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SGN2006-00049 C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 -00049 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/4/2006 PARCEL: 2S 113BA - 00400 BUSINESS NAME: COLUMBIA COMMUNITY BANK ZONE: I - SIGN LOCATION: 07632 SW DURHAM RD 125 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 18" X 6'11.25" TOTAL SIGN AREA: 14 sq. ft. WALL AREA: 184 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 9 ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 18" X 6' 11.25" MATERIALS: ALUM /PLASTIC EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: Y 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. Lflt APPROVED BY: " 1441-14 / i PERMITTEE SIGNATURE: t7(./ Wte �"' a.k' DATE: 4/4/2006 A �.: b ,,c � I SIGN PERMIT APPLICATION CITY 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 ,0 4_ IA vtiat toMill• 0144.F.-- Street Address Permit No.: : 7 /J 6 -- Ono `f f Location 7‘ ` 0 Lf - �, J 1''' Expiration Date: Suite /Bldg. # City /State Zip �/61'7/``'J / i4 y� 7779 Receipt #:. Name Approved By: Property Dater a 6 Owner Mailing Address Suite Map/TL #: Zoning: City /State Zip Phone Electrical Permit Required? D4es ❑ No Tenant or Name 1 �- �t�B6►4 Building Permit Required? ❑ Yes El No Business vt ° Fri - Name Rev. 01 -Jul -02 i:\curpin \masters\revised \sign permit app.doc Sign { p& ___. Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit ?43, S ' e /AI. N 4 Pt (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are ! ( 33 required if 1 / -t�E(� �17Z2 ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 70 l c ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Eermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ T emporary Wall ❑ Electronic (Check all that Other ❑ Billboard ❑ 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: 81/2" x 11", to 24" x 36" Sign Dimensions: ( �4 ( ( 1' ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): i4 qct.. ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (n 'f0 (Complete all Direction Wall Faces (circle one): NOTES: items in this section) 0 S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): g`� 2`� but must include dimensions of wall face and Projection From Wall (inches): /I /,4 sign placement. Copy: Cat( H6115- € 4.U4 f3iliA.W • Wall signs do not require site /plot plans. Materials: 1ALi( �/RA5. • Freestanding signs over 6 ft. required a building permit. Will sign have illu ination? ❑ Yes ❑ No • If work authorized under a sign permit has not Type: alnternal ❑ 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 overla a tenant s 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) 1 I r 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 Signature of Owner /Agent Contact Person Name Phone No. . , ,, wyw1 A . SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project y! FOR STAFF USE ONLY Address/ Street Address Permit No.: .5' /•-% vc -f Location 7 "4 Z . - 6-L :i 0 r. o -1 '7 Expiration Date: Suite /Bldg. # ' City/State Zip . /Z 1 /64/`, 777` Receipt #: Name Approved By: Y' , i • Property Date: `%' 1, L Owner Mailing Address Suite Map/TL #: Zoning: City /State Zip Phone El ectrical Permit Required? Yes ❑ No Tenant or Name Business ' L wy,�)Z Building Permit Required? ❑ Yes ❑ No 0_ -a it, t� / v4 C t u -( f�7 Name Rev. 01- Jul -02 is \curpin\masters \revised \sign permit app.doc Sign �/ O�',4 i Z_ i Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit X7,(3. S,' i .. d r ( (Note: applications will not be,accepted issuance. a 7+ copy of all City /State Zip