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SGN2004-00009 CITY TIGARD SIGN PERMIT A ' i DEVELOPMENT SERVICES PERMIT #: SGN200400009 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 1/15/04 PARCEL: 2 S 110AB -00200 BUSINESS NAME: OREGON MARTIAL ARTS CLUB ZONE: C -G SIGN LOCATION: 14335 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of a 24 sq foot banner. MATERIALS: VINLY BANNER 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 date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expir days from ity date. APPROVED BY: —- ? PERMITTEE SIGNATURE: dn2 6.77 DATE: 1/15/04 A i,ii. SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 , ENERAL INFORMATION • Name of Development/project Site O�CtO\ ►n'�G o FOR G FOR STAFF USE ONLY Address/ Street Address Location i��3 � Permit No.: SC? N _ v G 6 .% 5 Pat% 1 H t,� Suite /Bldg. # City /State Zip Expiration Date: . X 1 - 1 ` 3 "1- °v J Y c7 1- 1 c6grIX 1 OR A >�ay Receipt #: 0 y' • Name Approved By: /C Property J�t`1`� 1ko� - p er Date: 1 /1,� ! �p Owner Mailing Address Suite Map/TL #: Zoning: ( (3 City /State Zip Phone TttyQ O tenant or Name Electrical Permit Required? ❑ Yes ❑ No 3usiness 01`1=--C\01\ V c \. a t ,1 � Ci Building Permit Required? ❑Yes ❑ No Name 1 tic Rev. 8/7/2003 is \curpin \masters \revised\sign permit app doc Sign :ontractor Mailing Address Suite Prior Prior to permit REQUIRED SUBMITTAL ELEMENTS t e, a (Note: applications will not be accepted opy of all City/State Zip Phone without the required submittal elements) tenses are equired if xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form :ity of Tigard's License # atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale pro osed (3 copies, if a building permit is required) p ❑ P ermanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" 'tgn © Temporary ❑ Wall ❑ Electronic Check all that Other ppl ❑ ❑ Billboard ❑ Balloon E] 2 copies of elevations, drawn to scale IKI New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: --s size requirement: 8'/2" x 11", to 24" x 36" X ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): % � 1 si ❑ $15.00 Fee (Temporary sign, any type) >ign Data Total Wall Area (sq. ft. Jurisdiction: ❑ City ❑ Urb Complete all Direction WaII F s (circle one): erns in this NOTES: ection) N S E W NE NW SE SW Height to top o sign (feet): • 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: V ( �,�n�r • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 'Q No building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not kre there any existing freestanding or wall signs at this , been completed within ninety (90) days after Dcation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL ❑ Yes No BECOME NULL AND VOID. r "yes ", a list or diagram of all sign dimensions and 1 ' ,quare 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 (S kv\ day of - S - a/■tAe. *- , 20 (Ar■j( Signature of Owner /Agent (,) 4 5 - S3 Contact Person Name Phone No. \kJ \k/ CITY OF TIGARD 1/15/2004 13125 SW Hall Blvd. 4:12:50PM idiiit Tigard, Oregon 97223 °;'� �'� (503) 63 9-4 17 1 Receipt #: 27200400000000000140 Date: 01/15/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00009 [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 • OREGON MARTIAL ARTS CLUB KJP 701 In Person 15.00 INC Payment Total: $15.00