SGN2004-00025 C ITY OF TIGARD SIGN PERMIT
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1 . DEVELOPMENT SERVICES PERMIT #: SGN2004 -00025
E � f 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/9/04
PARCEL: 1S135DD-03301
BUSINESS NAME: GIN LIN CHINESE RESTARURANT 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: 2.5' X 9.5'
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 one temporary banner (2.5' x 9.5'). Valid from 2/10/04 through
3/11/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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.
e,
APPROVED BY: 0 "
, PERMITTEE SIGNATURE: a -v, )
DATE: 2/9/04
. A
, ,r,,,l° SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417/ FAX: (503) 684 -7297
ENERAL INFORMATION
Name of Development/Project
Site Tic! Coal P1g2A FOR STAFF USE ONLY
Address/ StreetAddress
Location Permit No.: 5(0� :3∎ "'l — 000,
I1ggS SGO Paclic I-Iu -1
Suite /Bldg. # City/State Zip Expiration Date: 3 - 11 - U f
ZH Z. TiTalc4 o (. 9-1-2-z:1 Receipt #: a v0t-1 - 041
Name Approved By: C -
Property Date: a - to - 04
Dwner Mailing Address Suite Map/TL #: 1S,35 D r) - 0, 3 0 1
Zoning: C - G
City/State Zip Phone
tenant or Name Electrical Permit Required? ❑ Yes El No
3usiness 6/4/ (J 6 M/ COi'-- ZF-Srift", Building Permit Required? ❑ Yes [g No
Name Rev. 8/7/2003 is \curpin\masters \revised\sign permit app doc
Sign
:ontractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
Prior to permit
>suance, a (Note: applications will not be accepted
opy of all City/State Zip Phone without the required submittal elements)
censes are
Squired if
xpired in the Oregon Const. Cont. Board Exp. Date Completed Application Form
:ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'ro osed (3 copies, if a building permit is required)
ii n M P ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
g Temporary El Wall p Electronic
heck all that Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
❑New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 2y2 x q qZ.
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2s . 7_ .s -
Fgj $15.00 Fee (Temporary sign, any type)
iign Data Total Wall Area (sq. ft. Jurisdiction: ❑ City ❑ Urb
Complete all Direction Wall Faces (circle one): r 'Cn _4%. -1
ems in this NOTES:
ection) 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.
• Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No No building permit.
_ Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
kre there any existing freestanding or wall signs at this been completed within ninety (90) days after
)cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No I BECOME NULL AND VOID.
f "yes ", a list or diagram of all sign dimensions and II
,quare footage must also be submitted.
(OVER FOR SIGNATURES)
1
a w
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 hb day of Fe , 20 (, c/'
5Lt,o-i
Signature of Owner /Agent �J
C /fee (Leon (93) /6(S`-0/ 2 I
Contact Person Name V Phone No.
)//V/t g ,s. 9r.
0 I =p /Z/
9//Z
CITY OF TIGARD 2/9/200'4
13125 SW Hall Blvd. 10:17:00AM
Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200400000000000477
Date: 02/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00025 [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 CAC In Person 15.00
RESTAURANT
Payment Total: $15.00
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