Phone without the required submittal elements) licenses are ,� L Vic. �- y ) -j 1 33 required if + << ' ►— ll'l/ COL I "' ❑ 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) / ` j5 L • (3 copies, if a building permit is required) Proposed El<ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary wall ❑ Electronic (Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) I sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: f ' ( '. (1 %t ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): /4; r te" ❑ $15.00 Fee (Temporary sign, any type) Si n Data Total Wall Area (sq. ft.) ft, g (Complete all Direction Wall Faces (circle one): NO _ TES: items in this section) 0 S E W NE NW SE SW " o Wall signs do not need to be drawn to scale, Height to top of sign (feet): �— but must include dimensions of wall face and Projection From Wall (inches): /L',/, . sign placement. Copy: al...kkeii- 6t ki. 13 • Wall signs do not require site /plot plans. Materials: i�1.'Li0,-il/ -lia5, o Freestanding signs over 6 ft. required a Will sign have illu ination? ❑ Yes El I No fwork or u authorized under a sign permit has not Type: Ill 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 overla 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. DATED this l7 — /Z— day of / C , 20 0:6 i 1 , Sig ature of Owner /Agent . 5 6 5 3 Contact Person Name Phone No. • C I T® OF TIG /` 1 D ELECTRICAL PERMIT /` PERMIT #: ELC2006 -00174 e . ���:� y DEVELOPMENT SERVICES DATE ISSUED: 4/4/2006 l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113BA -00400 SITE ADDRESS: 07632 SW DURHAM RD 125 ZONING: I -P SUBDIVISION: SW CENTER SDR1999 -00020 LOT : JURISDICTION: TIG Project Description: (1) sign lighting. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TUBEART SIGNS 4243 -A SE INTERNATIONAL WAY MILWAUKIE, OR 97222 Phone: Contact #: PRI 503 - 653 - 1133 FAX 503 - 659 -9191 FEES Description Date Amount Reg #: ELE 37 - 554CLS LIC 70956 SUP 366SIG Total REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: l Permittee Signature: � 1 \ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 - 4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. , / \ , - - 7\ -\ 1 -, N „ \ \J 1 ‘ 4 . .. st% '-o- ......". 4tt ,-; ..t .t...... 'I A NI NS , 14 j ,.., --... -... 4. •> ' 1 ''' .......,#.■ \ --I , ,.. ...,, ,..„ -,, , .., 0 0 • 4_1...-Y1 otr)1 S --- -- Pi ., 'Manufacture and install; Specifications: One custom fabricated, ilium. cabinet display tor canopy structure. Cabinet Fabricate from .063" alum 11 SCa. (as indicated per detail). Service from top. Top service opening to have up -rim with over fit panel with down -rim, to prevent moisture. Paint inside of cab. White. 2`- 4 -5/8" T-10" NOTE: Shop to provide - Cover for alucobond above This drawing for signage only, Verify structure (upon completion) by others, cabinet. .063" alum.with foam seal, secure with must coordinate for correct fit, and sheething match. flathead screws. Slightly larger than door on cabinet. Shop Note: Asterix( *) Canopy fabricator needs this space. Installers to cut opening in field. Verify voltage s Background/face - Full bleed Alucobond ( same as canopy) (4 mil) routed for push thru \ logo and push thru and flush letters. edges trimmed back. (see detail) ` DV F Logo enlarged Paint Black semi- gloss. w /partial background. (nts) z -` Logo - two colors, first surf. vinyl on 3/4" clear acrylic with White diffuser on back. Use diffuser 7138 as backer/flange. , ' SCa. 3/8 =1 On face as shown, Black 220 -12, and Bronze 3630 -129. I t rte ' " r 1/8" outlines on both, stripped out to clear. Lazer cut edge. zR , 7rr. 5'-9-1/4" 7... h : overlap 36" lamps 1 1 h_` Letters "COLUMBIA" 3/4" clear acrylic push thru, with fo I White difusser on back. Lazer cut edge. u____ J u u Use diffuser 7138 as backer /flange. 