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SGN2001-00173 CITY TIGARD SIGN PERMIT �1�� DEVELOPMENT SERVICES DATEE S G N 2001 -00173 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 EXPIRATION DATE: BUSINESS NAME: MADDY'S SIGN LOCATION: 12085 SW HALL BLVD 130 PARCEL: 2S102AA -00491 APPLICANT /AGENT: ZONE: CBD BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 48" X 36" TOTAL SIGN AREA: sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Valid 9 -18 -01 thru 10 -18 -01 3rd sign MATERIALS: WOOD EXISTING SIGNS: 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 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 temporary sign II expire 30 days from approval date. A balloon sign shall expire 10 days from annroval riata • APPROVED BY: PERMITTEE SIGNATURE: )( DATE: 9/17/2001 • illt . . ,T.t,,,�a SIGN PERMIT APPLICATION - CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 - . • GENERAL INFORMATION . Name of Development/Project ' - FO STAFF USE ONLY Site , ►� s n . Address/ Street Address , ei,14 Permit No.: C� i c�J i 1� Location / V vs Suite /Bldg. # City/State Zip Expiration Date: - 3 9 - • �� , Receipt #: 2- `' 3 7 Name Approved By: - /- ` �}- . Property 1/v � S ive- Date: y' / / -, ( / c / .. . Owner . Mailing Address Suite Map/TL #: 02 5 I o 2-. A-4 - !) `/F6 • .7os S Ni.I614' ' N,-r` Zoning: G 6 -b - City/State Zip Phone • Parr or 4-12414 ID, Electrical Permit Requir ❑ Yes IZA No . Tenant or Name Business )MI Building Permit Required? ❑- Yes X No Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc• Sign Contractor ' Mailing Address '• I e 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 El Completed Application Form' expired in the g on . Const. Cont. Board Exp. Date City of Tigard's License # - ❑ 2 Copies of Site /Plot Plan, Drawn to Scale - database) 0 0 (3 copies, if a building permit is required) Proposed Pm6 - size, requirement: 8'/2" x 11 ", or 11" x 17" Pf0 p ❑ Permanent ❑ Freestanding ❑ Freeway . Sign Egooremporary , ❑ wall ❑ Electronic ❑ 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" . - ❑ New sign? ter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: r/ 141? ' 4) 76' i w [/$15.00 Fee (Temporary Sign, any_type) Total Sign Area (sq. ft.):. 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) N S E W NE NW SE SW • Wall signs do not require site /plot plans. • Freestanding signs over '6 ft. required .a ,�4 Height to top of sign (feet): ' 1t • building permit., - Projection From Wall (inches): • If work authorized under a sign permit has not Copy: - been completed within ninety (90) days after - Materials: I] 0 . • " ' , the issuance of the permit, THE -PERMIT WILL BECOME NULL AND VOID. - Will sign have illumination? ❑ Yes 'lo . - . Type: ❑ Internal ©/External Are there any existing freestanding or wall signs at this ( N ot 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 / • / ❑ 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. DATED this day of , 20 Signature of Owner /Agent Contact Person Name Phone No. f - 7.7- • • • I 1 1 - 00,,)11/‘" - . . ',. . 401) ' ir . - ' . - 0 . . .. . . . -1 , J t . A • 0 - ' - . -.P.F,'. MP •■ ......... l• & • A2tigi° ... 4-70: , . ' . - „ - ...5............ . ''.. .',, /de t.W;p d j . l ' ' ' , x .. .., e),,,,,' 7 . 7r 3s k gAiiii.(47- . . . ig ....).: . , • . . itiiiei.. �� j . eITV OF f tto - _ app, :eve _ _.- [1C I _� 1 t'�� C.orrdi•- :;,iY Apprm �d I �� F c,.r 'Oily the work: as ctescri i+r I-1 f -� . _ • 4-E. . . ') Let:::,! to*- Follow w_..._ ...... [ ] • I :i -Q- - �,ra__ .....— Cates:-- it/ 7 fo / • _ ' . • • • • • • • • • • • -. - L.J .. , . - _ ''.., . - '. ' ''. ''' , ' O . . • ■ • • • • • • • • • • • • • • • • • • • • ■ • •! Receipt #: 27200100000000003776 Date: 09/17 /2001 T I D E M A R K COMPUTER SYSTEMS, INC Line Items: Case No Tran Code Description .. Revenue Account No. Amount Due SGN2001 -00173 ' [SIGN] Temp Sign Perm 100-0000-437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check CO -ZACK VENTURES LTD - MADDY'S 0 4175 $15.00 TOTAL AMOUNT PAID: • $15.00 • • • •