SGN2005-00183 4 ,
CITY TIG RD SIGN PERMIT
4 11" DEVELOPMENT SERVICES PERMIT #: SGN2005 -00183
' -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/27/2005
PARCEL: 1S135DD-03301
BUSINESS NAME: DAXING SEAFOOD INC ZONE: C -
SIGN LOCATION: 11945 SW PACIFIC HWY 248 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq ft banner. Banner must be placed on private property
and not in the visual clearance or visual clearance area. Valid 6/29/05 - 7/29/05.
Sign
MATERIALS: VINYL
. EXISTING SIGNS: 1 •
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. 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: `'�� —
PERMITTEE SIGNATURE:
DATE: 6/27/2005
t
1 1i 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
Site
PA V ail 5� �. t 7u FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5GNa0O5 - 001'2)3
Location 11 7 4-f 5 1 /1 M
Expiration Date:
Suite /Bldg. # City /State Zip
24- f To a► ' G 77 22-3 Receipt #: 090oS --,29q9 Name Approved By: C • CC4_.4.-yt,t--
Property 'TO 4YA g 2- A Date: CO - l -OS
/ Owner Mailing Address Suite Map /TL #: 1St 3 SD D '- (.) 3O
�( Zoning: C... - G
City /State Zip Phone
\/ Tenant or
Name Electrical Permit Required? El Yes 14 No
X Business i 't- : t1ki Building Permit Required? ❑ Yes [X] No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/ - e Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired •• e Oregon Const. Cont. Board Exp. Date
City , igard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
.: abase)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign i Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other 111 Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions:
❑ $37.00 Fee (Permanent sign, any size)
A.-Total Sign Area (sq. ft.): ❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: El City E] U rb
(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): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 9- 7 day of 6 C , 20
PA k
Signature of Owner /Agent
✓�� PA-.— (3 - *C.
Contact Person Name Phone No.
CITY OF TIGARD 6/27/2005
13125 SW Hall Blvd. 12:37:59PM
.4 c �i�k Tigard, Oregon 97223
--_l (503) 639 -4171 1
Receipt #: 27200500000000002949
Date: 06/27/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00183 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00183 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
. Cash DAXING SEAFOOD, INC CAC In Person 20.00
Change. CITY OF TIGARD CAC In Person (3.00)
Payment Total: $17.00
cReceipt.rpt Page 1 of 1