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SGN2010-00003 CITY OF TIGARD SIGN PERMIT Permit #: SGN2010 -00003 COMMUNITY DEVELOPMENT Date Issued: 01/08/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00800 Jurisdiction: Tigard Name of Business: Business Address: 13815 SW PACIFIC HWY 80 Applicant/Agent: Kim, Peter Work Description: Placement of one (1) temporary sign (A- Frame) 3' X 4' Valid 1/11/10 - 2/11/10 Must be placed on private property riot in public right of way. Must meet visual clearance area requirements Si (b LI tt I Permanent: No Freestanding: No Freeway: No • Temporary: 1 Wall: No Electronic: No Billboard: No Balloon: No Banner: No A- Board: Yes Sign Dimensions: 3' X 4' Total Sign Area: 12 Wall Area: Wall Face (Direction): Southwest Sign Height: 4 ft. Projection From Wall: in. Illumination: No Illumination Materials: Wood Electrical Permit Required: No Building Permit Required: No Total Permit Fee: $19.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: s. l ' 4 % , i. / Permittee Signature: 1 11 1 ,Iii SIGN PERMIT APPLICATION . City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, U ED Phone: 503.639.4171 Fax: 503.598.1960 I TIGARD- . JAN 0 8 2010 GENERAL INFORMATION CITY OF TIGARD ' • - � - .1 Name of Development /Project © S ; FOR STAFF USE ONLY Site r) Address/ Street Add Permit No.: -PTO id el 0 D000- Location /3 ei SIN Pd is 1 ' 2c NW ) Suite /Bldg. # City/State Zip Expiration Date: S b -' 9 tj cm 123 Receipt #: 1 Tto 5l g Name nI� Approved By: 3_ TV-DA T Property n S 7 V -er S Date: E' (l D Owner Mailing ddress Suite Map /TL #: pa &( 05 010 0 as-0e) Zoning C 6 City/State Zip Phone Electrical Permit Required? ❑ Yes LJ 1 V Tenant or Name Business I 13- 6\!i J Dot/lye( Building Permit Required? ❑ Yes No Name Rev. 7/1/09 is \curpin \ masters \land use applications \ sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit City/State issuance, a REQUIRED SUBMITTAL ELEMENTS copy of alCity/State Zip Phone licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date City of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign M Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon apply) size requirement: 81/2" x 11 ", or 11" x 17" ❑ New sign? 1 Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: j � 1 , 3 t xl i ) (3 copies, if a building permit is required) Iri `� size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): _S ❑ $40.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE ca Height to top of sign (feet): `54.' • Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. Copy: r • Wall signs do not require site /plot plans. Materials: w C • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes No permit. Type: ❑ Internal E External ♦ If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes �No NULL AND VOID. If "yes ", a list or diagram of all sign dimensions and square 1 footage must also be submitted. / (OVER FOR SIGNATURES) I/ i( — VI ll I0 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 J ( , 20 `U • 7 —.77 Si azure of Owner /Agenv \ en C lg s 3 Vk3 Contact Person Name Phone No. I CITY OF TIGARD RECEIPT g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 176518 - 01/08/2010 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2010 -00003 Temp Sign Perm 1003100 -43115 $17.00 SGN2010 -00003 Temp Sign Perm - LRP 1003100 -43117 $2.00 Total: $19.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 016018 STREAT 01/08/2010 $19.00 Payor: Dae Kim Total Payments: $19.00 Balance Due: $0.00 Page 1 of 1