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SGN2004-00085 C ITY OF TIGARD SIGN PERMIT ui11, DEVELOPMENT SERVICES PERMIT #: SGN2004 -00085 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/5/04 PARCEL: 2S 102AB -03600 BUSINESS NAME: FAREAST FIGHTING ARTS ZONE: CBD SIGN LOCATION: 12271 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: FAREAST FIGHTING ARTS BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 8' X 6' TOTAL SIGN AREA: 48 sq. ft. WALL AREA: 580 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one permanent wall sign. (8' x 6') Electrical circuit is existing. MATERIALS: VINYL /METAL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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 , daays from validity date. APPROVED BY: �" `I - {� /� lJ- PERMITTEE SIGNATURE: DATE: 5/5/04 . .... A ii° SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION N�e oT Development/Project S h er79 14 Kt _K443 - Site ./bleu. tai1k 1(11/ FOR STAFF USE ONLY Address/ Street Address C1 d a� ✓V" Atk � l Permit No.: 6(4) a Oo -000"05 1 Location dd CIO 1 S ite/Bldg. # 7 /St �f Zip q Expiration Date: q a �S 1 GV(�l 0 f -' 1 1�� Receipt #: d 0 o(1 i b 3 Name Approved By: C . ( nrvl o Property fz Q Q(D e j�a 1/11ei Date: i .Ss ue. d. ' Address. ess. Suitef Map/TL #: & SlooZ i4 [3 -03(o OU } J.� S�) S UV15Z{ F.2tVC Zoning: CZ ity/,State Zip one AAGti 4 D� qi l au 50? W'� r r Electrical Permit Required? Yes No Tenant or T e a (,�,4� Business l l />°�S C l � h '� Building Permit Required? ❑ Yes ® No /JJ J Rev 8/7/2003 i:\curpin\masters\revised1sign permit app doc 1 e Sign v. pry Contractor Mailin. Address _ S u i te REQUIRED SUBMITTAL ELEMENTS (Prior to permit _ issuance; -a (Note: applications will not be accepted copy of all C /state Zi Phone without the required submittal elements) licenses are r ` required if '� aJ� �//7A �ompleted Application Form expired in the Oregon Const. Cont. Board Exp. ate City of Tigard's Licens (tY database) aQ� ', 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 1 1 or 11" x 17" Sign Temporary Wall ❑ Electronic (Check all that ❑ Other Billboard El Balloon E] 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) J New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions:.;' iv 6 dr .F4, �Y ©31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): �L f T ' ❑ $15.00 Fee (Temporary sign, any type) ❑ Urb Sign Data Total Wall Area (sq. ft.) �Qt /'� c � o � t g ! 1' A t� Jurisdiction: l (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N C-/ E W NE NW SE SW Height to top of sign (feet): 6 .re f- • Wall signs do not need to be drawn to scale, Projection From Wall (inches): U l „ S but must include dimensions of wall face and Copy: U sign placement. • Wall signs do not require site /plot plans. Materials: ; a • 111 —: ' �i I 6 • Freestanding signs over 6 ft. required a Will sign have illumination? t Yes ❑ No building permit. Type: a! Internal • External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL pi Yes No BECOME 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 Signature of Owner /Agent 4 P1 '' Contact Person ame one . # > . -■1111ww--, , isoloralw- .1 l - ..... t ,y C3 _....e• .,_---- • _-__ - - . __ ___ . _____- C3 - . .! .-.,,,,"-- I . . iii ' I 1111.01rAllig , ,. . c> I ( • ---"-j------7; 1 . • /4 C• t,',1, 11GARD i Appro .................................................................... . K1 Cooditionally Approved .. .................................... 1 Fol only the ',, N o TV. as described PFRI\All- 0 NO. 00 v —x.-- See Letter t:.•,-. Follow ..... . ..................................... 1 _. P ci .......... ...„ .................... 1 Job ---- P,dc1;ess: ,S4 . l3y.. ------.--- Date: ___-_ , e> . 111111°111 ( ------------------------:-7 ( .._---+---- CITY OF TIGARD 5/5/200.4 13125 SW Hall Blvd. 10:39:33AM \/(ilt., Tigard, Oregon 97223 8 1.. (503) 639 -4171 Receipt #: 27200400000000001873 Date: 05/05/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00085 [SIGN] Sign Permit 100- 0000 - 437000 31.00 Line Item Total: $31.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Cash FAREAST FIGHTING ARTS CAC In Person 40.00 Change CITY OF TIGARD CAC In Person (9.00) Payment Total: $31.00 Page 1 of 1 cReceipt.rpt