ID, building permit. No • If work authorized under a sign permit has not Type: ❑ Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL . location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. . ® Yes ❑ No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) Q2/10/2005 16:59 FAX 5035981960 CITY OF TIGARD Z003 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 /' ���v/`�� , 2 125 Clela( Signature of Owner /Age t / 0DD (2 () L5 - (-r Contact Person Name Phone No. CITY OF TIGARD 2/11/2005 13125 SW Hall Blvd. 4:29:41PM �,���� Tigard, Oregon 97223 d. (503) 63 9-4 17 1 Receipt #: 27200500000000000589 Date: 02/11/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00030 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 SGN2005 -00030 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 Line Item Total: $37.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid CreditCard DANIEL CHILDERS/T1GARD CAC 011112 In Person 37.00 SUV & AUTO Payment Total: $37.00 cReceipt.rpt Page 1 of 1 ( .,.,. . l.A 1> .1.. .; \\ _ , ,DO... 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