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SGN2012-00083 F ,, CITY OF TIGARD SIGN PERMIT "' 7 ll« . Permit #: SGN2012 -00083 COMMUNITY DEVELOPMENT Date Issued: 05/14/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701 Jurisdiction: Tigard Name of Business: Miller Paint Co Business Address: 15951 SW 72ND AVE Applicant/Agent: Hausenberger, Steve Work Description: Temp Sign Sign approval for 30 days 5/15/12 to 6/15/12 - Sign is not to be placed in the right of way or in the clear vision triangle Permanent: No Freestanding: No Freeway: No Temporary: 1 Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 30 "x8' Total Sign Area: 20 Wall Area: 360 Wall Face (Direction): East Sign Height: 12 ft. Projection From Wall: 2 in. Illumination: Materials: Vinyl /plywood Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $52.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: Iff� V Permittee Signature: " " (2- / /k16/--;(/— " � ' CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 186711 - 05/14/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00083 Temporary Sign Permit 100- 0000 -43115 $45.00 SGN2012 -00083 Temporary Sign Permit - LRP 100 - 0000 -43117 $7.00 Total: $52.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Cash HWATKINS 05/14/2012 $52.00 Payor: Steve Hausenberger Total Payments: $52.00 Balance Due: $0.00 Page 1 of 1 III is City of Tigard - Sign Permit Application TIG RD GENERAL INFORMATION Name of Development /Project Site 0 ; � �.e, pa , v , 4 . L v FOR STAFF USE ONLY Address / treet Address Permit No.: s i " .P Location 1 rj 1 1 5 1 s ,› ') a -1C ' Approved By: iAi Suite /Bldg. # City/State Zip i ' _t n / Ca.. e 7a) 41 Date: ��/ / V / v Name L / Receipt #: Ii /7/ Property 2 n ( l'^ti.S-4 Map /TL #: ,P I (2 ►G /%07D Owner Mailing Address Suite Zoning: — P 15 3 Sc S w Se u Allowable Total Area: g azIr J City/State Zip Phone 1 ) 7 3 Electrical Permit Required? ❑ Yes Tenant or Na11e Building Permit Required? Yes moo Business , 1 1Gr ? C`- t v-, 4' CC) Y>n Pan / $ i q ❑ lld 1 Name Rev. 7/1/11 r \cuipin \masters \land use applications \ sign permit app.doc Sign Contractor Mailing Address Suite City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS (Note: applications will not be accepted Oregon Const. Cont. Board License # Exp. Date without the required submittal elements) ❑ Completed Application Form Permanent Freestanding Freeway Proposed ❑ ❑ g ❑ y 11 2 copies of site /plot plan, drawn to scale Sign B Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required) (Check all that Wall ❑ Other t » " 11" 17" apply) size requirement: 8 h x 11", or 11 x 17 ❑ 2 copies of elevations, drawn to scale Glif New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: v i x se) I i size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): El $165. Fee (Permanent sign, any size) 0 Total Wall Area (s . ft. „ ❑ $52.00 Fee (Temporary sign, any type) Sign Data _ „ (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S e W NE NW SE SW . Height to top of sign (feet): I j • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): 3 / / must include dimensions of wall face and sign �� t000ci Wall signs Materials: Vl n �// -� ♦ Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes ai No • Freestanding signs over 6 ft. required a building Type: ❑ Internal ❑ ExtemZ permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? ❑ Yes ® No ,` (OVER FOR SIGNATURES) If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I Page 1 of 2 APPLICANTS: To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the front of this application in the "Required Submittal Elements" box. NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work. * When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back of this form or submit a written authorization with this application BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT: ♦ If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all the conditions and limitations of the approval. ♦ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and may be revoked if it is found that any such statements are false. • The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving and denying the application. 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. SIGNATURES of each owner of the subject property are required. Applicant Signature / Date Signature of Owner /Agent Date 5 yr 4 I-C2 yl may-- Sod ^ & go 3S'S Contact Person Name Phone No. • • 1"-r (T City of Tigard 13 125 SW Hall Blvd., 503- 639 -4171 www.ti and -or Y g I Tigard, OR 97223 g I I g •gov I Page 2 of 2