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SGN2003-00031 CITY OF TIGARD SIGN PERMIT I, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00031 • `'` L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/11/2003 PARCEL: 1S136CD BUSINESS NAME: CASH AND CARRY ZONE: C - SIGN LOCATION: 11745 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2' X 12' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 1 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Pig cew,el, °C 14 S;0 MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 3(127 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 expir 10 days fro validity date. APPROVED BY• PERMITTEESIGNATURE: F ` l DATE: 2/11/2003 ir . �L,r „. 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 n FOR STAFF USE ONLY Site LfIU IT Oi Ct - l,� f5t ! I rAt lie-4/ X043- C3G03 Address/ Street Address Permit No.: Location I ‘ALM'5 jotc' - 1 C 1 Expiration Date: 3(1'1/03 Suite /Bldg. # City /State Zip T\ CitA{ OIL 912-2-; Receipt #: Name Approved By; 'f3m k Property N'`O ti AA PI Date: 'D. r l l j(9 3 VHS 0100o Owner Mailing Address Suite Map /TL #: I 1 3 (0C1) - ) rillS PALI i( "'"I Zoning: C. G City /State Zip Phone i (G 1i2r) Ov— 11 ZZ Electrical Permit Required? ❑ Yes V No Tenant or Name Name Building Permit Required? Yes ►5 No Business Vk in FN 6124 CFiS CAsN 3 Ct .ii-/ Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc Name Sign S 0 ea-14e S 6,,, s Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a the required submittal elements) copy of all City /State Zip Phone licenses are required if IF Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 0 2 Copies o Site /Plot Plan, Drawn to Scale database) (3 cop' , if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway s' requirement: 8 x 11", or 11" x 17" Sign a Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ B illboard ❑ Balloon ❑ 2 copie of elevations, drawn to apply) (3 co les, if a building permit is required) Et New sign? ❑ Alter to existing sign? siz requirement: 8 x 11", to 24" x 36" Sign Dimensions: 0a � / 2- ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 0 _, / X $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) '1 (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N 0 E W NE NW SE SW a 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 \ . sign placement. Copy: /0 0 efJa3 a Wall signs do not require site /plot plans. Materials: I l,) 4t t✓ a Freestanding signs over 6 ft. required a U building permit. Will sign have illumination? ❑ Yes Pci No a If work authorized under a sign permit has not Type: ❑ 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 overlap a tenant space? BECOME NULL AND VOID. ❑ Yes !j 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 I I ‘t." day of C E i2Utht( , 20 / 3 1 Signature of Owner /Agent Contact Person m e Phone No. CITY OF TIGARD 2/11/2003 13125 SW Hall Blvd. 11:08:53AM Tigard, Oregon 97223 ' f J (503) 63 9-4 17 1 Receipt #: 27200300000000000538 Date: 02/11/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003- 00031' [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 CreditCard BRUCE VARNEY BMK 011462 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt 1a 0 c) 0 l_r�CCO 0_0,0,37 o, i h1G at - "+tE T'201 0 