SGN2008-00178 •
R P CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00178
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/12/2008
PARCEL: 2S 103DD -00800
BUSINESS NAME: ASBACHE RESTAURANT ZONE: C -
SIGN LOCATION: 13815 SW PACIFIC HWY 50 JURISDICTION: TIG
APPLICANT /AGENT: ASBACHE RESTAURANT
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 3'
TOTAL SIGN AREA: 9 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 3' X 3' Valid 9/13/08 - 10/13/08
Sign #1. Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spedalty 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: 9/12/2008
M il' ' SIGN PERMIT APPLICATION
City of TiganriPenrit Center 13125 SW Hall BM, Tigara OR 9410611/60
Phone• 503.639.4171 Fax: 503.598.196
SEP
1 2 2008
GENERAL INFORMATION p ClT �"' � =
30
Name of Development /Project - IT/VG
FOR STAFF USE ONLY
Site C ?6 (q [)C 1 9LtP(Lv
Address/ Street Address Permit No.: ��OU �� 0"� t
Location i3. l 5 l-U i1 G -6( I y D p '
1 # 5 Expiration Date:
Suite /Bldg. # Qty /St to Zip
P-5 /c7 11 (! (OVA) 0(1--. `l �-2Z3 Receipt t# :
Name Approved By: S - T � /
J J � c .
Date: q it 3 4 0 }l
Ownerty Mailing Address r S co Suite Map /T# : 5l 61 3 D O - (nJ SU7)
Zoning: L CO
Ciry /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes [ 'No
Business 5f13yq ( G Q.taST ACJ12W v-,T- Building Permit Required? ❑ Yes [ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign 5 i / h i (Of -C.
Contractor Mailing Address Suite
(Prior to permit }
issuance, a 1 55 s,,, Li t4 Nc..i REQUIRED SUBMITTAL ELEMENTS
copy of all Qty/State Lip Phone
licenses are (Note: applications will not be accepted
required if T(C„42r;i O. ((� �jo}) 6�_ without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign [A Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
apply)
[] New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: e (3 copies, if a building permit is required)
- X size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
' 5V - ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(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, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: (A) rt)i • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes M No permit.
Type: ❑ Internal �(] External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes a No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
L
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 / L day of _5411±, cr , 20 a-
Signature of Owner /Agent
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Contact Person Name Phone No.
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ASABACIIE
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IM CITY OF TIGARD 9/12/2008
�� 13125 SW Hall Bhd. 12:59:41 PM
Tigard, OR 97223 503.639.4171
TIGARD 1
Receipt #: 27200800000000003223
Date: 09/12/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2008 -00178 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00178 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash ASBACHE RESTAURANT ST In Person 20.00
Change COT ST In Person (1.00)
Payment Total: $19.00
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