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SGN2006-00064 rp il CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006-00064 TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/14/2006 PARCEL: 2S 102BD - 01900 BUSINESS NAME: HUDSON PLAZA ZONE: C - SIGN LOCATION: 12900 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 6' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): NW SIGN HEIGHT: 5 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign (banner) 4' X 6' Valid 4/15/06 - 5/15/06 Place on private property, not in public ROW Sign #1 MATERIALS: VINYL EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N 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: PERMITTEE SIGNATURE: DATE: 4/14/200. / • h • . I PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Na e of DevelopmentlProject . Site (�Q„ q . A FOR STAFF USE ONLY S treet A Address/ ddress .( . 2o)6 b � 6 7 2900 L RtC-, i j _ Permit No.: •IV Location ! � , r Suite /Bldg. # City /State Zip Expiration Date: • 6P OF, 5.3023 Receipt #: Name ., By: --112-6-14-1 Property f �(( ... 0- g !t.._� Date: Owner . M ailing Address Suite Map/TL#: i •iOc 1) ( " CI) I i jS . 0 - . 2 ' Zoning: e_(,— City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes Er No � (� Business LCt.L Building Permit Required? ❑ Yes Z( No Name 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) 2 Copies of Site /Plot Plan, Drawn to Scale Proposed (3 copies, if a building permit is required) • p ❑ Permanent ,Freest ❑ Si Freeway , 17" Sign .2� size requirement: 81/2" x 11", or 11' x 17 g Temporary ❑ Wall ❑ Electronic (Check all that apply) ❑ Other ❑ Billboard El Balloon E . 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) ew sign? ❑ Alter to existing sign? size requirement: 8 /z" x 11", to 24" x 36" Sign Dimensions: 43(b/ ❑ $38.00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.): 4 n $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) . g Jurisdiction: ' ❑ City . ❑ Urb I (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N • S E W NE 4110 SE SW Height to top of sign (feet : / o Wall signs do not need to be drawn to scale, Projection From Wall (inches): • but must include dimensions of wall face and Copy: sign placement. Materials: o Wall signs do not require site /plot plans. o Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes X 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 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) • 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. g 1 DATED this / 0 day of , 20 �,� A.40 Si. - a - re of Ow 'er Agent PAA -)4. C btiC -2377 Contact Person Name Phone No. 3207- a(s- CITY OF TIGARD 4/18/2006 il m 1 13125 SW Hall Blvd. 9:28:14AM Tigard, Oregon 97223 TIGARD. (503) 639 -4171 Receipt #: 27200600000000001733 Date: 04/18/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00061 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -00061 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2006 -00062 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -00062 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2006 -00063 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00 SGN2006 -00063 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 SGN2006 -00064 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00 SGN2006 -00064 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $72.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check MARLAND H. HENDERSON ST 2132 In Person 72.00 Payment Total: $72.00 t cReceipt.rpt Page 1 of 1