SGN2004-00002 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00002
IC 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/5/04
PARCEL: 1S135DD-03301
BUSINESS NAME: GIN LIN CHINESE RESTAURANT ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2 - 1/2'X 9 - 1/2'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 23.75 temporary banner. Vaild 1/7/04 thru 2/7/04. Sign #1
MATERIALS: VINYL BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 :. s from validif d.te.
APPROVED BY:
PERMITTEE SIGNATURE: l '
de.
DATE: 1/5/04
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A- ��. SIGN 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
FOR STAFF USE ONLY
Site Ttgo/LC Pt&30,
Address/ Street Address Permit No.: '.) Ci /• W ` taco .Z
Location // y ys Sw Pa.ccr-r.c /11,`,y f /
E xpiration Date. // y - /o
d iOdg. # City /State Z ip Z U U O a- /
T� fcan,J / 02 °(� 223 Receipt #: �/
• . me Approved By:
Property
S� o
Date: 1 q
Owner Mailing Address Suite Map /TL #:
Zoning: C /
. C
City/State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business G/N L/N CH /Al ESE 12C574UI /}NT Building Permit Required? ❑ Yes ❑ No
Name Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ rmanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? ( size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: .... _ • - 1 2 / 1 th2
.____=:_,--:-_-_- ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): - .
_ _ 2.3,15 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
• If work authorized under a sign permit has not
Type: ❑Internal ❑ Exter al
been completed within ninety (90) days after
Are there any existing freestanding or all signs at this
the issuance of the permit, THE PERMIT WILL
location, including wall signs that ov ap 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.
(OVER FOR SIGNATURES)
_A
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 .5 -1-1 day of :ran k ap.A , 20 O
744 S (
Signature of Ow r /Agent
; Ian blIA. 6 6�- 6 lb)Y
Contact Person Name ( (?-3
Phon No.
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(5U0 $03 —01,21 1-1 I) — FIE 1
CITY OF TIGARD 1/5/2004
13125 SW Hall Blvd. 1:35:40PM
p1,111/, Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200400000000000021
Date: 01/05/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00002 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash GIN LIN CHINESE KJP In Person 15.00
RESTAURANT
Payment Total: $15.00
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