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SGN2004-00105 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00105 ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/13/04 PARCEL: 2S 102C B -03101 BUSINESS NAME: M H CONSTRUCTION ZONE: C -G SIGN LOCATION: 12950 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 32" X 48" TOTAL SIGN AREA: 10 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of a temporary lawn sign. (32" x 48 "). MATERIALS: WOOD 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 L a � j e ' e ep PERMITTEE SIGNATURE: DATE: 5/13 04/19/2004 08:52 FAX 5035981960 CITY OF TIGARD 03002 A ;sink 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 FOR STAFF USE ONLY Site SG IJa OU -00/ 0 S Address/ street Address Permit No.: Location /07 so 9\i1 - Ph G / Expiration Date: era (/' /3 /a' SulteBldg.f City /State 7Jp _ate (i 1 - 7 — / ��A - a / �� ' G ,. Receipt #: - .42-9 0 q Name n �. Approved By: C • ecm• -✓46.9) , ,� ` Date: 6- - /3 —04 Property N D 10 'J i . 0 Owner Mailing Address LL//� �� Suite Map/TL #: 02 / 0 C e - 03/01 I1"R 6" 5 W KA i S CN1 Zoning: C - G City/State Zip Phone 776144D ©/e— . ( 39 - `J 5'5 Electrical Permit Required? ❑ Yes ❑ No Tenant or Marne / YeS ❑ NO / Building Permit Required? ❑ Business �jo e /An2C;; yr-c, r . Rev. 8/7/2003 i:\curpinlmasters\revisedlsign permit app.doC Name Sign _ F " i;8 Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted Issuance, a Phone without the required submittal elements) copy of all City /State Zip licenses required if ❑ Completed Application Form re expired in the Oregon ConsL Cont. Board Exp. Date City ofTigard's License# 41 2 Copies of Site /Plot Plan, Drawn to Scale _ database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x IT Sign i Temporary ❑ Wall ❑ Electronic (Check all that ❑ Balloon 4 2 copies of elevations, drawn to scale Other Bill ❑ apply) (3 copies, if a building permit is required) la New sign? ❑ Alter to existing sign? size requirement 81/2" x 11 ", to 24" x 36" Sign Dimensions: r/ X 4g u 32 ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 10.6 5 r Z. $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W N E N W S E SW Wall signs do not need to be drawn to scale, Height to top of sign (feet): /=T but must include dimensions of wall face and Projection From Well (inches): s laeement. Copy' . ..4.....,._ —. , ' „' [ 5 Y MI 'Ws do not require site/plot plans. ^ Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes building permit. No T e: ❑ Internal ❑ External • If work authorized under a sign permit has not 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) 3 " 04 /19 /YUV4 U0:04 triA. tion g'wen 1 hereby ac knowledge that I have read this app inns IicatlbA, that the informado nutted are that I am the owner or authorized agent of the owner, and that p corrects in compliance with the City of Tigard. 20.24 DATED this G-' day of // re • Owner /Agent • I \AZ 4 4� . ).4 Phone Na. Contact Person Name F e-S7)-5 0 4-357-?)-74- z•d 2806 1789 COS '4suo0 uosuapuaH puetueW d80 :170 170 TT Real options for the 48" x 32" lawn sign gaZOW ■ \A r • FAIR STATE REPRESENTATIVE 3ide9 �• 2806 4789 E0S •4.suo0 uosuapuaH puejueW d80 :170 170 II ReW '4g1 a ee s A / C+4 , First American Title Insurance Company of Oregon AansamRdb ..... n of amc n=I11�RANCH COMPANY OFOREGON ;' ''-'` . 1700 SW Fourth Avenue Partlued, OR 97201 -5512 �; Mac: (503) 222 -3651 This i is roviri.d ae a convenience !matingproperry 1 American Tulc Insurance Company au1°"m ae Uab!liryfor oily vwtodoru ae may be ducloaedby An actual survey Reference Parcel Number 2S102CB 03101 8503 - .0,1300, ArAl o �' "OP 4 3101 a SEE MAP .T4Ar_ 2S 1 2 B D r 000 413 .32 Ac. ",e 'SI'$ g � �~ `0- ` 31 OQ *3 2900/ 95 2,22 Ac. 19Ac. . -› / �G / s / •800,,�ai, lire' e 4 op 2 I , 3200 $ � .2QA c. 0 k00 ,r, 1 N G ' + oh SEE M ,... 1 2C . 22Ac. R•d 2806 1789 COS •gsuo3 uosJapuaw puetueW d60 :170 170 TI ReW CITY OF TIGARD 5/13/2004 13125 SW Hall Blvd. 2:49:19PM . „ 0 4ii i tA Tigard, Oregon 97223 AttAlk• : 'f: (503) 63 9 17 1 Receipt #: 27200400000000002024 Date: 05/13/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00105 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check JOHN /SUZANNE GALLAGHER CAC 297 In Person 15.00 Payment Total: $15.00