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SGN2002-00024 CITY OF TIGARD SIGN PERMIT ,on DEVELOPMENT SERVICES PERMIT #: SGN2002 -00024 '- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/13/2002 EXPIRATION DATE: BUSINESS NAME: LAMB'S THRIFTWAY PARCEL: 1S134BC -00301 SIGN LOCATION: 12220 SW SCHOLLS FERRY RD APPLICANT /AGENT: LAMB'S THRIFTWAY ZONE: C - BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 6' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: 0 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary placement of "Grand Opening" banner placed on building face. Valid 2/14/02- 3/14/02 (Sign #1) MATERIALS: BANNER 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 OR. Specialty Codes and all other applicable laws. Al • will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A t- pora sign shall exp c0 days from approval date. A balloon sign shall expire 10 days from annrnval data / CiaAfC APPROVED B (� ` �/ PERMITTEE SIGNATURE: DATE: 2/13/2002 ,„_,,, ,.- ti,�:i,ja SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 • GENERAL INFORMATION Name Development/Project e Site INOIM 5 0^ ,',e/(1 S FOR STAFF USE ONLY Address/ Street Address Permit No.: Gila' © �Lf Location ) 222-D 66 ) 5c��l13 }-6( S /Bldg. # City/State Zip Expiration Date: ©� TV-1 0 610`3 Receipt #: Ma" 2 — �S Name �Approved By: I Property Date: a 13 0 D - Owner Mailing Address Suite Map/TL #: L'S ` t-t CO 30 0 Zoning: City/State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes la Business Building Permit Required? ❑ Yes ErNo Na, e , Rev. 30 -Jul -01 is \curpin\ masters \revised\sign permit app.doc Sign Contractor Mailing •ddress • 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 # E ' 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed El Permanent El Freestanding El Freewa size requirement: 81/2" x 11 ", or 11" x 17" Si Sign y 9 [� Temporary El Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other El Billboard Li Balloon (3 copies, if a building permit is required) apply) size requirement: 81/2" x 11 ", to 24" x 36" Er New sign? ' ❑ Alter to existing sign? ❑ $50.00 Fie (Permanent sign, any size) Sign Dimensions: 4 n ( p - $15.00 Fee (Temporary sign, any type) , Total Sign Area (sq. ft.): ,Z,.[. __ I NOTES: Sign 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) S 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): 15 building permit. Projection From Wall (inches): U • If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes fn-No BECOME NULL AND VOID. Type: El 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 / / in Yes ❑ 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 (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. 13 - x► DATED this 6)4 day f � , 20 6 L y 1 Signature of Owner /Agent Akia 563 590 - ID L I co Contact Person Name Phone No. Receipt #: 27200200000000000559 Date: 02/13/2002 T I D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00024 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check LAMB'S ON SCHOLLS 0 3129 0 $15.00 TOTAL AMOUNT PAID: $15.00