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SGN2010-00107 7 '- '12 , P, ;5 1 C ITY OF TIGARD SIGN PERMIT C . -` _ Permit #: SGN2010 -00107 COMMUNITY DEVELOPMENT Date Issued: 06/11/2010 %I Parcel: 2S102AA00602 koo tairgu e 13125 SW H all Blvd., Tigard OR 97223 503.639.4171 Jurisdiction: Tigard Name of Business: Kaufmann Streamborn Flyfishing Business Address: 11960 SW PACIFIC HWY Applicant/Agent: Forster, Dave Work Description: Placement of one (1) permanent freestanding sign 90" X 109" X 240" Permanent: Yes Freestanding: Yes Freeway: No Temporary: Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 90" X 109" X 240" Total Sign Area: 68 Wall Area: Wall Face (Direction): Sign Height: 20 ft. Projection From Wall: in. Illumination: Internal Materials: Lighted Sign Cabinet Electrical Permit Required: Yes Building Permit Required: Yes Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: A/69 al/a Permittee Signature: 6 d dOKl ri SIGN PERMIT APPLICATIO- . r City of Tigard Permit Center 13125 SW Hall Blvd., Tigard ( VI V E Phone: 503.639.4171 Fax: 503.598.1960 • ` ° r ' MAY 2 6 2010 CITY OF TIGARD GENERAL INFORMATION PLAN!W''.'!VG!'vFER!NG Name of Development /Project Kaufmann Streamborn Flyfishing FOR STAFF USE ONLY Site Address/ Street Address Permit No.: ;11) l0 - !12? ( 07 Location 11960 SW Pacific Hwy Suite /Bldg. # City /State Zip Expiration Date: Tigard, OR 97223 Receipt #: Name Approved By: r 5 - T l Walt Aman f / ( O Property Date: '6j6 / � Owner Mailing; Address Suite Map /TL #: ,E,/.5 /0 a- 4-: 0 D-- PO Box 2990 Zoning: 4 u C t? i City /State Zip Phone Tualatin 503 - 692 -9182 Tenant or Name Electrical Permit Required? Yes ❑ No Business Kaufmann Streamborn Flyfishing Building Permit Required? isf Yes 111 No Name Rev. 7/5/06 Malaya Signs is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit 7625 NE ML King Jr Blvd issuance, a copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are Portland 97211 503 - 517 -0990 (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License Exp. Date City of Tigard's # 178858 10 /11 database) El Completed Application Form Proposed Permanent 10 Freestanding ❑ Freeway 111 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary El Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that El Other ❑ Billboard ❑ Balloon 1 » » 11" apply) size requirement: 8 /z x 11", or 11 x 17 " ,New sign? El Alter to existing n 2 copies of elevations, drawn to scale sign? (3 copies, if a building permit is required) Sign Dimensions: 90" x 109" x 240" size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 68 sq ft (2sided) ❑ $39.00 Fee (Permanent sign, any size) Total Wall Area (sq. ft.) n $19.00 Fee (Temporary sign, any type) Sign Data (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, but must Height to top of sign (feet): 240" include dimensions of wall face and sign placement. Projection From Wall (inches): • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a building permit. Copy: • If work authorized under a sign permit has not been Materials: Lighted Sign Cabinet completed within ninety (90) days after the issuance of Will sign have illumination? IA Yes ❑ No the permit, THE PERMIT WILL BECOME NULL Type: IN Internal ❑ External AND VOID. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? ❑ Yes No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. 1 (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 ( O day of /Ill /4-y , 20 / 0 Signature of Owner /Agen ( `------ '6 Foy-2--s f 7 - ? - y3 ? Contact Person Name Phone No. , , MALAYA S I G N S 1 7625 NE ML King Jr. Blvd. Portland, Or 97211 Phone (503) 517 -0990 Fax (503) 517 -0991 PROJECT DETAILS II WP LK r.L.,92204 Type - Main sign: Backlit Pylon box sign. PROJECT MANAGER • Dave Forster 90" x 109" Construction, Installation, Sign permit, DESIGNER of mane Project completion dependant on permits, Marty McCurdy and electrical connection by other. PROJECT NAME treamborn Overall height of light box to be 20 feet. Flyfishing \ - , , i �r� ►i ►� 5t1'Odlll 0111 „.,, I\ Flvfishing ... 109" 1 t 11 1 1 til " I m Kaufmann Strea orn 240" C `mac ` '- ` I 'J �j Y PAGE DESCRIPTION 144" .0 ft“ CC Q 110 0 2 SIDED BACKLIGHT SIGN C'3 Imo 1 t () i REVISIONS I I' �. ^^ ('T �'1.�aa i • t/ .1t Chanpe GraPhica I 11� \ it Adjust Size • . . . O > V1 � VVV 3 L a s > - O 4 „a- V 7, • . •• Pua ,. °. , R •p O L J Q APPROVALS M C C L O 0) • Q Ghent SpnaNte 84° Q O O O 111 N �, Q O LL. a. tj'1 - %L1 Additional permits, Inspections, design I DATE 01/05/10 review fees, engineering fees & traffic I PAGES: Of 10" 1 permits & barriers will be additional if 36 " applicable. Customer to confirm suitable J°8" 0 wiring and connection available. • / C / rri AtAy n S [ (3-,1 S \ .---- / C M�,v ,tl S�2EM 8o�t Al / / C�I y c.a,,, 5 r v N / / 5 � 40% i0 I � 53 LIMIT OF WORK 'CO dr E f / P . 0 1' Q p `'E g , F s P / moo PV t ' FT ' 0 - ,-,`).,`cg- VV/ ® 00 '' / F°F� o \�t 0 ,t /OCAOGP ' \ 0 0'' O \'P � tS*51 p \F g\fi� IL A. \V . 4, ,---- \ 'a ell E.' / / ® i - / 1k\ jp ® r2' 15' -6' ILg' �I� a \%., I 5' PACIFIC PLAZA 0 :00111111.1°°°lliggill.°11.11.1. 3m 9 COMMERCIAL BUILG c b �� 1 © 11940 SW PACIFIC NIG _0. 2 a� N 0 m i 1 : r 0 1? P 1 ' 1 ' A 14A e 11 P '.,, 4 410 411111 111114OP P AI A R pg°� \ � G A • \ a zf ■ JEM PN\ 0 � ,, 0 e , s y , ic y I , S. \ >( \ K -'66 \o N G e ■ e a G , - � � •, y \ C., 104 ® 13 S 1 � ■ A�� ® REPL • \$ h \ \ 0, tIA ' 49. ■ ., i G , ROd< \ „ , r: " CITY OF TIGARD RECEIPT 71 iZ 13125 SW Hall Blvd., Tigard OR 97223 . .„,. ., 503.639.4171 -fl G ARD Receipt Number: 178282 - 06/11/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2010 -00107 Sign Permit 1003100 -43115 $35.00 SGN2010 -00107 Sign Permit - LRP 1003100 -43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 011000 DADAMSKI 06/11/2010 $40.00 Payor: David J Forster - Malaya Signs Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1