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12425 SW MAIN STREET 12425 SW MAIN STREET I U) G N N til i i Permit No. CITY Of TIGARD SIGN PEkMIT APPLICATION Thu applicant hereby applies for a permit for the work indicated or as shown in the accompanyir►g plans and specifications. SIGN LOCATION ADDRESS: 12425 SW TN -MA -,2T—_ _ .—_ — ZONING: NAME OF OOMPANY: TIGARD VISION CENTER APPLICANT/AGENT: ROBERT LARSEN, ROBERT LARSEN GRAPHIC DESIGN 641-$.170 The City of Tigard imroses an annual Business Tax which must be kept current On you presently have a current on all persons doing business in the City. Business Tax? PROPOSED SIGN: PERMANENT ( X ) FREESTANDING ( X ) TEMPORARY ( ) WALL BILLBOARD (; ) SIGN DIMENSLONS: 40" X 5' TOTAL SIGN AREA (Sq. ft.); 33 173 SF WALL AREA (Sq. ft.): HEIGHT (ft): PROJECTION: ^��-- ' � � •. _,� ILLUMINATION: YES ( ) COPY: TIGARD VISION CENTER MATERIALS: REDWOOD EXISTING SIGNS: ___ ACES EXISTING SIGN, NO OTHER SIGNS OF ANY KIND_ OTl!ER PERMITS REQUIRED: YES ( ) NO ( X ) -- — C XIMENT S: — PLANNING UEPARITTENT All sign permits must be accompanied by a Permit Fee: scale drawing and plot plan. If work Receipt eeauthorized under a sign permit has not been Approved By: DR completed within ninety days after the Date: issuance of the permit, the perriit shall becoine null and void. I CERTIFY THAT I AM THE RECORDED 'OWNLR Ol F►1I PROPERTY OR AN r%GFNT AUTHORIZED BY THE OWNER Applican s Signature Address Telophona 9'7�� DAS:bsb2 Permit No. � d CITY OF TIGARD SIGN PERMIT APPLICATION Tta applicant hereby applies for a permit for the work indicated or as Shown in the accompanying plans and specifications. SIGN LOCATION ADDRESS: Z y c /Vk c ,.IJ zONING: v NAME OF COMPANY: i c ti J o �► q- l� j -- 4-- L ti - " 6y/_ RJ70 APPLICANT%AGENT: The City of Tigard impo-ies an annual Businesi Tax which must be kept Ettrrent on all persons doing business in the Gity. Do you Presently have a current Business Tax? !/ ✓ ., Cx. , �- <. .- � ._ ,-J �_., c/.� � ..�.- � -, J � � �� , n - - PROPOSED SIGN: PERMANENT ( ) FREESTANDING ( ' ) TEMPORARY ( ) WALL ( } BILLBOARD ( } SIGN DIMENSIONS: _' x TOTAL SIGN AREA (Sq. ft.}: ��__ WALL AREA (Sq. ft.): HEIGHT (ft): PROJECTION: _ ----- ILLUMINATION: YES ( ) No CK) COPY: _ / "5�� Lid MATERIALS_ c EXISTING SIGNS: OTHER PERMITS REQUIRED: YES ( ) NO (�O COMME NTS: --- - PLANNING DEPARTMENT All sign permits must be accompanied by a Permit Fee: •z� . �_ scale drawing anti plot plan. If teork Receipt No. : _ authorized under a sign permit has not been Approved B /z_ _ completed within ninoty days aftor the Date issuance of the permit, the permit shall - become null and void. � I CERTIFY THAI' I AM THE RECORDED 'GWNER OF 1 Ht PROPERTY OR AN AGENT AUT140RIZFD BY THE OWNER . Applicant' s Signature i Address Tolaphone DAS:bs62 i W MM -r_ P C -v O r 00 JUIGARD --- - -- C) VISION ENTEIR n i 9 � � p/F 5 PWO 8i*Clfr-I VFPWtrJCD fcrdvlsl.: P3.�tk iabuNn car» 1'SA,�raW f;orrn��t- csty 7/7 `Pi' 7FC t r I 4A � � k a i J- s r � 7 V w v CA -------------------- E EM i The s'+atch below is made solely for the purpose of aasist ng in locating said premiges and the company assumes no liab '.ty for variations, if An,,, in dimensions and location ascertained by actual :,urvs- TICOR TITLE INSURANCE 1900 1902 S `\ ll F 49Ac lye- 1901 ye- Alt Ill+III+ 0 CS +0102 rll+l p•. -__ .° - 5400 A) lie 1sr ° \ +++II f 3400 • Illi+++l �� 1` '9.�_` J�. � / � •\ IIIII� t� 3300 6 i \ ►.ti 3500 •• 5 yy S '�� -��� �9 Illllllll \ C�� Y sir °�- h3I00� `O 2, , • �0 01 0^ 04 , 3 OPA, 3900 ,• II Ill / �� � \��� �J� \ i. •'o_ �( .,v Y�ql ►f, IBAC i� •B� ( ►1 ^ �� i4. J h0 0 Nw COR S d ((III % > `J ���,ti m'° • i �.� �p� 34/136 4100 2800 tY . ►e Pati 00�'P d /s ��j►�C� I 4300 \ vv ►. 61C Ar � � � y�1 � / // ►61.