SGN2005-00216 t k 1
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00216
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2005
PARCEL: 1S135DD-03301
BUSINESS NAME: GIN LIN CHINESE RESTAURANT ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 9.5'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner (2.5' x 9.5') Valid from 8/7/05 through 9/7/05.
Sign #1.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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: L_ _ / ����
PERMITTEE SIGNATURE: o `'-6(
DATE: 7/22/2005
r
i
CITY OF TIGARD SIGN PERMIT
A DEVELOPMENT SERVICES PERMIT #: SGN2005 -00216
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2005
PARCEL: 1S135DD-03301
BUSINESS NAME: GIN LIN CHINESE RESTAURANT ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 9.5'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner (2.5' x 9.5') Valid from 8/1/05 through 9/1/05.
Sign #1.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 . s from validity date.
APPROVED BY:
iF
PERMITTEE SIGNATURE: L --\-
1- 3
DATE: 7/22/2005
a -.-..
....„
.7 A
�, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
Name of Development/Project •
iite c:i c J P q FOR STAFF USE ONLY
kddress/ Streei •ddress
.ocation (+clgs Sth Petctf1c. /—lu Permit No.: p ��� 6
Suite /Bldg. # City /State Zip Expiration Date: g//�� _ q�ll�L
ZCt Tf ' wf.c,t 0R. 9 - I-22`3 Receipt #:
Name
'roperty .
Approved By:
Date: _V2Z
)caner Mailing Address Suite
Map/TL #:(S 3 S 172Q32z2t
City /State Zip Phone Zoning: _ (
' enant or Name �' Electrical Permit Required? ❑ Yes LT No
lusiness 6, 0 �
Name
Si �j�f- — Building Permit Required? ❑ Yes o
Rev. 8/7/2003 i:1cu • In\masterslrevised\si•n •ermit a.. doc
ign
:ontractor Mailing Address Suite
'rior to permit REQUIRED SUBMITTAL ELEMENTS
•
suance, a (Note: applications will not be accepted
spy of all City /State Zi
enses are p Phone without the required submittal elements)
quired if
Aired in the Oregon Const. Cont. Board Exp. Date C pleted Application Form
ty i
of Tgard's License #
itabase 'Copies of Site /Plot Plan, Drawn to Scale
roposed ❑ permanent (3 copies, if a building permit is required)
ign ❑ Freestanding ❑ Freeway g p
heck all that Temporary ❑ Wall ❑ Electronic ( size requirement: 81/2" x 11", or 11" x 17"
•I Other ❑ Billboard
❑ Balloon i' copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign?
Sign Dimensions: a` k 'fa size requirement: 8 x 11", to 24" x 36"
Total Sign Area (sq. ft.): - f� 531 v Fee (Permanent sign, any size)
ign Data Total Wall Area (sq. ft.)
2 '� , (Tempora sign, any type)
omplete all Di JUrisdicti0n: City ❑ Urb
ms in this Direction Wall Faces (circle one):
ction) .N S E W NE NW SE SW NOTES:
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
Copy: sign placement.
Materials: • Wall ot • • Free standing signs do signs not require over 6 site /pl ft. plans. required a
Will sign have illumination? ❑ Yes El No building permit.
• T •e: ❑ Internal ❑ External • If work authorized under a sign permit has not
e there any existing freestanding or wall signs at this been completed within ninety (90) days after
ration, including wail signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID,
"yes", a list or diagram of all sign dimensions and
uare foota•e must also be submitted.
(OVER FOR SIGNATURES)
hereby acknowledge that I have read this application, that the information given is
;orrect, that I am the owner or authorized agent of the owner, and that plans submitted are
n compliance with the City of Tigard.
0 ( '`A-5 0 I --
DATED this te5 day of . c -6-6 7 , 20
5
Signature of Owner /Agent . "----__/
•
sifilCcWs/.U2 s 3) `1 _ c/ 2 I
Contact Person Name Phone No.
4
qV z ------------ .
3 rd -
4,h' verso Specs t l t
�/ 2 /z
•
CITY OF TIGARD 7/22/2005
13125 SW Hall Blvd. 3:44:03PM �\ .
ii r , , , i � ,,, Tigard, Oregon 97223
I (503) 639 -4171
Receipt #: 27200500000000003451
Date: 07/22/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00216 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00216 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash GIN LIN RESTAURANT MET In Person 20.00
Change CITY OF TIGARD MET In Person (2.00)
Payment Total: $18.00
cReceipt.rpt Page 1 of 1