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SGN2002-00191 CITY TIGARD SIGN PERMIT fi r ; DEVELOPMENT SERVICES PERMIT #: SGN2002 -00191 = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/11 /2002 EXPIRATION DATE: BUSINESS NAME: SHURGARD PARCEL: 2S110DC -00300 SIGN LOCATION: 15700 SW PACIFIC HWY APPLICANT /AGENT: ZONE: BUSINESS TAX NO: JURISDICTION: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: TOTAL SIGN AREA: sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: We Sell Boxes and Packing Supplies. Permit good until 11/11/02 MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 expire 10 days from validity date. APPROVED BY: - PERMITTEE SIGNATURE: %MD DATE: 10/ /2002 � SIGN PERMIT APPLICATION Al- CITY OF TIGARb 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project S` , P FOR STAFF USE ONLY Site � Address/ Street Address `' Permit No.:.S�4/ -29© Z- C 15 ?OO SW F `1 Expiration Date: r / - //- a z Suite /Bldg. # — City /State Zip (� 1)6, � —1O1Q2 Receipt #: •z pa . _ 39 7A — - -- Name �,,� �r Approved By: Property 5I4 -6APO SA a /t e C, 1-S Date: / 2!)._,, j en...__ Owner Mailing Address Suite Map/TL #: 23 / / „, S100 Sw Ac- li,f -w4- -1 Zoning: c_ r City /State Zip Ph 1 V1L.. sin) G84-5,64- Electrical Permit Required? ❑ Yes Plo Tenant or Name ' /. /� 1� Business SNA� -up_6-D 6r N6 —] Building Permit Required? ❑ Yes o No Name Rev. 30- Jul-01 is \curpin \masters \revised\sign permit app.doc Sign S1(,N S1511S N0P - T Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 1C3911 .91r0 Av.NVG NE ) UN rr I (Note: applications will not be accepted issuance, a copy of all City /State Zip Phone without the required submittal elements) licenses are Af1,if46r0N WA . 91223 360 yo3 --°84S required if d Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date n City of Tigard's License # N / / Q' 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed size requirement: 8 x 11 ", or 11" x 17" Pro p ❑ Pe rm anent L Freestanding ❑ Freeway Sign Temporary ❑ Wall El Electronic', 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ Billboard �Balloort �. (3 copies, if a building permit is required) apply) size requirement: 81/2" x 11 ", to 24" x 36" [2(New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: j f X 3 ryr $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): /L NOTES: Total Wall Area (sq. ft.) . 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 section) N 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): ti building permit. Projection From Wall (inches): . 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? El Yes ii4o BECOME NULL AND VOID. Type: ❑ Internal External Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information. El location, including wall signs that overlap a tenant space? visa ii MasterCard � Credit card number 1 / ❑ Yes U 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) / ry 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. cr DATED this / " day of O°3 , 20 Cr? Signature of Owner /Agent 414vN S fT14 So3 8 — SC 61 1 Contact Person Name Phone No. Shurgard of King City SH U 15700 SW Pacific Highway - Tigard, Oregon 97224 Phone 503 684 5564 Fax 503 670 1097 g pF t o w aN TY °F � ; ,% ... illy the ►"nor:; �. ..__ . ........ ...................... .... j 7 NO as ie i RMl T cri�N in: ' Le ! <, to' � - f r 1: �mtcs < olloW_ �© ..,..- ,l , £ itt< • . —� SbALE ' 1 Nom ..................-- 4\ I 1 -.3---.1.4%.-------;rorAE ZI.--T37 w R V d° • i � i ,... rkii4,11‘6, . ,.. • 1:14.) 0 Arlo, A Lcskrio0 ec of ' , OP Av • (- I V. VS 01141, 0111M0w1110111. ••• a a.arwn111MIN■a,. SHVRGARD 15 of King City i•~ 15700 700 S SW Pacific Highway Tigard, Oregon 97224 I Phone 503 684 5564 Fax 503 670 1097 i t > E S EL Copy duplicated R io 0 ) ES on reverse face 4' k7 ;;‘,-::,,:,. Prc Kr i \ is (-, L 1 i c - - s , ' . ' " - - s PI - , . 3 iftiP-GA-R-D - .. ::,-,,.: 3' -. Temporary Freestanding A- Board Sign 11 square feet Scale: 1" = 1' Site Address: )G700 G\t4 pi ACt Pi C €1-$ - Tenant/Business Name: - O iecN 6 Cyril i Sign Company: . 5 . z - - 6 1 \ \ IC - y -ffiC No p j i -.- P1931 STn4 Av ::N Oa , u tom" I - Aal 1\161 , WA' cf'8223, 1.)6) ::09g3 L e/ � f 1:09:26PM T I D E M A R K COMPUTER SYSTEMS. INC. Receipt #: 27200200000000003876 Date: 10/11/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00191 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer Bank No Account No Confirm No How Received Amount Paid Check SHURGARD OF KING CITY MAS 75 -53 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt