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SGN2006-00048 CITY OF TIGARD SIGN PERMIT 1 , DEVELOPMENT SERVICES PERMIT #: SGN2006 -00048 tell DATE ISSUED: 2/24/2006 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB-01006 BUSINESS NAME: LINCOLN HEALTH CENTER ZONE: C -P SIGN LOCATION: 10500 SW GREENBURG RD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 6' TOTAL SIGN AREA: 18 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 8 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of a temporary banner 3' X 6' . Please place on private property, not to be placed in public right of way. Sign #1 Valid 2/24/06 - 3/24/06 MATERIALS: VINYL 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: gbh?" PERMITTEE SIGNATURE: rit/ DATE: 2/24/2006 Feb 22 06 10:32a LINCOLN HEALTH CENTER 503 -684 -8184 p.1 02F/16/,2001 15: 45 FAX 5035981960 CITY CIF TIGARD 2002 RECENEDD FEB 2 2 2006 - ciTY rte: e PERMIT APPLICATION CITY OF TIGARD BUILDINC 4.1WH Blvd., Tigard, OR 97223 (5103) 639 -417J ,FAX'. (503) 684 -7297 GENERA! INFORMATION Name of Development/Project - FOR STAFF USE ONLY Site LtNC804 > NTECZ `� Address/ Street AcSdress �69— v c/-,' Location 1056b 3W GRt rlsotetr Pern,'r. No.: Suite/Slag. # City/State 212 Expiation Date: ? / 2 -'I f 0 ( - 3 ✓ 1 4 O 7 • aoo T&Avx. Q2 qi 3 Recelot #: ?) 6o 0 `ra-Y Name f otthR► & ECL A 1r`I Approved B . -Ta2 Property �% lrzbfeRCLES Date: �T. - Owner . Mailing Address Suite M eprTL Q #: /5/ 3.S'11 O/ 07) Co • . GP zoning: City /State • Zip Phone 6-63 o3 1 4 1 a 7 Electrical Permit Re Required? Tenant or Name q ❑Yes No Business LiNCOLA PcCVNA CE>Ntti"& BUIlcing Permit Required? ❑ Yes ' Vi No ame ,. itov. m105 i:lwrpinlmaeterslrevisedtsion permit atw -doc • - iAtjNE ksIaVI r 4 4L• COM Sign - Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Friar to permit (Note; -applications will not-be accepted issuarce, a copy of all City/State Zip Phone without the required submittal elements) ' licenses are required if ' El / Completed A Iication Form expired In the . Oregon Canal. Cont. Boa Exp. Date Application City ofTigard's License R • 0 i database} L f rt, Drawn to Scala - (3 copies, if a building permit is required) Proposed ❑ permanent ❑ Freestanding Q Freeway - size requirement: 8 x 11 ", or 11" x 17" Sign g Temporary ❑ Wall ❑ Elec-tunic (Check ail that ❑ Other ❑ Billboard ❑ B ❑ . 2 copies of elevations drawn to scale aPPty) r L 3 copies, if a building permit is required) X New sign? ❑ Alter to existing sign? 1 size requirement : - 8. /a x 11", to 24" 36 Sign Dimensions: , k CD 1 ❑ $38,00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.):' I F-{ DK $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft) Jurisdiction: i [E City . ❑ Urb (Complete all Direction Wall Faces (circle one): ' Items In this I NOTES: section) N ' S E © NE NW SE SW Height to top of sign (feet):. $ c o Wall signs do not need to be drawn to scale, projection From Wall (inches): O - but must Include dimensions of wail face and Copy . • sign placement. o Wall signs do not require site/plot plans. t � Materials: i'v. i wi VtN'/� Q S ♦ Freestanding signs over 6 ft. required a thrill sign have illumination? l] Yes building permit. No d If work authorized under a sign permit has not Type: ❑ Internal Se 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 1 If 'ryes ", a list or diagram of all sign dimensions and square footage must also be submitted. Feb 22 06 10:32a LINCOLN HEALTH CENTER 503 - 684 -8184 p.2 0,Y16/204, 15:45 FAX 5035981960 CITY OF TIGARD Z003 • I hereby acknowledge that 1 have read this applica,on, that the information given is correct, that 1 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 raleVA 12-4 _ • , 20 OC4 • • • Signature of Owner /Agent • 1 cl Tr; AtPc Fp)O 656 (08 -449 `1 Contact Person Name Phone No. • • • • .e co 0 AN S" w t 444 t 0 5231 I 1 1449 -8o9 d � r zoog z . q" O z 1� i• L L-:" \\/1111T -71:ZET)000] N 0 N (\I a) • Era Ds 3!3k4 CO �p _ • 4;e,' E6g0=][_k711 , L-7,3 rm Ul j 0 1 - y C9 VO 446- Noy R cam► t Vp6 1E44 ri LO Ol w ?" 5o3 . Aga - cies R 8 • VV \Pi` • h oS K z w J w z J 0 z � r \ N 111 CO O co Y _ _ _ 0 N LL CITY OF TIGARD 2/24/2006 - 13125 SW Hall Blvd. 9:25:26AM c. i Tigard, Oregon 97223 p (503) 63 9-4 17 1 Receipt #: 27200600000000000928 Date: 02/24/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00048 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -00048 [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 CreditCard MARIO TOMANO ST 093081 Fax 18.00 Payment Total: $18.00 cReceipt.rpt Page 1 of 1