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SGN2004-00048 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00048 c II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/10/04 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: 2.5' 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 3/12/04 through 4/12/04. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: 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. APPROVED BY: 0/Le.?■ye- a_ PERMITTEE SIGNATURE: " DATE: 3/1,0//04 W -, i SIGN PERMIT. APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX.. (503) 684 -7297 , ENERAL INFORMATION Name of DevelopmentProject Site c�c� Pi FOR STAFF USE ONLY Address/ Stree ddress Location j VHS" SL -0 P�. C Permit No.: S (, I\( 004 X004 8 Suite /Bldg. # City/State Zip Expiration Date: z{' -/2.--0 ¢ c' LIC. TfywLCI OIti —1 -2z'3 Receipt #: d00`4 - O73) Name Approved By: Cktu � -� ) Property Date: 3- /D - � i4 Owner Mailing Address Suite Map/TL #: I S /3S DO - 0330 City/State Zoning: C- G Ci h Zip Phone tenant or Name Electrical Permit Required? ❑ Yes © No 3usiness . �,,�� 6_ /m/ 67/7/v,A 59 itir Building Permit Required? ❑ Yes ic] No Name Rev. 8/7/2003 i:lcurpinUnasters\revised\sign permit app.doc Sign :ontractor Mailing Address Suite Prior to permit REQUIRED SUBMITTAL ELEMENTS >suance, a (Note: applications will not be accepted opy of all City /State Zip Phone without the required submittal elements) tenses are equired if !xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form ;ity of Tigard's License # atabase) I2 2 Copies of Site /Plot Plan, Drawn to Scale > roposed (3 copies, if a building permit is required) ❑ Permanent ❑ Freestanding ❑ Freeway F >ign size re uirement: 8' /z" x 11 ", or 11" x 17" Check all that Temporary ❑ Wall ❑ Electronic q Chet Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale (3 copies, if a building permit is required) ❑ New sign? 1:1 Alter to existing sign? Sign Dimensions: I size requirement: 81/2" x 11", to 24" x 36" Total Sign Area (sq. ft.): [1] $31.00 Fee (Permanent sign, any size) 2& ❑ $15.00 Fee (Temporary sign, any type) >ign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb Complete all Direction Wall Faces (circle one): ems in this ection) N S E W NE NW SE SW NOTES: 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 No No building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not re there any existing freestanding or wall signs at this been completed within ninety (90) days after • Dcation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL ❑ Yes ❑ No BECOME NULL AND VOID. I I "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 CO b. day of j�'�" Z , 20 ( f Signature of Owner /Agent El ki (4e (33&- J Contact Person Name Phone No. I D/A/A) hiffL c 47f- VA- 7-47 ( 57)3 ) 9 0 1 ‘ ) /2/ 2 l(Z- • 9//Z CITY OF TIGARD 3/10/2004 13125 SW Hall Blvd. 12:52 Tigard, Oregon 97223 II. 63 9-4 171 Receipt #: 27200400000000000931 Date: 03/10/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00048 [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 Page 1 of 1 cRcccipt.rpt