SGN2006-00075 41, CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00075
T;IGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/3/2006
PARCEL: 1 S136CD -00100
BUSINESS NAME: LA TAPATIA MEX. REST. ZONE: C - G
SIGN LOCATION: 11705 SW PACIFIC HWY C JURISDICTION: TIG
APPLICANT /AGENT: LA TAPATIA MEX. REST.
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary cluster of balloons. Valid 5/5/06 thru 5/15/06.
Sign #1
MATERIALS: BALLOONS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED: N
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:
PERMITTEE SIGNATURE:
DATE: 5/3/2006
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,� It S IGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX.• (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project .
Site c,A -- 1 - 6, -k(ra Oe)c. (�eS� FOR STAFF USE ONLY
Address/ Street Address
Permit No.: $ IA 2 40 66k c 75
Location
inns ( IC (►J SA _ ' 1
uite /Bldg. # City/St e 0 Zip E xpiration Date: S AIL +, A
'7—(.( ✓(� ?)723 Receipt #: -2-'40 - /(
Na �' /' Approved By: / 7
l7
Property \ (.C\ rir ( I % n5 S Date: 5/3/0
Owner . Mailing AddrOss Suite
Map/TL #:
Zoning: L
City /State • Zip Phone
{Yv7r�
Tenant or ? + me Electrical Permit Required? ❑ Yes E-Pto
Business 0(a 12. t Building Permit Required? ❑ Yes [ No
Name Rev. 7/1/05 i :\curpin\masters\revised \sign permit app.doc
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Sign
Contractor Mailing Address Suite
(Prior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements) •
licenses are
required if • expired in the Oregon Const. Cont. Board Exp. Date 111 Completed Application Form
City of Tigard's License # •
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed ❑ Permanent (3 copies, if a building permit is required)
❑ Freestanding ❑ Freeway • Sign El Temporary size requirement: 8 x 11" or 11" x 17"
(Check all that p ❑ Wall ❑ E '
apply) ❑ Other El Billboard Balloon ❑ . 2 copies of elevations, drawn to scale
❑ New si n? ❑ Alter to existing sign? (3 copies, if a building permit is required)
g g gn ' size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions:
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): •
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❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction:
City ❑ Urb
(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,
Projection From Wall (inches): • but must include dimensions of wall face and
Copy: sign placement.
Materials: + Wall signs do not require site /plot plans.
+ Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No + If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No ,
if "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
1 hereby acknowledge that 1 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 3 day of /4/ , 20 C6
Sign u of Owner /Agent
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Contact Person Name Phone No.
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CITY OF TIGARD 5/3/2006
'' 13125 SW Hall Blvd. 8:52:17AM
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Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000002011
Date: 05/03/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00075 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00075 [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
Check HECTOR & SONIA SOLIS KJP 178 In Person 18.00
Payment Total: $18.00
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