0 ` ,. a TOP => Letters "COMMUNITY BANK " - White 7328 acrylic flush. Use clear acrylic as backer /flange. h a N . : '. , Ilium. - Fit to cabinet, four 36" lamps (overlapped at center). - • 6'- 11- 1/4 " +- 6" vertical centers. HODA Fluor. lamps in contained 6" deep § oa alucobond face (full bleed to canopy) cabinet enclosure, lamps on back, sockets side mount ew Face edges - Trimmed back leaving re eiastmg canopy s ceedd and ti seam End 5'- 5 -1/4• ,t2, from wireway. p , r Seal with Black silicone. I (c graphics oa ; t 2 -1/2•• ! co size; . _ + logo oa 12- 15/16" I ) - . .. I.-COMMUNITY: CO LU M IA 5 13/32" to 5- 11/16" ,. 2-1/2" 2- 15/32" to 3- 5/32" PLAN 2 -1/2' flange / FACE � , Sc top and bottom Sca.1 /4'r =1 • (for fit to canopy) FAIN ?EC S Er a),..0.- Sca.1 /4 " =1 ALUCAa: E .ANOD, SIDE ' • -_ C \ .71,, CowM1131A % e . .. - - --- - . . ..- - _.. ......- PNEUMATIC. TRANSACT – I Wi I i i i i i P E( ASI CJNC. BASIN . PIPE "t7 CONC Ctl 1 ❑AYLIGMI PARKING i 1 i I it F . I / . 1 I � i!_ _._____. i i _ i 1 2, ! r oc . i �� 104093R1 R. Kellogg ic- - - REV;sioNS Ii •;�+ a..,;,r C Q U O T E N U td B E R S A L E S P E R S O N ATE 2 -24 -06 Add background color [ 1 Approved Y, _ • t a 3 -23 06 Remove side one! [ ) A with chan noted o 3191 L.Daile REVISIONS P !Cr COLUMBI °J Signs &Sports Displays Y — -_- 2 -16 06 resize and re-spec. signage. ` a CUSTOMER N UMBER DRAWN BY CUSTOMER SIGNATURE LANDLORD SIGNATURE COMMUNITY BANK } 8 0 = – `+ 4243 -A SE International Way 2 -20 -06 resize and re -spec. 3 -24 -06 (LD) Chny. backgrnd. - - ; j O , : P o r t l a n d 0 R 9 7 2 2 2 104093 Columbia Comm.Bank color back to Black. E s^ 3 5 s 3 1 d /ar hrt ct and K E o B per l ant Rd. � w c e AX X 5 0 3- R 5 9 9 1 9+ F I L E N A d E C H E„ fabricator. r i c a t o r. o A -- - - - - -- t � 't 7632 SW Durham � ` E Portland, OR - ° o t- � ` , Manufacture and install; Specifications: One custom fabricated, ilium. cabinet display for canopy structure. Cabinet - Fabricate from .063° alum 11' -7" SCa. (as indicated per detail). Service from top. Top service opening to have r up -rim with over fit panel with down -rim, to prevent moisture. Paint inside of cab. White. 2'- 4 -5/8" 3' -10" NOTE: Shop to provide - Cover for alucobond above , This drawing for signage only, Verify structure (upon completion) by others, cabinet. .063" alum.with foam seal, secure with must coordinate for correct fit, and sheething match. flathead screws. Slightly larger than door on cabinet. Shop Note: Asterix( *) Canopy fabricator needs this space. Installers to cut opening in field. Verify voltage Background /face - Full bleed Alucobond ( same as canopy) (4 mil) routed for push thru logo and push thru and flush letters. edges trimmed back. (see detail) VI 1 Logo enlarged Paint Black semi - gloss. w /partial background. (nts) Logo - two colors, first surf. vinyl on 3/4" clear acrylic with White diffuser on back. Use diffuser 7138 as backer/flange. Y'''‘ t On face as shown, Black 220 -12, and Bronze 3630 -129. ■"k Sca. 3/8 " =1' 1/8" outlines on both, stripped out to clear. Lazer cut edge. overlap 36" lamps Letters "COLUMBIA" 3/4" clear acrylic push thru, with — 61 ( White difusser on back. Lazer cut edge. �� Use diffuser 7138 as backer /flange. f}, TOP t: Letters "COMMUNITY BANK"- White 7328 acrylic flush. Use clear acrylic as backer /flange. X r'. cp Illum. Fit to cabinet, four 36" lamps (overlapped at center). >' H 6'- 11 -1/4 "+ . 