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SGN2002-00023 . CITY TIGARD SIGN PERMIT rk' PERMIT #: SGN2002 -00023 ,y DEVELOPMENT SERVICES DATE ISSUED: 2/8/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: TIGARD OFFICE BUILDING PARCEL: 2S101AD -03201 SIGN LOCATION: 12909 SW 68TH PKWY APPLICANT /AGENT: PACIFIC REALTY ASSOC.. LP ZONE: MUE BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 8' TOTAL SIGN AREA: 32 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated freestanding sign. Not to be placed in visual clearance area or public right -of -way. MATERIALS: CONCRETE EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N 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 wor will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A tem o"rarylsign shall expire 0 oays rom approval date. A balloon sign shall expire 10 riavc from annrnval riata / j APPROVED BY. (_,( 11/4--(7C PERMITTEE SIGNATURE: ,/ _ ∎ A 1 / � DATE: 2/8/02 ��.<�.ti:, SIGN PERMIT APPLICATION .aty CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION F Name of Development/Project „Ti619 d 6(11&-b1/0 FOR STAFF USE ONLY Site A1 Address/ Street Address Permit No.: C Vv °1 - Location 1 2/09 .j Gv ffl• C -K-( a 1 A Expiration Date: Suite /Bldg. # City /State Zip 77 it0 ®4. -1 7223 Receipt #: 2.°02 Name Approved B!v Property c n C I M 6'C, L�' Date: �C Oa n Owner Mailing Address Suite Map/TL #: 0 ( Tr0 - 05 /54o es, 5�Q'P'# PJC`''y[ SC/ Zoning: IA LPL City /State Zip Phone '3 O3 � ¢ 3c Electrical Permit Required? El Yes Tenant or Name Business Building Permit Required? El Yes No Name Rev. 30-Jul -01 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 without the required submittal elements) copy of all City /State Zip Phone licenses are required if [ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # gi 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) ® g ❑ size requirement: 8'/2" x 11 ", or 11" x 17" Proposed ® Permanen Freestanding Freeway Sign El Temporary ❑ Wall ❑ Electronic X1 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required) apply) size requirement: 81/2" x 11 ", to 24" x 36" ` M gl New sign? ❑ Alter to existing sign? El $50.00 Fee (Permanent sign, any size) Sign Dimensions: e �4 JCS El $15.00 Fee (Temporary sign, any type) '' . Total Sign Area (sq. ft.): I b %r NOTES: n Data Total Wall Area (sq. ft.) (� ♦ Wall signs do not need to be drawn to scale, • but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this section) l'J � O 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): s*-` - I building permit. Projection From Wall (inches): )J/A ♦ If work authorized under a sign permit has not Copy: pDO e $ , - rtt 4 4 - t 4 'F5, D tee been completed within ninety (90) days after Materials: twlEt'act. SIGN , C.07`' C4-ere the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? ❑ Yes IQ No Type: El Internal El External Are there any existing freestanding or wall signs at this i 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 El Yes Igi No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount 50(!,70004 ' 000 l (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 ir. day of '��l'ruarY 20 0 #f/ is-e: 7.-....,(,i6,1_______ . Signature of OwnetTA ent 9 9 ,r Kfz t PriketFtvG s -‘74• Contact Person Name Phone No. 4'x8' 12909 --- �- - - - --- - ---- Southwest 68th ParkivatiT - -- AMERICAN FAMILY FAMILY NWEA INSURANCE . 42 ADDITIONAL PARKI :NG ACROSS STREET A . PACTRUST PROPERTY o 503- 624 --6300 1 reve ,y g 9 co n c re t e ba . _., 1s . .� . �.,...;_ • rf�- .rk:� :h ,5 L � t 1 c4 A Receipt #: 27200200000000000490 _,...+�'® Date: 02/08/2002 a ?iv , og i & T I D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 - 00023 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check PACTRUST 0 715901 0 $50.00 TOTAL AMOUNT PAID: $50.00 r- 1.— : - - - -mi l .. f• .; ' C G� C. J \ :•:, : Xv w, �»�. V � 2 �6' • • 42' • SIM. • GTE .. - . ' - - , A 26 "SQ . 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