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SGN2000-00202 • r CITY OF TIGARD SIGN PERMIT % .1� "i=� DEVELOPMENT SERVICES PERMIT#: SGN2000-00202 ��� 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/28/2000 EXPIRATION DATE: BUSINESS NAME: QUEST DIAGNOSTICS PARCEL: 2S101AD-0350 SIGN LOCATION: 06600 SW HAMPTON ST APPLICANT/AGENT: ZONE: MUE BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'11"X17'2-3/8 TOTAL SIGN AREA: 50 sq. ft. WALL AREA: 5,200 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 12 ft. PROJECTION FROM WALL: 0 in. ILLUMINATION: IND DESCRIPTION OF SIGN: Installation of(1)one 50.3 sq ft wall sign. MATERIALS: ALUM.LEX,NEO EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y 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 temporary si II expire 30 days from approval date. A balloon sign shall expire 10 Hays from annrnval riafa APPROVED BY: XI - 'i"`-�`� ' PERMITTEE SIGNATURE: °' /11 GUI/`11...) DATE: 12/28/2000 CITY or TIGARD Sign Permit Application Recd By /-3-f 13125 SW HALL BLVD. Permanent or Temporary Date Recd Z.12...4-3/ki Permit No. Sr9n1 TIGARD, OR 97223 Commercial or Residential Permit Fee SO 7i--C OUL>� °- ' (503) 639-4171 Receipt No. Please Print or Type. Called Incomplete or illegible applications will not be accepted. Name of Development/Project Are there any existing freestanding or wall signs at this Site OugSI- -Df ACYNDl'rt1C�S location, including wall signs that ve ap a tenant space? Address/ Street Address 0 Yes No Location (400 < t� p If"yes",a list or diagram of II sign dimensions and (( square footage must also be submitted. Suite/Bldg.# City/State Zip Name NOTE: If work authorized under a sign permit has not Property 'PA'G.� RE---40-� been completed within ninety days after the Owner Mailing A dress Suite issuance of the permit,THE PERMIT WILL 15 Set VDit4' BECOME NULL AND VOID. City/State Zip / Phon 5�l I hereby acknowledge that I have read this application,that the � d 117,1 L (C --(f850 /_ 50 information given is correct,that I a he owner or authorized agent of the 1 (J I (S t� t����V owner,and that plans submitted - compliance with the City of Tigard. Tenant or Name Business at A4cmnttj Sig .tureofOwnerr-n /A,- Name (/./!, '// fDatil/7 ov Sign �G,�6CT- 1 Co ta• erson a/- Pho Contractor Mailing Address Suite A-- issuance, � ..Co . v if /J ,f,C 7- zu ( 6105 -‘..!6-//33 Prior to permit di2A3 /J— ff 1�.�� GIGJ^ issuance,a T\ copy i ! tate Zip Phone of all licenses �,� ''\,.-•I l are required if MI W1m.1 GvZ �f I3 Required Submittal Elements expired in Oregon Const.Cont.Board Exp.Date C.O.T. License#7oe 14_OZ�J 0 Completed application form database / Proposed ❑ 2 copies of site/plot plan, drawn to scale ❑ Permanent ❑ Freestanding ❑ Freeway (3 copies, if a building permit is required) Sign D Temporary ��wall ❑ Electronic size requirement: 8-1/2"x 11", or 11"x 17" Check all that 0 Other 0 Billboard ❑ Balloon apply Note: Wall signs do not require site/plot plans. New sign? 0 2 copies of elevations, drawn to scale (3 copies, If a building permit is required) Iteration to existing sign? " Sign Di n ion$: size requirement: 8-1/2"x 11", to 24"x36 Z �/ 17_23/gK Note: Wall signs do not need to be drawn to Total Sign Ar a(sq. ft.): scale, but must include dimensions. Sign ,3t 0 $50.00 Fee (Permanent sign, any size) Data Total Wall Are (sq. ft.) 0 $15.00 Fee (Temporary sign, any type) Please 5120 complete Direction Wall aces(circle one): each item in this N S ©W NE NW SE SW FOR OFFICE USE ONLY: section Map/TL# Zoning: Height to top of sign (feet): /2) Et ) Notes Projection From Wall (inc es): • 0 Electrical Permit Required? . 1---Yes ❑ No Copy:it w utaciaroldraesretBuilding Permit Required? /❑ Yes ❑ No Abdo qMat Is: /A / Approved By: Date of Approv l: iideo _Q),—..9–Q...k. _ct, k-1-- 1 -z-giC70 Will sign have illumination?, 'es ❑ No Expiration Date: Type: kfrifernal 0 External is dsts\forms\signapp.doc 12/17/98 , J ) i HAMPTON STREET JII111151641 i_JIIIIIIIIIM � _ -_ . / -N FitinFp 1111111111111 - vt J111111111111 N - r 1,-.3 --•- ' 111 I I l I i l ( III SBUILDING A J111111111111 ----\_ 111111111111r -- L ILI1111111 [1 - _ , llilllllllr � - - /�� „ � �\ I1IIII1II11_ m --' IIIIIIIiI1 I = _ _ = J ' �_ BUILDING B f I 1 \\N /I' /DO Receipt #: 27200000000000001854 _.► Date: 12/28/2000 TIDEMARK COMPUTER SYSTEMS. INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due ELC2000-00715 [ELPRMT]ELC Permit 220-0000-431510 $53.40 ELC2000-00715 [TAX]8%State Tax 100-0000-207020 $4.27 SGN2000-00202 [SIGN]Sign Permit 100-0000-437000 $50.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check TUBEART SIGNS 0 1510 $107.67 TOTAL AMOUNT PAID: $107.67