SGN2008-00204 •
C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00204
•
T.IGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 11/3/2008
PARCEL: 2S 110AB - 00200
BUSINESS NAME: LAS JARAS ZONE: C -
SIGN LOCATION: 14363 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: LAS JARAS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 145" X 20"
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 461 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 17 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) permanent sign 145" X 20" Must be placed on private
property, not in public right of way. Must meet visual clearance area requirements
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: SWAM '� —
DATE: 11/3/2008
III SIGN PERMIT APPLICATION
City q'Tivz1Pernat Center 13125 SW Hall Blzd, TilircZ OR 97223
Phon • 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/ProjectCA FOR STAFF USE ONLY
Site LAS J AS
Address/ Street Address Permit No.: 5C") ) aW
Location 143:3 5 c' t Expiration Date:
Suite /Bldg. # City /State Zip P
•
ROY/0 Ca_ ° 0 2.2- Receipt it :
Name Approved By: S T(21
Property a C `ccsL 'JC Date: l 1 i 3 I 0 '
Owner Mailing Address I Suite Map /TL# : 95 1 ( 0 AZ- �.3"�
1 X38°1 S CA $RrCl -L Zoning: e'c
� City/State Zip Phone
iG208:677
" C`� �� `(�� Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business 1_s (V- Buildin Permit Required? ❑ Yes El No
Name Rev. 7 /1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign CSC 'LOti-
Contractor Mailing Address } �' r Suite
(Prior issuanceto , pera . I
mit 1 ( 13 S dri S2^ . ' � ^'y
copy of all Qty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are r t n� f �� � (Note: applications will not be accepted
re uire . d if ll `7 /G `1 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Proposed i Permanent El Freestanding El Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign U Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Billboard Balloon 1 " " " "
appl) ) ❑ ❑ ❑ size requirement: 8 h x 11 , or 11 x 17
IA New sign? ❑ Alter to existing sign? El 2 copies of elevations, drawn to scale
Sign Dimensions: �u s ��y (3 copies, if a building permit is required)
6 size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): gO i • to
t ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) g i r lD3 ii $19.00 Fee (Temporary sign, any e
b, ❑ ( P rY g y tyP )
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S () W NE NW SE SW
Height to top of sign (feet): ii! • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 1 II must include dimensions of wall face and sign
placement.
CoPy 1.416 ZAR.A6 • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? a- -Yes ❑ 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
g Yes El No NULL AND VOID.
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.
DAZED th P21:4 9 day of ' 1.)( 1 )q , 20 C)
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Contact Person Name Phone No.
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: * °.- CITY OF'_ TIGARD 1 1/3/2008
11 `, 1 131 SW Hail Blvd. 4:34:57PM
• S C .Tigard. OR 97223 503.639.4171
'ra
Receipt #: 27200800000000003772
Date: 11/03/2008
Line Items:
Case No "Tan Code Description Revenue Account No Amount Paid
SGN2008 -00204 [SIGN] Sign Permit 100 -0000- 437000 35.00
SGN2008 -00204 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2008 -006 I8 [ELPRMT] ELC Permit 220- 0000 - 431510 53.40
ELC2008 -00618 [TAX] 12% State Surcharge 100- 0000 - 207020 6.41
Line Item Total: $99.81
Payments:
Method Paver User II) Acct. /Check No. Approval No. Flow Received Amount Paid
Check CANTERBURY SQUARE DEB 8948 In Person 99.81
Payment Total: $99.81
cReccipt.rpt Page 1 of I