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SGN2010-00102 IN i q SIGN PERMIT APPLICATION City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR RE Phone: 503.639.4171 Fax:: 503.598.1960 (� MAY 282010 GENERAL INFORMATION CITY OF TIGARD • Name of Derel '*....•nt /Project 1N )IF•; = "._. ,,.. ,c EFR!n.; /'7E:- I}r.t.lcl FOR STAFF USE ONLY Site ��// Address / ` ,greet Address Permit No.: 4) v I 0 - DO ! Oa Location ' 4 ° (O &Z &irtlt Suite /Bldg. # City /Stag , , Expiration Date: Receipt #: t 7 g 1if33 Name Approved By: � �r I 0/ / Date: 51 D Property n Owner Mailing Address Suite Map /TL#, : fT ^ S / 01 D Q / � l6 Zoning: l " P a76 Cite /State Zip Phone Tenant or Name I Electrical Permit Required? ❑ Yes ❑ No Business ! l �� Building Permit Required? ❑ Yes ❑ No Name Rev. 7/1/09 e \curpin \ masters \land use applications \sign permit app.doc Sign Security Signs Contractor Mailing Address ' Suite (Prior to permit 2424 SE Holgate Blvd issuance, a copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted requited if Portland, OR 97202 503.546 without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of 'l igard's database) 122809 ❑ Completed Application Form Proposed Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign Temporary ry Wall ❑ Electronic (3 copies, if a building permit is required) ((:heck all that ❑ Other Billboard p Balloon size requirement: 8' /a" x 11 ", or 11" x 17" applq) tl New sign? ❑ Al t... , Fn c r `��% — ❑ 2 copies of elevations, drawn to scale tgn Dimensions: r 71 X 1 .X (3 copies, if a building permit is required) Z o Lk) 1(np size requirement 8t /2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): 1 /L 7s s 0 $40.00 Fee (Permanent sign, any size) Total Wall Area (sq. ft.) S OS Sign Data 1 ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) S E W NE NW SE SW Height to top of sign (feet): I • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 40 o. must include dimensions of wall face and sign Copy: placement. Materials: n.4, f".., • Wall signs do not require site /plot plans. • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes Xr No permit. Type ❑ Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant s ace? of the permit, THE PERMIT WILL BECOME ❑ Yes No NULL AND VOID. 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 day of , 20 Signature f Owner /Agent Melissa Hayden 503.546.7114 Contact Person Name Phone No. • • • • P { ' a .._.. ._....._..._ _ .. ..� tcx -- W 0 all Display Non - Illuminated SECURITY 159 1/2" Manufacture and install (2) two non - illuminated SIGNS x Wall Displays Q y 24245EHol ? Portland, Oreg on 97202 ; D ww ritys g fax c o n 230 -1867 . � Logos l , y ' OR CCBX 122809 WASECURS1020CF . . CORMACK -: Construction: 3/4" thick sintra logos with alum. MPANIES , ° • '1/ ' laminate "Perlo" painted TM Pantone 186C INTERNATIONAL �� SIGN ASSOCIATION. . , . ..... ( „ I f Red (verify) with 3M White 220 -10 PSV copy. ,y> "< T sfsscouRCU �� - (McCormack) logo in stock from ,n previous order - PROJECT MANAGER 1 ' -- - - - - _ J ■ Company Copy Kevin Keljo , z �� J Ford � — e �� �_ Construction: route d FCO s r 1 1. . �� PROJECT NAME T 1 = ' /z Material: White Sintra t / w PRA° Installation R 1 T_ ` : tws Wall Type: Brick .., �, perlo _,.� „, = Mounting: Stud mount logos and VHB copy flush to brick wall 7190 SW Sandburg St. g 1 Portland, Oregon - 4 Colors bs ,. , 4 t White Sintra ■ Tropical Heat Miller 1082 ,_ Pantone 186C Dar Bronze ! PAGE DESCRIPTION II ' = Building Red (verify) ■ (S p or der) Identification NORTH ELEVATION �‘*. (1 - 5,[.e S Lr) E--70 4 c ,r \\ CITY OF TIGARD REVISIONS O 0 O Remove Option 2 Scale: nts Approved .... / 02,15 i St�t , On \OCO�� " Approved .................... - ] Far only the wor a es ribed in: I © Redesign 02.23 KERMIT NO, - D ? -- 07) j) 0 Redesign 03.02 Set, Letter to: Follow I 0 . Redesign 03.08 Att h © Offset logos 03.11 ---\----'''----- 16' 9” �teb Ads r se: "2 i - 191, f� dijZ ) 0 Change specs. 04.26 �/ ' Date: 1 ' —11 ° m Copyright fights Resolved Signs, utc Ali Po Rrrs�rve Unauthorized use, reproduction, and/or display shall render the Infringer liable , for up to $150,000 in Statutory Damages, 2 '- 8 " plus attorneys fees and costs, for each mfingement under the U.5. Copyright Act (17 U.5.C. 412 &504) OE,,O I APPROVALS p er o COcN _ MCOMAC] � Client Signature C OM p, N _ Landlord Signature 3/4" thick sintr• logo routed Sintra FCOs, with alum. laminate " "erlo" (2) WALL DISPLAYS 43.27 SQ. FT. VHB flush mount DATE: 02/12/10 painted TM Pantone 186C 1 SCALE: 1/2" = 1' -0" 3' -6" Red (verify) with 3M , hite 1 it use existing logo SECTION VIEW PAGE #: 1 of 2 220-10 PSV copy. ^ I �II ✓ ,�[ Y in warehouse stock 2 SCALE: ' " = 1' -0" (/ Jl � V I DRAWING 10 l ■ �'-` CITY OF TIGARD RECEIPT" eh 13125 SW Hall Blvd., Tigard OR 97223 , :,,;; . 503.639.4171 ?1G Receipt Number: 178193 - 06/04/2010 ] CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2010 -00102 Sign Permit 1003100-43115 $35.00 SGN2010 -00102 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 97299S 97299S KPEERMAN 06/04/2010 $40.00 Payor: Melissa Hayden Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1