�eJ46Ar s;p 6 p � 4400• ^,o�J° ► /OQC 4N �'• 0 ?9,4rI, 4500 1C. • . A J y 10 0 �o 5► ti 2400 r f./4 A.. o eo An ti J• ?J a P ► �t q / I ►1 4� /9 A \ C J T 2100 gl�n,l �p�, f o vp .� ?�'•� O� 4 9 ds •S N ` J s, o t t /KP ID �S QQQ 1360 432°33'E TO J• . `C S \ .r., ? n►y,d Af \ N E CORNER Of THE •• O 9►�� J�\ J •, ►�\ �11 C 0,-� SOUTH i/Z or JOHN �f X000 HICKL.IN DLC 3TMOST '� ",* 6 �� •,� 5301*Nb �' NORI MERIT CORNER;T OF ! S J ►� �J J RURHHAM TRA, ,�ar(P eNo. 5100 C. \ 5200 ► % s e� ?3Ar % c CILe \e� a► '�91 SEE MAP 2S 12AC 'C7! N (Ain CITY OF 716A RD PLAN CHECK APPLICATION COMMUNrrY DE!EL OPMENT DEPARTMENT WYOFTWARD PLAN CHECK #' 13125 sw►UA BW N.o.ear 23307,nu.b.()r*Wn gr2M(Sao)Wg_41 r5 PERMIT l h _- - DATE ISSUED JOB ADDRESS: ! 2 N;Z_ w I-7-A\f Ar s TAX MAP/LOT SUB: LOT:_ LAND USE: 4f 4p VALUATION: 2 ; et6 SETBA : FRONT: REAR: _ LEFT: RIGHT: WORK. CLASS: HEIG ;!y TOTAL AREA: S GS USE TYPE: FLO LOAD: 1ST: CONSTR TYPE: s_ H TYP ^ 2ND: OCCUP GROUP: D : LI./V14ITS 3RD., OCCUP LOAD: 0 BEI)i S: BASEMENT NO STORIES: NO BLS: GARAGE: IMP SURFACE: APPROVALS IE 'D� PIANNING: } SPECIAL NOTES ITEMS REQUIRED REISSUE OF: UST[SUBCONTRACTORS:.- ENGINEERING: LAST REISSUE: BUS TAX: FIRE DEPT.: FLOOD PLAIN/ CALCULATIONS: _ OTHER: SEN LND.: TRUSS DETAILS: PAktKING PLAN: / LANDSQAPE PLAN: _ PLAN CHECK BY: OTHER: COMMENTS / \ — - -ACCT T— DFSCRIPTIOW UNT OWNER 10-432 B� .lding Permit Fees NAME: a. �..,, r1,, 10-431-600 umbing Permit Fees ADDRESS: i y� _ , 1.0-431-601. Mechanical Permit ��5 s 10-`130-50 State Building Taxx) cj 10-433 Plana Check Fee �' ,�6 PHONE: — 30-443 Sewer ConnectioF (201) 1 30--202 Sewer Connectiafn (80X) j - CONTRACTOR 30444 \, Sewer Inspection t/ s NAME: _ .51-448 Street Syete{n Dev. Charge (S ADDRESS: •52-449-610 arks I Syitem Dev. Charge (PC) 52-449-620 rks II $yste+m Dev. Charge (PDC) 31-450 Sorm Dtainage Syst Dev Chr,4(SSDC) PHONE: 10-230-505 TR-VD (95X) (SX) ARCH/ENGINEER 10-230-506 dash ngton County Fir 1 (952) NAME >• . 10-435 Washi to County F e 11 (52) ADDRESS: 10-220 Amart/ eeoo - L. � ��b"6 yn PHONE. TOTAL-- =�© ''' �,h PREPAID �. REC BALANCE DUE S APPLICANT SIGNATURE \Recei.ved By:_ - Date Received: PERMIT _ PLAN CHECK # BUILDI/NG RECEIPT NAME: DATE: ADDRESS & LOT & SUBDIVISION NAME: ACC's'. # DES"RIPTION AMOUNT 10-432 Building Permit Fees $ 10-431-600 Plumbing Permit Fees $ 10-431-601 Mechanical Permit Fees $ 10-230-501 State Building Tax CJ $ ,3 (c 10-433 Plans Check Fee $ 3 30-443 Sewer Connection (20%) $ 30-202 Sewer Connection (80X) $ 30-444 Sewer Inspection $ 51-448 Street System Dev. Charge (SDC) $ 52-449-610 Parks I System Dev. Charge (PAC) $ 52-449-620 Parks II System Dev. Charge (PDC) $ 31-450 Storm Drainage System Dev. Chrg (SSDC) $ 10-2.30-505 TRFD (95X) 10-435 TRFD (5X) $ 10-230-506 Washington County Fire #1 (95X) $ 10-435 Washington County Fire #1 (5X) $ 10-220 Amart/Wedgewood $ TOTAL $ ,? ( 3 _ (Separate Check for Leron Heights $150.00). (br/1214P) l� CITY OF TIGARD BUILDING DEPARTMENT PLAN CHECK NO. : 7- PLAN PLAN CHECK APPLICATION DATE RECEIVED: ' i A'7 P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: ! j ,/�" 2) This is to certify that the attached _`' sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, Ui edition. PROPERTY OWNER: (� �, L 'n,c& OWNER'S ADDRESS: �r CONTRACTOR: TELEPHONE: t � JOB ADDRESS: 2 s � Q �yC LOT NO. & MAP: 2 / Z ,-I ray DESCRIPTION OF WORK: Approvals Required SPECIAL NOTES Planning Dept. a`� t A�� , O Reissue Q Engineering Dept. ;OOjvl ��A ���I� Flood Plain/Sensitive Lands ,O� Fire District s�VA G btn O Sewer Availability O Other Id f�', n Other Items Required List of subcontractors 0 Business Tax 0 Calculations OTruss Details C Parking Plan OLandscape Plan Other COMMENTS: City of Tigard Building Department BY: