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SGN2002-00005 AN CITY OF TIGARD SIGN PERMIT �� DEV ELOPMENT SERVICES PER #: SGN2002 -00005 ', l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/10/2002 EXPIRATION DATE: BUSINESS NAME: JEWERLY PLACE PARCEL: 1S135DD -0330 SIGN LOCATION: 11945 SW PACIFIC HWY 248 APPLICANT /AGENT: ZONE: C - BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 15 FT X 2. 5 FT TOTAL SIGN AREA: 37 sq. ft. WALL AREA: 450 sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 8 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 15' x 2.5' permanent wall sign. MATERIALS: PLASTIC EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 50.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A temporary sign -s-h II expire 30 days from approval date. A balloon sign shall expire 10 days frnm annrnval data APPROVED BY: - PERMITTEE SIGNATURE: ±, 1 �� --_, DATE: 1 0/2002 r, :IT, 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 � , /ETc FOR STAFF USE ONLY Site W ,› N g �� ` . Address/ Street r �- �s--1 Permit No.. Loc � 5 Ku ,, - Suite /Bldg. # � ity/St a Zip `expiration Date: -Q Ly — t71 t © ll Receipt #: Name Approved By: :4 9. i Property - 1 - 7q CL v ? r � fe)I /�L Date: / j /a 7 mob/ Owner Mailing Suite Map/TL #: 15 135 - 1) - D - 0 330 1 _1..i c Ed C HoC0 ,0- Zoning: G 9 City /St ate Zip Phone t l / u' C, � ( 2-22-- . Electrical Permit Required? ❑ Yes [t<0 Tenant or Name Business J ew e...1 (y c (G, Q Building Permit Required? ❑ J Yes Pto Name / 1 Rev. 30-Jul-01 is \curpin \masters \revised \sign permit app.doc Sign �J , t/, l l& Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit /S S 4) 4 ldc> A1, (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City/State ,1� 8/� Zip Phone required are n2 (�k -v u►L '7 ) V required if f�► ° - � ' ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # r oe, li g? � _ p� o ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", or 11" x 17" Proposed RI Permanent ❑ Freestanding ❑ Freeway Sign ❑ Temporary M Wall El Electronic ❑ 2 copies of elevations, drawn to scale (Check all that (3 copies, if a building permit is required) apply) ❑ Other Billboard ❑ Balloon size requirement: 8 x 11 ", to 24" x 36" . New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: tr .JO /r, ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 3'� S NOTES: Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale, Sign Data 4-1-3:-- is Y 30 :. 4�� but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this section) N 0 E W NE NW SE SW • Wall signs do not require site /plot plans. Freestanding signs over 6 ft. required a Height to top of sign (feet): I Z / building permit. Projection From Wall (inches): stir ♦ If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: .eiAT/ /L the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? . Yes ❑ No °- Type: 14 Internal ❑ External Are there any existing freestanding or wall signs at this ( - Not all jurisdictions accept credit cards, please call jurisdiction for more information. location, including wall signs that overlap a tenant space? Visa MasterCard Credit card number / / Yes X Expires If "yes ", a list diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount (OVER FOR SIGNATURES) 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 Signatur of Owner /Agent c 2_ --o 2-Ey Contact Person Name Phone No. T r o „4 / ('/!I i /l( <CP E L PALA DE ORO r ---.— s r _. ' _. A T y '' c wbi^ - G j '2, 180 "W l 1 ..._.„.,,_. "weir( U ,.. 30 "H EL PALACIO DE ORO Oi/(7.x:k. Con 1.14 . ' tTY OF "' ( l } Approved ....._ I l J: •... :.rly the w r . a c esori d iw : LIMIT NO/12�o Z C1oa Lei - to Follow.... L l v ' .QA`W./ ij\ Receipt #: 27200200000000000109 �, Date: 01/10/2002 TIDEMARK - COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00005 [SIGN] Sign Permit 100- 0000 - 437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Cash JJ SIGNS $50.00 TOTAL AMOUNT PAID: $50.00