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SGN2004-00283 4 CITY OF TIGARD SIGN PERMIT I4, DEVELOPMENT SERVICES PERMIT #: SGN2004- 00283 I ' l l 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/6/04 PARCEL: 1S136DC-02504 BUSINESS NAME: JEFFERY ALLEN HOME & GARDEN ZONE: C -G SIGN LOCATION: 07295 SW DARTMOUTH ST JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 44" X 154" TOTAL SIGN AREA: 50 sq. ft. WALL AREA: 1,540 sq. ft. WALL FACE (DIRECTION): SW SIGN HEIGHT: 17 ft. PROJECTION FROM WALL: 10 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 50 sq. ft permanent wall sign. MATERIALS: PLYWOOD /WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 32.00 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 fp f . validity / � i APPROVED BY: PERMITTEE SIGNATURE: X / . XV ` DATE: 10/6/04 ..1 SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project Site SEff ' A� L "J 1 - v % c , ptN FOR STAFF USE ONLY Address/ Street Address Permit No.: 5(7 IN 2 O Li < C7 3 Location 7 2g S SW. DAkoup,,1 Tt IT. Expiration Date: Suite /Bldg. # City /State Zip Receipt #: Name Approved By: Property Sat. {IK, . e�4..t -fit Date: 4 '3/40 o� Owner Mailing Address Suite Map/TL #: Zoning: Cr__ (7 Cit /State Zip Phone Electrical Permit Required? ❑s ❑ No Tenant or Name At J E{ ALLE I Building Permit Required? ❑ Yes la-No Business Name Rev. 7/1/04 is \curpin \masters \revised\siqn permit app.doc Cx P b1-1 C, D'S i.O►iNI S LAZ . Sign -- - -- - Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 21S S S F . t2Z"4 AVe . (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are required if POtMAXib OR. 9 ml — ?•a —1-°64 ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) 1 5 d 46 Z cWlle 1 07 (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary R Wall ❑ Electronic (Check all that ❑ Other El Billboard El 2 copies of elevations, drawn to scale apply) ❑ Balloon (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: a ►t 4 )C t S¢ L Fee (Permanent sign, any size) Total Sign Area (sq. ft.): S® 4 ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (0 49 Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale, Height to top of sign (feet): 17 Fr but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: ♦ Wall signs do not require site /plot plans. Materials: gplAiwn4 0 ,,,4 waodctdai ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ® Yes ❑ No building permit. Type: ❑ Internal © External ♦ If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL IX Yes ❑ No Slip, e x $� BECOME 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 `f' day of ( 0 , 20_(24___ .d1‘1,4' Sig ure of Owner /Agent LA-c, v HU ytv -I ___ - 20 G¢ Contact Person Name Phone No. r . .....i_i_T., — 4......L_ t...., , aiiii Li. - JEFFREY ALLEN - HOME & GARDEN IIIIIIIr -..LIN ._ ._ 1 , 1 I n - II a r ----- _ 4 i li, "' --; il • III 1 L tH I j4 li t� f G 9f PT 1 " ` 'T#i3- - - -- .... a --- y I 1 54' I c. ..... „:, o Xi E FFRE ALLEN �/ N HOME & GARDEN 0 0'ia o N ›. a � -3 1- a8 1 "Q 3 —''ap ■ uNi -p C Z a ` ) v 0 . ,- R ✓ cc N T ra p hic CUSTOMER: JEFFREY ALLEN S IGNS S i J n s CLIENT APPROVAL: DATE: ® Copyright 2004 Graphic D'Signs LLC. These Design/Layouts are exclusive. The use of these designs to produce a similar with these Layouts and without written Landlord APPROVAL: DATE: authorization from Graphic D'Signs LLC. is forbidden. CCB#154462 PO#97233 OD #2282 Design by Lac Huynh Date: 9/27/04 LOCATION: 7295 SW. DARTMOUTH ST. ; PORTLAND OR.97223 I j Winco Food Sign View co 2 a) -5 O SW. Dartmouth St. Sign INSTALLATION 1 0" r uuuu ^�muu,u i Five(05),1 /2 "X6" Toggles with Washers r � Sign Weigh about 120 Ibs N : Wall Type Plywood Fascia 3/4" Plywood with 2 "x4" Wood Stud Job Name:Jeffrey Allen CITY OF TIGARD 10/6/2004 13125 SW Hall Blvd. 1 :06:34PM r, Tigard, Oregon 97223 • 4'L (503) 63 9-4 17 1 Receipt #: 27200400000000004430 Date: 10/06/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00283 [SIGN] Sign Permit 100- 0000 - 437000 32.00 ELC2004 -00645 [ELPRMT] ELC Permit 220 - 0000 - 431510 46.85 ELC2004 -00645 [TAX] 8% State Surcharge 100 - 0000 - 207020 3.75 Line Item Total: $82.60 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check LAC V. HUYNH /GRAPHIC DLH 1014 In Person 82.60 D'SIGNS Payment Total: $82.60 Page 1 of 1 cReceipt.rpt