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SGN2006-10023 J Via CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -10023 TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/17/2006 PARCEL: 2S 102AA - 00490 BUSINESS NAME: MADDY'S ZONE: CBD SIGN LOCATION: 12085 SW HALL BLVD 130 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of on (1) temporary sign 3' X 4' Valid 3/17/06 - 4/17/06 Sign #1 Place on private property, not in public ROW MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 18.00 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: "- DATE: 3/17/2006 . .= > �� CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES ' ` 13125 SW HaII Blvd., Tigard, OR 97223 TIG'ARD 503- 639 -4171 www.tigard- or.gov PERMIT #: SGN2006 -10023 DATE ISSUED: 3/17/06 BUSINESS NAME: Maddy's PARCEL #: 2S102AA -00490 SIGN LOCATION: 12085 SW Hall, Ste. # 130 Tigard, OR 97223 ZONING: CBD APPLICANT NAME: Maddy's JURISDICTION: TIG This is an interim pennit issued during computer system maintenance. The actual permit will be issued and mailed to the applicant within one week of the date issued above. PERMANENT: FREESTANDING: X FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 4' TOTAL SIGN AREA 12 Sq. ft WALL AREA N/A t `� n "0' " - /SL) PG72T`f WALL FACE (DIRECTION): N/A �Lf//) `" /�C- / �"� " ' � " SIGN HEIGHT: 4' s 00 PLu � --I C_ 4Q (1) PROJECTION FROM WALL: N/A ILLUMINATION: No UA-Z_LL 3 h - 7106 - 4+4- /6 '' DESCRIPTION OF SIGN: A -Frame MATERIALS: Wood EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: No BUILDING PERMIT REQUIRED: No ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $18.00 ACKNOWLEDGEMENT: 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 2 r' Issued By: � � • ..1 _ ! L, _______ Permittee Signature: 7 .. ir , I ' I: \Building \Manual Permit System \ManualSGNpernit.doc 03/14/06 • I:r, . SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Develo r ent/Project . Site /,�jlv,/� FOR STAFF USE ONLY Address/ Street Address / // Permit No.: � J ?o- /op t Location /� �` Suite /Bldg. # Cit / to Zip Q Expiration Date: O (o SO /�t� ©Z /t Receipt #:_ Name Approved By: _ / "r Property Y 0 ,4 i ' 0 O Date: 3 /[ 7/ D,(, Owner a n. Address Suite Map/TL #: p p) �j . JL ° h Zonin it /Stat: g Zip Phone tril/f i -' A Tenant or Name Electrical Permit Required? ❑ Yes ❑ No Business ivv S Building Permit Required? ❑ Yes ❑ No N m Rev. 7/1/05 i:\curpin \masters revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a (Note: applications will not be accepted copy of all City /State Zip Phone without the required submittal elements) • licenses are required if • expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form • City of Tigard's License # • database) Iii 2 Copies of Site /Plot Plan, Drawn to Scale Proposed (3 copies, if a building permit is required) Si n ❑ P ermanent ❑ Freestanding El Freeway size requirement: 8 x 11", or 11" x 17" g 0 /Temporary ❑ Wall ❑ Electronic (Check all that ❑ O apply) ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale Er New sign? (3 copies, if a building permit is required) g ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: "/r / , / y ❑ $38.00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.): . ❑ $18.00 Fee (Temporary sign, any type) Si n Data Total Wall Area (sq. ft.) Jurisdiction: El Li Urb g (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): c/` • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and Copy: i sign placement. Materials: a Wall signs do not require site /plot plans. • • Freestanding signs over 6 ft. required a Will sign have illumination? El Yes V 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 over p a tenant space? BECOME NULL AND VOID. ❑ Yes u No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) i 1 1 1 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. r� DATED this /7 day of 'a,/ , 20 Q� ,•01 411111116 . tr - - Sig - ur: , $# ner /Agent (;) Contact Person Name • Phone No. • / SS � r 1 1 i.� III CITY OF TIGARD RECEIPT � � D EVELOPMENT SERVICES R ECEIPT DATE: 3/17/06 13125 SW Hall Blvd., Tigard, OR 97223 JURISDICTION.: TIG T;IGARD 503- 639 -4171 www.tigard - or.gov CASHIER DATE: CASHIER RECEIPT # : LINE ITEMS: Case No. Fee Description Revenue Acct. No. Amount Due S GN2006- 10023 [SIGN] Temp. Sign Permit 100 - 0000 - 437000 $16.00 [LRPF] Long Range Ping. 100 - 0000 - 438050 2.00 Surch. Total Due: $ 18.00 SEE ATTACHED FEE SCHEDULE. PAYMENTS: Payer. Rim Eltinge Method Initials Check No. Confirm No. Amount Paid Cash ST 20.00 Change 2.00 Total Paid: $ 18.00 I: \Building \Manual Permit System \ManualReceipt.doc 03/14/06 CITY OF TIGARD 4/4/2006 ' 13125 SW Hall Blvd. 5:44:28PM Tigard, Oregon 97223 TIGARD (503) 639 -4171 Receipt #: 27200600000000001250 Date: 04/04/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -10023 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -10023 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $18.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Cash RIM ELTINGE ST /DLH In Person 20.00 Change CITY In Person (2.00) Payment Total: $18.00 cReceipt.ipt Page 1 of 1