6" vertical centers. HODA Fluor. lamps in contained 6" deep > oa alucobond face (full bleed to canopy) Face edges - Trimmed back leaving cabinet enclosure, lamps on back, sockets side mount N, p, mil flat for full bleed and fight seam End 5'- 5 -1/4" , from wireway. to existing canopy sheetlring. r Q , Seat Mtn Black silicone. r graphics oa 2 -1/2 "* + copy size; _ a + s logo oa 12- 15/16" CITY OF TIGARD r COLU 5- 13/32" to 5- 11/16" Approved —•• -• -•- [ COMMUNITY M U N I I( BANK f `f Conditionally Approved ___.. ._ [ J 2-1/2"*--* FACE ; 2-15/32" to 3 - 5/32" PLAN For only the wor as bed in 2 -1/2 "* flange PER NO. 'V �DIa des¢r top and bottom '" See Letter to: Follow [ J (for fit to canopy) Sca. 1/4 —1 - - Job Address: _Mach 3 ) 'kt''� [ l / 4 " =1 PAINTED ALL /CARO EEL CO 4 SIDE _ - ` / M: NANO. Y By; S� lJ!�G�� Date: �L �f° Sca. 1 ,, r t E • \\ ` ` f _ pppM — — • L _____ — , � v pNEumATC TRANSACT �y {v I Fi 1 o 1 1 f , _. 1»,__. —_ / PRECAST CONC BASIN 1 r F'L1. PIPE 'O CONC CG: i OAYLfGH1 TC_ PARKING i I 1 I 1 -t - - i • • ..- - - 1 1 - -- 1 i r 2' oc Tu beArt 104093-R1 R. Kellogg i : i'5% , ` r'itti -25 -05 REVISIONS [ I Approved „ -- SALESPERSON 2 -24 -06 Add background color. /� QUOTE NUMBER SALESPERSON `DATE - -- (1 Approved w COLUMBIA SJ�E - � . 3191 REVISIONS 323 O6 Remove side panel a Signs &Sports is Displays __ _ _ L . Dailey signage. -- g 2-16-06 resfze and re spec. a o " CUSTOMER NUMBER DRAWN B Y CUSTOMER S T O to E R SI G NATURE LANDLORD SIGNATURE COMMUNI B ANK 0 n = ‘ 4243 -A SE International Way 2 -20 -06 resize and re -spec. 3 -24 -06 (1_0) Chng. backgrnd. s 3 a C Port 1 a n d : 0 R s 7 2 2 2 104093 Columbia Comm.Bank per coord.w /architect and color back to Black. m .. TEL 533 - 653 -113 7632 SW Durham Rd. s ° a - i '� F I L E N A M E C H E C K E D B Y Canopy fabricator. " - -- - - -- - - - - -- - -- o ` t fAX 503- 659 -9131 DATE D ■ E Portland, DR x„ E A I • r _ I v 4pu e s - y' t t { j f ..1.\- / %;(31 � Ai c r � ' y . a ,"V r 9 7z t -•0. 1 '''----,,L / ; , I AA; . F ( I wr � i j � s ` 1 %,,,i17)"v4 27<\\N i 0 a 01 4 Z P � i F® 1 _ • . H io I I 3 • Manufacture and install; Specifications: ' One custom fabricated, ileum. cabinet display for canopy structure. Cabinet - Fabricate from .063" alum 11' -7" SCa. (as indicated per detail). Service from top. Top service opening to have up -rim with over fit panel with down -rim, NOTE: to prevent moisture. Paint inside of cab. White. 2'- 4 -5/8" 3 10" Shop to provide - Cover for alucobond above , r This drawing for signage only, Verify structure (upon completion) by others, cabinet. .063" alum.with foam seal, secure with must coordinate for correct fit, and sheething match. flathead screws. Slightly larger than door on cabinet. Shop Note: Asterix( *) Canopy fabricator needs this space. Installers to cut opening in field. Verify voltage Background/face Full bleed Alucobond ( same as canopy) (4 mil) routed for push thru logo and push thru and flush letters. edges trimmed back. (see detail) ter z Logo enlarged Paint Black semi - gloss. if w /partial background. (nts) Logo - two colors, first surf. vinyl on 3/4" clear acrylic with White diffuser on back. Use diffuser 7138 as backer /flange. V ' L On face as shown, Black 220 -12, and Bronze 3630 -129. c SCa. 3/8 =1 1/8" outlines on both, stripped out to clear. Lazer cut edge. ,,,,,*,.;-A-41%; 7 ., * 5'- 9 -1/4" . 