SGN2009-00068 . r CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00068
`, ,:, COMMUNITY DEVELOPMENT Date Issued: 03/26/2009
TI A RD
..,I > s_ ;; ,: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134AA01900
Jurisdiction: Tigard
Name of Business: Shiraz Restaurant
Business Address: 10115 SW NIMBUS AVE 150
Applicant/Agent: Shiraz Restaurant,
Work Description: Placement of (1) temporary 20 s.f banner. Valid 4/2/09- 5/2/09. Sign #1
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: Yes A- Board:
Sign Dimensions: 10'x2'
Total Sign Area: 20
Wall Area:
Wall Face (Direction): North
Sign Height: 12 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required:
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. 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: i P. ..,,,,, . . , _ _ _ _ 4s
Permittee Signature: ,! - -- ii-
r it SIGN PERMIT APPLICATION
City .ti Tigard Penis Center 13125 SW Hall Blul, Tigz 34
Phone. 503.639.4171 Fax: 503.598.1961
MAR 2 5 2009
GENERAL INFORMATION CITY OF TIGARD
BUILDING DIVISION
Name of Development /Project
FOR STAFF USE ONLY
Site 5 0/ 2AZ / i,:- r71-Pt/2-4-7(77
C
Address/ Street Address Permit No.: �7 6 7 os L 1 0 Location /OP `S 54 /V/0(4/V/0(4/V/0(444€ 144
Expiration Date: /��ni�I47
Suite /Bldg. # City /State Zip Q C- V y/ 0 g L /
l 4 4 – Z.2 r� Zn OP- / 7�7 3 Receipt # :
Name Approved By
Property . k'OD/LOU 5!-f 5tie/m4-v Date: 3/-0 /al
Owner Mailing Address Suite M /'IL# :
/D//5 - %0 /0 4 16 1 45 Ai l' Zoning:
ay/State Zip Phone
7? b 02 � delDly�
Tenant or Name
- .F Electrical Permit Required? El Yes N o
Business Building Permit Required? ❑ Yes o
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
540 Sign L l�' Y 5! 44/ Co�i/)
Contractor Mailing Address Suite
(Prior to permit /D/) SW NU 44 . - 3
issuance, a s C REQUIRED SUBMITTAL ELEMENTS
copy y of all City/State Zip Phone
licenses are (Note: applications will not be accepted
required if 7' !64120 0a f/ A.13 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
ay of Tigard's
database) g Completed Application Form
Proposed RI 2 Copies of Site /Plot Plan, Drawn to Scale
p Permanent ❑ Freestandin ❑ Freewa ,
Sign Temporary ❑ Wall ❑ Electronic (3- eepies; if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply q
g New sign? ❑ Alter to existing sign? Ej 2 copies of elevations, drawn to scale
Sign Dimensions: �� �x A pr (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ,,,, D 462'F-1—
❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq ft.)
S C
Sign Data
g D S 6R 7 g $19.00 Fee (Temporary sign, any type)
(complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 0 S E W NE NW SE SW
Height to top of sign (feet): ao • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 0 must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes Y°t No permit.
Type: El Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
Ig1 Yes ❑ No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
I hereby acknowledge that I have read this application, that the information given is correct, that I am
the owner or authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard.
DATED this day of , 20
•
r:
Signature of Owner /Agent
Contact Person Name Phone No.
J r
c Jr\ \ (\ A
- )\V\L
/O
■ c t„„jE >L= .
0
1
••
4
i
• li- •4 1-. _-.-------------
•
_ II 11
• -^ ,
i 1
1 ‘411a !
. • ..- :
. ----------,,...........,....Th
• a-- ,
• . \I.
...• '4i' I %
• .
•
"..■ 1
...IP
• ,
, .
_ .
I
• I
• I
• 0 .
.•
.....— 4 1
. . .• \\)
J
di
•
4 •
1
1 ° 10ft x 2ft Digital Banner with hems and grommets
SPECJAL$ HI LUNCH MEDITERRANEAN Ili _A, .. ,
- NS,
R LL p
IAMB & BEEF GYRO SANDWICH - $5.95 VEGGIE KABOB SKEWER- $8.95 GROUND BEEF KABOB - $6,95
FEEL SANDWICH - $S.95 BONELESS CHICKEN KABOB - $7,95 CHICKEN GYRO - $6.45
CITY OF TIGARD
A pp r ny r!
Conditic;,al+ Approved....._.__ - [ )13
µ~ i
For onl} ,he work described in:
PERMIT NO. S G nl ? o °G
See Letter to: Follow..--------...... [ �
Attach _ _
L, y' Date : _ i
,
1 0 CITY OF TIGARD RECEIPT
u
'.
,t_ a iK. 13125 SW Hall Blvd., Tigard OR 97223
II . 503.639.4171
Receipt Number: 172974 - 03/26/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00068 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00068 Temp Sign Perm - LRP 100- 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash . KPEERMAN 03/26/2009 $19.00
Payor: Shiraz Restaurant
Total Payments: $19.00
Balance Due: $0.00