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SGN2004-00030 C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00030 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/17/04 PARCEL: 1 S 136DD -02600 BUSINESS NAME: MOUNTAIN PACIFIC MACHINERY ZONE: SIGN LOCATION: 11705 SW 68TH AVE JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 41" X 28" TOTAL SIGN AREA: 8 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary 41"x28" A -frame sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. Valid 2/17/04- 3/18/04. Sign #2 MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 da P nr sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 da s fro validity date. APPROVED BY: A PERMITTEE SIGNATURE: k - /� DATE: 2/17/04 A,hli, SIGN PERMIT APPLICATION 1 CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 I GENERAL INFORMATION Name of Development/Project - -d RI-t1F1C A ( � FOR STAFF USE ONLY Site ,1 C t Address/ Street Address Permit No.: N Z�0 - c) 3 Location 1 Dn S(4/ t.p l � '' " � Expiration Date: ;0 f — 3 // 8 6 Suite /Bldg. # City /State Zip T I c (/g 9 X22.3 Receipt #: a-J3� — 0J.5 9 j Name Approved By: r Property _ bm N SM l TO Date: 9 h 7(0 Owner Mailing Address Suite Map/TL #: / s j 1 L= h b — 0 2- 000 n nOj 5-Y4 6 Zoning: ill Lt I C /State Zip Phone ) 9 3 22 3 so (03`)- Tenant or Name Electrical Permit Required? 1:1 Yes 4. No Business M©t4N 7;c\ PA C I� tC - 04-1 c 1 Building Permit Required? El Yes A No Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a copy of all City /State Zip Phone without the required submittal elements) licenses are required if ❑ 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) (3 copies, if a building permit is required) Proposed ❑ Permanent p Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign M Temporary El Wall 1=1 Electronic (Check all that Other El Billboard El Balloon ❑ 2 copies of elevations, drawn to scale apply) (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: (g s � - � ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ['City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W N E N W S E S W Height to top of sign (feet): X1/ / ' 1 • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: ♦ Wall signs do not require site /plot plans. Materials: ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes I `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 1=1 Yes 1:1 No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. I (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 day of , 20 �t Sig ature of Owner /Agent 701714 all Lt9A, sD .- 6•`/ 363- Contact Person Name Phone No. . 97 7 , _ . ,..... ci . t.._, 7. -- .. pf( OF TIGARD i '''''''''' s .. . '''''' b . dd . ....i n ...: E )( 1 7 ' • ...„ , . i- (.7 AJ „c Letter to: Follow ............................................ [ Attach _ Date:-47/0/ , .. . - .(,..c.(k( 1>l PL LC ek .C. ( TV, ki / e i - 2a i (9 5 a scar ••7 ,.. ./ • .. '2 FC C, C-_-: ,:•,/ ../, p il.c. •-•L_ „.•,/, (..7./ 50 (J qd -277 ? , • ,ef,Ls i& ,..( i ;Lel /- 66 A re SA if • 1 _ iir rc cc, te Ll - ....J f e \ CT - ------• 1 • °) 5 (t i(e-(- : . ilrad Qs s: 1 ( --- 7( 1 , 5 e,31>0 61 -1 .--- I .. - f - • ail - • v a:0_ -, 4 e. IL 't -. Di.., ; less na me,. : 1 0 a r , 7/. (pt kt)lif a_ , . tilr' ,I. • . II .,, • r.,,, . , .e . • .'D. 1 , • ,.\,7. . • A.; + .:‹ ..f -...., 0 ---‘ . et. , - 4: • , . ..._ ' ?- .- • r.f) \ , 4 • \ • \ ' .\\ . 1 . ,.... \,..) \ -...._, . J ., C r•- - \ - J 1 I . • _ xl -- (4- -7- ,. . . Q . i ... :. N 5 _. ., e- i C6 SS : /1765 d r.) / US / hi s rtiAll.: 111 II Ai r T.*/ IV p/ f/ c-- ./((k",.rel. !_ • ti) i)ii,/-14.1 : I 9 7 1-- ZD q`b7C)9 CITY OF TIGARD 2/17/2004 13125 SW Hall Blvd. 1:40:17PM ��� - � Tigard, Oregon 97223 (503) 63 9-4 17 1 Receipt #: 27200400000000000591 Date: 02/17/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00030 [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 MOUNTAIN PACIFIC KJP 8299 In Person 15.00 MACHINERY INC Payment Total: $15.00