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SGN2003-00131 E � C ITY OF T I GA R D SIGN PERMIT l DEVELOPMENT SERVICES PERMIT #: SGN2003 -00131 AA "'ill DATE ISSUED: 6/11/03 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DD-00900 BUSINESS NAME: INTERIOR MOTIVES ZONE: C -G SIGN LOCATION: 11875 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 30" X 8' TOTAL SIGN AREA: 20 sq. ft. WALL AREA: 2,304 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary banner (30" x 8'), sign #1. Valid from June 11 through July 11. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N 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: `r "` 4 11 PERMITTEE SIGNATURE: DATE • 1/03 / , .....#,,,,x,„ SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site L -Y \1 G/ Ail() Address/ Street Address Permit No.:PRE ,9 DU 3 - (.) o i "3 Location 1 \ ( `� )— < �(� 7 -(I 0 3 Expiration Date: Suite /Bldg. # City /State Zip t(-0/ CO/ Cr) 2 7) Receipt #: . 3 — q` c __ Name P Approved By: Ca -11- v3 U Property , L-----e_ - e v42 / Date: C . `''�-, Owner Mailing Address Suite Map/TL #: I 1. 5 DD — Do (-7 00 L 5 16)-1/1/\--Q—' Zoning: 6 - G City /State Zip Phone 3 °3 6 r1a710 Electrical Permit Required? ❑ Yes g) No Tenant or Name Business Building Permit Required? ❑ Yes g No Name Rev. 2/28/2003 is \curpin \masters \revised\sign permit app.doc Sign N 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 JEI Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 3� t� ( " WV ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): (270 0' ❑ $15.00 Fee (Temporary sign, any type) Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb Sign Data MOW r° - a 5 00 0. a 3 (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S &) 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: � pPO 4'zy JU 1�h h?- � -F /0-3 ♦ Wall signs do not require site /plot plans. Materials: // ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 4 N 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 BECOME NULL AND VOID. ❑ Yes ANo If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) I 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 0 Si• ature of fn - r /Ag Mot Z S v5 CtY , 7 � v Contact Person Name Phone No. T • ■ i ry L7 JUNE q . of) orumfi DLS� � i3i�u / 4°5 I V OITY OR MAIM) aAIM) Approved . [Nei Conditionally Approved [ l For only the work as descriked in: PERMIT NO. SGAI cl000 -do ice_ See Lehrer to: Follow w ..,_._„ ......... �oF A�dr_ss: _._ . :.. I 1 by: �, �r��,s?sa• _�_.._ . Da - 03 • CITY OF TIGARD 6/11/2003 13 12 5 SW Hall Blvd. 4:19:38PM " ,,, I -. Tigard, Oregon 97223 (503) 63 9-4 171 Receipt #: 27200300000000002447 Date: 06/11/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00131 [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 INTERIOR MOTIVES CAC In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt