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SGN2003-00262 C ITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00262 i A DATE ISSUED: 10/17/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 102AB -02000 BUSINESS NAME: SHERRIES JEWELRY BOX ZONE: CBD SIGN LOCATION: 12535 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 28" X 58" TOTAL SIGN AREA: 11 sq. ft. WALL AREA: 684 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign. 28" x 58" MATERIALS: NEON EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: 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: v , I PERMITTEE SIGNATURE: ' ' !� ~' / �! DATE: 10/17/03 ti l,1 SIGN PERMIT APPLICATION cl_I! CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project IA FOR STAFF USE ONLY Site �Y 1 EYV l �J J �1�2J�1.�V� I Address/ Street Address (J Permit No.: 36 N a oo 3 - do l I `r" Location l, c9.5 35 3t,0 max-`1 51" Expiration Date: N A Suite /Bldg. # City /State Zip - Le- L` ' c o Receipt #: Q0 - ` ` �v d 7 e"`' Approved By: e__ . C- .) Property C /� n �� o fa o 1,4) Date: /0/1-7/0 LW. Owner Mailing Address J Sui 0 Map/TL #: as iv . fr E' ` d t'a ° `��c.�rrii i OL ,Eda,-)e_) Zoning: CI®D City/State Zip Phone ^ � (W °�iN 53 " + Electrical Permit Required? ❑ Yes ❑ No Tenant or Name _ Business S' h&uvl 6 U(iVl�,(L Building Permit Required? ❑ Yes X No Name Rev. 2/28/2003 is \curpin \masters\revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a copy of all City/State Zip Phone without the required submittal elements) licenses are required if Completed Application Form ,Ar expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Permanent Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary Wall ❑ Electronic (Check all that ❑ Ot her El Billboard ❑ Balloon AV 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) [KNew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: as X 5,3 $30- .43 (Permanent sign, any size) Total Sign Area (sq. ft.): / 7 ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) � O � e / Jurisdiction: ,'City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N () E W NE NW SE SW Height to top of sign (feet): • Wall signs do not need to be drawn to scale, Projection From Wall (inches): but must include dimensions of wall face and sign placement. Copy: • Wall signs do not require site /plot plans. Materials: Nj(.- • Freestanding signs over 6 ft. required a Will sign have illumination? Yes ❑ No building permit. Type: ❑ Internal External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL I ,� ,� 1 ' BECOME NULL AND VOID. 14 Yes ❑ No pi CJID !J i . ! (I 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. 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' .,, .•.. . . :,___ .,....i. .1... •_ . , ,...• if-_--,w*,,,,,,oti,,,.._-__„•••••,-,_•„•._,,t„.,..,.s,.:„....„, ._... -,_•' ,-. 7r ,.-- •,c.:-,...,_:40,..:' t,„ `',4 ' - * - - - ' 4 1.-. - ' ..-` .i*.t. ,,„..._....:_...• 0 i'3 '' • ' '7", ' - , ,7, - ' 7.3 ' ,'''L .., i-14 b - ' L' ' •ii,l . ....'..'''' . .: :e ' V '. -4: 1 . ‘- .1 ' ' - " ' L ' I,yj CITY OF TIGARD 10/17/2003 13'125 SW Hall Blvd. 12:19:10PM itrnn r�;r ip , i; ,y�,�� � Tigard, Oregon 97223 ► ='�L � (50 3) 63 9-4 17 1 Receipt #: 27200300000000004609 Date: 10/17/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00262 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 Line Item Total: $31.00 Payments: Method Payer User ID Acct. /Check Approval No. - How Received Amount Paid Check SHERRIES JEWELRY BOX CAC 6582 In Person 31.00 Payment Total: - $31.00