SGN2003-00185 CI TY OF TIGARD SIGN PERMIT
*-14 . DEVELOPMENT SERVICES PERMIT #: SGN2003 -00185
13125 SW Hall Blvd., Tigard, OR 97223 (5 639 -4171 DATE ISSUED: 8/13/03
PARCEL: 2S102CC -00500
BUSINESS NAME: HOME TOWN BUFFET ZONE: C -G
SIGN LOCATION: 13500 SW PACIFIC HWY 17 OLD CNTRY BUF JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3.58' X 22.77'
TOTAL SIGN AREA: 82 sq. ft.
WALL AREA: 2,965 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: New wall signs for name change of existing business. Wall sign 3.5' x 23'
MATERIALS: ACRYLIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
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 days from validity date.
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APPROVED BY: 61144_.
PERMITTEE SIGNATURE: O. CoLit..2cw
DATE: 8/13/03
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A SIGN PERMIT APPLICATION
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• 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 47/2/: �Q6d,t/ 604Cre T •
Address/ Street Address _ Permit No.: J & ■a0O 3 - poi 8 5
Location w�oo '6iw Pile -1 FIC Expiration Date:
Suite /Bldg. # City /State Zip. 3 I / -
ait �� . q` 72 2 3 Receipt #: -q 0O3 - I
. Name Approve By: 6 . � i o e s
Property
Date: g - /3 -0 3 ..
Owner Mailing Address Suite Map/TL #: AS )o a ('_ e. 00 $- o U
Zoning: & C •
City /State Zip Phone - . . . - .
Electrical Permit Required? . Yes ❑ No
Tenant or Nam Building Permit Required? ❑Yes 1K No
Business rT6 /
Name Rev. 2/28/2003 is \curpin\ masters \revised\sign permit app.doc •
Sign /y� (/°! . oG/J �o .. cg °P 7 ( �Y) C .
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to Permit .
2oS o2�IU 7 4.e — ( a pplications will not be accepted
issuance, a / - without the required submittal elements)
copy of all City /State Zip Phone ..
licenses are ZD
required if 7764 L T� ?72 2Y ❑ C ompleted Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # / oS- El Copies of Site /Plot Plan, Drawn to Scale
database) `rL0 ( (3 copies, if a building permit is required)
Proposed [l Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary [g- Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ B alloon El copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
2 New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions: 3. 583' II X -z 2- - 77g L ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
g/ to/2— r11 ❑ $15.00 Fee (T,e,mporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) 2-765 Jurisdiction: El City El Urb g
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N.0 E . W NE NW SE SW •
Height to top of sign (feet): ici + • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): I "` sign placement.
. Copy: i thyv,e ru.9c/ Bu T ( /Zos°j o Wall signs do not require site /plot plans.
Materials: 4tum :/ Gc o Freestanding signs over 6 ft. required a
Will sign have illumination? LYes ❑ No building permit.
Type: ® - Internal ❑ External • If work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
rake3tvnbe Yes he.pp ,11] No
If "yes ", a list or diagram of VII sig 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 / 7, day of -uG- ug'I , 20 0 3
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Signature of Owner /Agent
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Contact Person Name Phone o.
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CITY OF TIGARD
Approwed
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I' ar only the work as described in:
PE9MIT NO. SG IQ <.( I c:;)5
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cv PROJECT DRAWING / REVISION SALES REP. FILE NAME
THIS DRAWING IS THE PROPERTY OF
CI-ON VEL LETTERS 2,1 MIKE - f'
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325 MINNESOTA AVE. N. 1410 E. CUFF RD
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CUSTOMER ORIG. DATE SCALE CUSTOMER APPROVAL ORONOCO, MN 95460 stchadlracq eLmusviLLE, MN 553)7
HOME7ON5 BUFFET <X 122103 I/2" . , 0"
PHONE I 507.367 -2611
Nksl.E.caPIS PHONE l 9524942425
5(172. USA ax/ 9524942748
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EIGARD OK 07/15/02,
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CITY OF TIGARD 8/13/2003
13125 SW Hall Blvd. 2:06:13PM
ii��rq;,,F.r I \ Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200300000000003617
Date: 08/13/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00185 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00186 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00188 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00189 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $124.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check MEYER SIGN CO OF OREGON CAC 8309 In Person 124.00
. Payment Total: $124.00
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