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SGN2012-00109 1, CITY OF TIGARD SIGN PERMIT Permit #: SGN2012 -00109 COMMUNITY DEVELOPMENT Date Issued: 06/25/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S112DC00701 Jurisdiction: Tigard Name of Business: Miller Paint Business Address: 15951 SW 72ND AVE Applicant/Agent: Paint, Miller Work Description: 8ft X 2.5ft plywood temp sign #2 for 2012 30 days 6/25/12- 7/24/12 May not be place in the right of way Permanent: No Freestanding: No Freeway: No Temporary: 2 Wail: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 8ft X 2.5ft Total Sign Area: 20 Wall Area: 360 Wall Face (Direction): East Sign Height: 20 ft. Projection From Wall: 2 in. Illumination: No Illumination Materials: 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: �, 4I Permittee Signature: 1 CITY OF TIGARD RECEIPT s 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 187279 - 06/25/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2012 -00109 Temporary Sign Permit 100- 0000 -43115 $45.00 SGN2012 -00109 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 06/25/2012 $52.00 Payor: Miller Paint Total Payments: $52.00 Balance Due: $0.00 Page 1 of 1 RECEIVED , a , IIII .E City ofTigard JUN 2 5 2012 S i n Permit Application TIGARD 1 1 CITY OF TIGARD GENERAL INFORMATION Name of Development /Project 11 FOR STAFF USE ONLY M Site i 11 1121 ?cki YV Co t Address / Street Address Permit No.: Location I C I 5L.) 72 4 AVe Approved By: Suite /Bldg. # City/State Zip A %06 4 c)Q- cc `-( Date: Name Receipt #: Property + 1. c...c -1 C`■-< Alap /TL #: Owner Mailing Address Suite Zoning: 1 5 - 3 SO S Ce6Lt.o,1,. Allowable Total Area: City /State Zip Phone Perk ,-1( 04_ 9.72L1 5 .'"-0 3- 631 -s2463 Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business Building Permit Required? ❑ Yes ❑ No Name Rev. 7/1/11 r \curpin \ masters \land use applications \slim permit app.doc Sign Contractor Mailing Address Suite City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS (Note: applications will not be accepted Oregon Co,mst. Cont. Board License # Exp. Date without the required submittal elements) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale Sign EL1'emporary ❑ Roof ❑ Electronic (Check all that (3 copies, if a building permit is required) apply) ❑ Wall Other size requirement: 81/2" x 11 ", or 11" x 17" ❑ 2 copies of elevations, drawn to scale sk New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) Sign Dimensions: K i - X 36 14 size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): .2-0 ❑ $165.00 Fee (Permanent sign, any size) Total Wall Area q. ft.) 0- $52.00 Fee (Temporary sign, any type) Sign Data O = (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S (f) W NE NW SE S \V Height to top of sign (feet): Z d zi. ♦ Wall signs do not need to be drawn to scale, but ` must include dimensions of wall face and sign Projection From Wall (inches): Z j N placement. Materials: 0ywt?,01 ♦ Wall signs do not require site /plot plans. Will sign have illumination? ❑ Yes E._ No ♦ Freestanding signs over 6 ft. required a building Type: ❑ Internal ❑ External permit. Are there any existing freestanding or wall signs at this location, including wall signs that overlap a tenant space? 1 ❑ Yes 2—No If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES) 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. , 7 d — zr- Applicant Signature Date Signature of Owner /Agent Date %�✓� 6 5 -7y6 73" Contact Person Name Phone No. 8 30 .v- F � City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2