7 ,,* r �1 �, overlap 36" lamps r 7 � ; Letters "COLUMBIA" 3/4" clear acrylic push thru, with fo- I White difusser on back. Lazer cut edge. --- Use diffuser 7138 as backer /flange. 0 ° ', ao TOP e: Letters "COMMUNITY BANK " - White 7328 acrylic flush. Use clear acrylic as backer /flange. >, :, # in 6'-1 1/4" +- Ileum. - Fit to cabinet, four 36" lamps (overlapped at center). — 6" vertical centers. HODA Fluor. lamps in contained 6" deep > 22 oa alucobond face (full bleed to canopy) Face edges - Trimmed back leaving cabinet enclosure, lamps on back, sockets side mount h r4 mil flat f o r full bleed and tight seam End 5'- 5 -1/4• from wirewa . 0 _ % to casting canopy sheething. g) it Seal with Black silicone. r graphics oa , , 1 L 2 -1/ "* 1 _ 1 + copy s ize; r + ° - i logo oa 12- 15/16" { 4 . LL CO LU M8 IA 5-13/32" to 5-11/16" s � . COMMUNITY B ANK : ". 2 -1/2 "* _. ,: 2- 15/32" to 3 -5/32" PLAN 2 1/2 "* flange / FACE t: top and bottom Sca. 1/4 " =1 (for fd to canopy) . ... _.. ... - _ ... .. - __...._ .. PAINTED ' EE' , COLL`, Sca.1 /4 ° =1 ALITCAd: ^tiE C SIDE i ..---- / ■ ` ` ��p pp ^ p/ — � — / — iii . . . ® V`JIS��JII NBII/ , / r &Mac I L CiOMMUNrTY � �_ o . ! .. ` - -... _ -. - .._... __ . ... ...... ... . ELI MAT. r. TRANSAr? PRECAST CONC. BASIN / ELI: PIPE 'h CONIC . ^,t f , DA %LIGH1 7 -0 PARKING i -- 1 2 oc I {$ �f al i s. �t -' f REVISIONS V I S 1 0 N S s � c 104093 R1 R. KCIIo %' I 1 App changes noted -� 2 -24 - ° " Q UOTE NUMBER SALESPERSON RE2 06 Add background color 5 1 O S50NS p YJsy d , u � g - Co - _ 2.16 06 resize an r e s ec. stgna e. — rove LU 1"1 I/*-� s o 'd' Signs &Sports Displays 3191 L. Dailey 3 -23 -06 Remove side oriel y „� o a _ S =s CUSTOMER NUMBER DRAWN 9 Y __p - ----- - - - - -- - _- - COMMUNITY BANK -g � °. 4243 A SE International Way 3 -24 -06 LD CUSTOMER SIGNATURE LANDLORD SIGNATURE T U R E 2 -20 -06 resize and re -spec. ( ) Chng. backgrnd. O o R 9 7 2 2 2 104093 Columbia Comm.Bank per coord -w /architect and color back to Black. _ '�. Portland A " 5 0 3 6 5 9 9 1 9 1 F I L E NAME C H E C K E D B Y Canopy Iabncator A e ari Durham Rd. TEL s 3 7632 SW (3ur A E Portland, OR H x 0 � e, a °E o ,ri � o - v ): Y:. ��Y 1 CITY OF TIGARD RECEIPT �� DEVELOPM SERVICES N RECEIPT DATE: 4/4/06 Y ; �,, , �.� - 13125 SW Hall Blvd., Tigard, OR 97223 JURISDICTION.: TIG FT =IGAIVA 503 - 639 -4171 www.tigard - or.gov CASHIER DATE: CASHIER RECEIPT # : LINE ITEMS: Case No. Fee Description Revenue Acct. No. Amount Due SGN2006 -00049 [SIGN] Sign Permit 100 - 0000 - 437000 33.00 [LRPF] LR Ping. Surcharge 100 - 0000 - 438050 5.00 ELC2006 -00174 Electrical Permit 220 - 0000 - 431510 53.40 Tax 100 - 0000 - 207020 4.27 Total Due: $ 95.67 n SEE ATTACHED FEE SCHEDULE. PAYMENTS: Payer: Tubeart Signs & Sports Displays Method Initials Check No. Confirm No. Amount Paid Check ST 2605 95.67 Total Paid: $ 95.67 I: \Building \Manual Permit System \ManualReceipt.doc 03/14/06 - CITY OF TIGARD 4/6/2006 " 13125 SW Hall Blvd. 6:53:59PM lig °-.'`:. Tigard, Oregon 97223 S g TIGARD (503) 639 -4171 Receipt #: 27200600000000001511 Date: 04/06/2006 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2006 -00049 [SIGN] Sign Permit 100- 0000 - 437000 33.00 SGN2006 -00049 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 ELC2006 -00174 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40 ELC2006 -00174 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27 Line Item Total: $95.67 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check TUBEART SIGNS & SPORTS ST /DLH 2605 In Person 95.67 DISPLAYS Payment Total: $95.67 cReceipt.rpt Page 1 of 1