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SGN2002-00070 CITY OF TIGARD SIGN PERMIT iI' DEVELOPMENT SERVICES PERMIT #: SGN2002 -00070 DATE ISSUED: 5/6/02 a'` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: GOOD NEIGHBOR CENTER SIGN LOCATION: 11130 SW GREENBURG RD PARCEL: 1S135CA - 0260 APPLICANT /AGENT: GOOD NEIGHBOR CENTER ZONE: R - 12 BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 30" X 42" TOTAL SIGN AREA: 8 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 6 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: METAL 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 work will be done in accordance with approved plans. A sign permit shall expire 90 days from approval date. A temp sign shall expire 30 days from approval date. A balloon sign shall expire 10 riavc from annrnval data ■ APPROVED BY: Mtge Th i( � PERMITTEE SIGNATURE: 11 - - - DATE: 5/6/02 , . A. .,rrti SIGN PERMIT APPLICATION 44- CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site ;3-oocL C'� 8k10 C-e- n-1-e- ` ,,�� 11 _ 1 � Address/ Street Address Permit No.:S \ a �� l 0 Location I//3O stv C- reax.b(. /�i E xpiration Date: f • �' Suite /Bldg. # City /State Zip /'a 1 Name . ( 10 3 / ,. T 4 -mil Ole_ 9 72_2-3 Receipt #: O( i (],, U Approved By: / ^ � . Property £ Ct,.,r-v -t2. Date: 5 ( . O Owner Mailing Address Suite Map/TL #: 1 5 I 3 CA - Oa CQ 00 Zoning: R 1 3- City /State Zip Phone Electrical Permit Required? ❑ Yes Et No Tenant or Name Building Permit Required? El Yes IN No Business Corn rvk tik- "ti -1-1- 1— ©0-&- - 4- T Name 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc C Q, Sign CI QS1c_ Sys-te-e.--s Contractor Mailing Address • Suite t4" 2O6 REQUIRED SUBMITTAL ELEMENTS u a c permit , 7820 SB 6 (Note: applications will not be accepted issuance, a copy of all City /State Zip Phone without the required submittal elements) / licenses are required if 7/ 0 4-4 0 e- r w_z_ef ( - 5654, Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Ti yard's License # 7 7 8 ( 3 J 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" A' Proposed S Permanent ID Freestanding ❑ Freeway `` ` Sign ❑ Temporary El Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale gy p_ l (Check all that ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required) v apply) size requirement: 81/2" x 11 ", to 24" x 36" El New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: 30 x 4a ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 8 ,`7 NOTES: Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale, Sign Data N / A 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): 5 // building permit. Projection From Wall (inches): l...11i4 • If work authorized under a sign permit has not Copy: Selz_ /1 I f ac d been completed within ninety (90) days after Materials: yit cf -o,..Q the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. Will sign have illumination? ❑ Yes El No Type: ❑ Internal ❑ External Are there any existing freestanding or wall signs at this r Not all jurisdictions accept credit cards, please call jurisdiction for more information. location, including wall signs that overlap a tenant space? visa CI MasterCard Credit card number / / ❑ Yes A 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. DATED this �3� day of , 20 0 �. Z-v Signature of Own gent 7QC2 _ 2 c� 60,3- 63 9. 5656 Contact Person Name Phone No. I ME copy • • Good Neighbor Center 11 ftte , Ti r „in itAtt . Aim I lintvi T1130 SW. Greenburg Rd. 30" x 42" Double Sided Sign Panel Metal Post and Bracket Vinyl Copy with Digital Rendering *.iTY ”ItatirtO AN !oval [ Condi 1:400. ly Approved Ft'. • ....illy the work as ,:iescriael LlMIT NO Let to Follow • Jors 35' • • • • 24' • • • • • • • • 35' • 30' • Greenburg Road Scale: 1/8" = 1'0" Receipt #: 27200200000000001636 --o Date: 05/06/2002 I , mice y T I D E M A R K COMPUTER SYSTEMS, INC, Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 - 00070 [SIGN] Sign Permit 100 - 0000 - 437000 • $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check GOOD NEIGHBOR CENTER DCP 1018 0 $50.00 TOTAL AMOUNT PAID: $50.00