SGN2007-00083 pr i CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00083
TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 4/27/2007
PARCEL: 1S135DD-03301
BUSINESS NAME: PHO BIHN MINH ZONE: C -
SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG
APPLICANT /AGENT: PHO BINH MINH
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. temporary banner. Valid 4/27/07 - 5/27/07. Sign #1
Wall mounted
MATERIALS: VINYL BANNER
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 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 expir days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: 1 l
PERMITTEE SIGNATURE: );' = , (1 ?!'I,(l0
DATE: 4/27/2007
I li .
SIGN PERMIT APPLICATION
City of Tigard Penrt Center 13125 SW Hall Blul, Tigard, OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
l M d N �� FOR STAFF USE ONLY
Site c
Address/ ( i� Address l �4 Lacy * 2 Permit No.: J$At) Z.--00 7 — W 0?3
Location W Qty/State 94147 _ s'lz7 /
�� Expiration Date: `
Suite/Bldg. # Qty/State Zip
v�T 2— — 7\ 01W-0 o4._ o°)223 Receipt # : 2-0.1 — I e
Name Approved By K.
Property ( 1 2 )1 /UP 1 //v 1A9 Date: 4 67 J
Owner / Mailin
25 gAdd ss _ _ lh Suite Map /TL# :
k S
Zoning: C.9
City /State Zip Phone 9
Tenant or
1Nae V � �� ®6 3i �f Electrical Permit Required? ❑ Yes [-No
Business T r f f' Vvl //v l44` Building Permit Required? ❑ Yes [—No
Name Rev. 7/5/06
is \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Thgard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign E— Temporary ❑ Wall El Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ B illboard ❑ B 1 " n 11"
apply) s requ 8 /Z x 11 , or 11 x 17 "
EFNew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 31 . 7 (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): , r' �
,'�" ❑ $39.00 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/ _._.,,g.:____ ♦ Freestanding signs over 6 ft. required a building
Will sign hav i llumination? ❑ Yes El 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 ❑ 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.
DA 1'P.D this ( 7 day of , 20
F �D
Signa of Owner /Agent
( PA {-( c( o
Contact Person Name Phone No.
CITY OF TIGARD 4/27/2007
13125 SW Hall Blvd. 1:23:03PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000001871
Date: 04/27/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00083 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00
SGN2007 -00083 [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
Check PHO BINH MINH KJP 1504 In Person 19.00
Payment Total: $19.00
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