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SGN2002-00177 CITY OF TIGARD � lf SIGN PERMIT PER � DEVELOPMENT SERVICES PERMIT #: SGN2002 -00177 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/4/02 EXPIRATION DATE: BUSINESS NAME: STARBUCKS PARCEL: 1S136DB -02500 SIGN LOCATION: 11636 SW PACIFIC HWY APPLICANT /AGENT: ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 1'6 "X24'- 3 -1/2" TOTAL SIGN AREA: 36 sq. ft. WALL AREA: 564 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 12 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Wall Sign MATERIALS: ALUM /LEXAN EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 30.00 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 ex ire 0 days from validity date. .� APPROVED BY: PERMITTEE SIGNATURE: 'sw DATE: 10/4/02 4 ,1 . t l SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of 1 D , eevelopmenUProject FOR STAFF USE ONLY Site ter5 ) Address/ Street Address / Permit No.: .__-�3. 1/20�� Fes' j 7-7 Location �/6 54) Ree(g�i 7zit y Expiration Date: Suite /Bldg. # City/State Zip Z v 0 L 3 of 3 �� � ,qy� Receipt d -- , Name // (/�J Approved By: !i "/ 67 (4 (. 0 �Sl � 20.f/C Date: l 6 ' _ ©� — J Property /5 / 3L, 3- v i5 ')o Owner Mailing Address \ 2 E Sui te Map/TL #: 2-tO S de 1411'6- Q2o / Zoning: G C City /State Zip �j Phone /e rn ', � 23 Electrical Permit Required? TT Yes ❑ No Tenant or Na Business S/903'14,Cie Building Permit Required? ❑ Yes ❑ No Rev. 30 -Jul -0CI nU 1 i:lcurpinastersUevised\sign permit app.doc . � /� Sign / 4 4 Contractor ilin Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit ( ( Note: applications will not be accepted issuance, a - 91dJJi ' i \ w ithout the required submittal elements) copy of all City / tate Zip Phone licenses are required if /` � �j Completed Application Form 3, Y C � r l� Z est expired in the Oregon Const. Cont. Board Exp. Date rte" 2 Copies of Site /Plot Plan, Drawn to Scale City of Tigard's License # 7D�` /_ 2 S �, database) / (( K� Ov / J .' (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", or 11" x 17" Proposed Permanent I♦ reestanding ❑ Freeway Sign Temporary i� Wall ❑ Electronic CW 2 copies of elevations, drawn to scale (Check all that Billboard ❑ Balloon (3 copies, if a building permit is required) ❑ Other size requirement 81" x 11', to 24" x 36" apply) New sign? ❑ Alter to existing sign? , $rte 00 Fee (Permanent sign, any size) ign Dimensions: /7 / k44/ ?l/ u ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): _5 1'41 / NOTES: Total Wall Area (sq. ft.) 5/ 4+ • Wall signs do not need to be drawn to scale, Sign Data but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items in this • Wall signs do not require site /plot plans. section) N S NE NW SE SW • Freestanding signs over 6 ft. required a Height to top of sign (feet): -i/ // building permit. Projection From Wall (inches): " /Z • If work authorized under a sign permit has not Copy: '71? 41t2 t!S " been completed within ninety (90) days after Materials: /L(( the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have 'llu . tion? Yes ❑ No - Type: Internal ❑ External Not all jurisdictions accept credit cards, please call jurisdiction for more information. Are there any existing frees anding or wall signs at this ❑ vi ❑ MasterCard location, including wall signs that overlap a tenant space? 1 1 Credit card number Expires ❑ Yes p3'No If yes ", a IisA. , iagram of all sign dimensions and Name of cardholder as shown on credit card S . k s ' fo 0117ffr! - . b • s- b • itte I, dr porno/ A,' , 0•S ' V / / Cardholder signature Amount (OVER FOR SIGNATURES) 10/4/2002 �� 1:56:47PM T I D E M A R K COMPUTER SYSTEMS, INC. _ Receipt #: 27200200000000003743 Date: 10/03/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00176 [SIGN] Sign Permit 100 - 0000 - 437000 30.00 SGN2002 -00177 [SIGN] Sign Permit 100 - 0000 - 437000 30.00 SGN2002 -00178 [SIGN] Sign Permit 100- 0000 - 437000 30.00 ELC2002 -00513 [ELPRMT] ELC Permit 220 - 0000 - 431510 160.02 ELC2002 -00513 [TAX] 8% State Tax 100- 0000 - 207020 12.81 Line Item Total: $262.83 Payments: Method Payer Bank No Account No Confirm No How Received Amount Paid Check TUBEART SIGNS & SPORTS DEB 1903 In Person 262.83 DISPLAYS Payment Total: $262.83 Page 1 of 1 cReceipt.rpt SW PAGIFIG HWY. 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