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SGN2003-00290 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00290 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/17/03 PARCEL: 2S 102 DA - 00401 BUSINESS NAME: CITY OF TIGARD ZONE: CBD SIGN LOCATION: 13125 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private property and not in the public right -of -way or visual clearance area. Valid 11/18/03-12/18/03. MATERIALS: 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 • r sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign shall expire 1 d d. ys from validity date. APPROVED BY: ' C` PERMITTEE SIGNATURE: O (7 77 } 2— � "^' DATE: 11/17/03 4 ;;A�►► SIGN PERMIT APPLICATION CITY OF 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 99 C�� /'E� /o A n/ � "� Addre e ' � . . _ . l 5bN 263 3 Ad st Permit No.: — 0 6 Z`j■ Location 97Q Sly 6444 » ' L Suite /Bldg. # City/State 4! Zip Expiration Date: l 1 / �� 3 //�/ / 0 0 . GL cx f r.?2 Receipt #: Loo 3 —5024 -- ---- Name Approved By: �. Property _ 0 / ! l�rf Date: tt ( f 1 3 Owner Mailing �f Suite 4 Map/TL#: Ja.( ,2G"" cil/ Ma6/ AlJ✓ti( Zoning: C_ 6-1). Ci /State Zip 7 Phone Tenant or /� ' � Q <O 260 Electrical Permit Required? El Yes No 4 Business .Cr Z 4 ,j ' ' / 6 7 )(207 Building Permit Required? ❑ Yes g No Name / %� _ Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign L fq y O nod Ph/ i 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 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 M Temporary ❑ Wall ❑ Electronic (Check all that Other El Billboard El Balloon ❑ 2 copies of elevations, drawn to scale apply) New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 9 f / !� ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): /Q du _/ / ❑ ( g any type) � $15.00 Fee (Temporary sign, an t e Sign Data Total Wall Area (sq. ft A Jurisdiction: ❑ City ❑ Urb (Complete all- Direction Wall Faces (circle one): t NOTES: items in this section) N S E W NE NW SE SW - Height to top of sign (feet): ,SQ i't • Wall signs do not need to be drawn to scale, Projection From Wall (inches):K but must include dimensions of wall face and sign placement. Copy: 4/'A- • Wall signs do not require site /plot plans. Materials: / 4A- • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes N 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 ❑ Yes No BECOME NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) t • 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. • � day of / !s� , 20 0 3 DATED this :; - -- 72? e74-11 Signature of Owner /Agent �� P (26 Contact Person Name / l J 1 Phone No. • CITY OF TIGARD 11/17/2003 13125 SW 1 -Hall Blvd. 4:27:12PM /-,0!;,0 Tigard, Oregon 9 72 23 RAO ' (503) 63 9-4 17 1 Receipt #: 27200300000000005021 Date: 11/17/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00290 [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 . Cash CITY OF TIGARD /ERIC HAND KJP In Person 15.00 Payment Total: $15.00 4.� Page 1 of I c si,i . . „ . , , : , . , , . . - . . -. . , , . . \ , i . . a . 1 . .5./...di,„., 1 , 1 I , . . \ \ - sm \ - . . . , eil 0 "He_ -e/nv:zotde40, . , . - ■ ' , • 1 . . , . .. . . i . . [ te-i ,dhicL ,ve ' 6 ' .. , , .......,, , , . . , , , ---- 0 . ",isto f .-/-_,10„,,,,,.. c _ — , ......... , , ,. . , ss) , . . . = ......_ , . „ . . . . . CITY OF TIGARD . _ .,..„ . , . Approved ......................... ' . - I )C.1 ' , . , Conditionally Approved .................. . ... ..: ........ ...... [ [ ',• ' ---4C , , For 'only the wor es described in,,..:' j,., ,, " , . . . „ See'letter to: Follow ..................... : ...... ... ............... [ I , Attach ..................... ..- , ......... ........ 1 . 1 . , „ .. Lt- „ . . _ (.: .. . r.. . ' /6111/9 Leoc 0 taeSi - yvA-ite/s-)-- ix:6 iiit 114/6 — / 7--Y / •;,/o* pi/i/ ?-777 oh/ / / A 1 3' i / i I, , ,,,,,,JW 72 iiii