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SGN2003-00191 CITY OF TIGARD SIGN PERMIT 4'1 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00191 ; 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/14/03 PARCEL: 15101 TM -MISC BUSINESS NAME: SWEET TWEETS JAVA & CATERING ZONE: SIGN LOCATION: MISC SW NO ADDRESS JURISDICTION: APPLICANT /AGENT: KEVIN WILSON BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3 X 4 TOTAL SIGN AREA: 12 sq. ft. WALL AREA: 176 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Signs for mobile java business. MATERIALS: WHITEBOARD EXISTING SIGNS: 2 ELECTRICAL PERMIT REQUIRED: N 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. APPROVED BY: Q ' ee, / PERMITTEE SIGNATURE: � •■ . 74 DATE: 8/14/03 Ao, v,i,; 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 SWEET - Ilk/ 0 m CATERIN& Address/ Street Address Permit No.: 11/41 ,?003 - 00 1 ci i Location Expiration Date: �— Suite /Bldg. # City /State Zip Receipt #: 20 — 307 Name Ke L aii Ali/SO/3 Approved By: C C ep 11 .1,i - Property DA ; Si11� I wEETS JAIrA d Cr1Tii li�ll� Date: B Owner Mailing Address Suite Map/TL #: 1510 I 1 M - (Y1 i ..C- /01/3 SE 132 AVE. Zoning: rn 01); I & City /State Zip Phone VVWcoL1vEi _ IAA 986'$.3 503-780 -324 Electrical Permit Required? ❑ Yes (x] No Tenant or Name Business SUS/NE-55 Building Permit Required? ❑ Yes xi No Name Rev. 2/28/2003 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 i permanent El Freestanding I=1 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) XENew sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: 7 J)C 4 ❑ $a S e e Fee (Permanent sign, any size) Total Sign Area (sq. ft.): la ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) I ( Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) 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 sign placement. Copy: • Wall signs do not require site /plot plans. Materials: 1(J h I -1-e„b c r d • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 4. No building permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not Are there any existing freestanding or wall signs at this been completed within ninety (90) days after location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. El Yes ctjNo If "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 / 1- 1 17/t day of AV ( ; 1.15T , 20 CJ 3 ,t2Aivvi 1/1 Signature of Owner /Agent EvJM (c) S/*ReY CLhL &JAJ 6360) 26 5 S S co Contact Person Name Phone No. C 5 b3) 7 80 -- 32 9 FixE - 1 - 1uCK waif 6o0 Fl6utca 13 r ?' T 5 /Z7 , f 9I Y 5/b/A1 EsPE5s0 PRIC / A X / CITY OF TI GARD �nditio A ....................................... _ ®U or only the work asL�esc ed in: See Letter to: Follow - - - °- -.( 1 T R tic u�� at- imA6I 7S Att �h Ft X E(� C © Job A�dre Fl G OR'E C a I16W r 5/ , lEM p p- 5161 , moArrfiC y° SPECIAL 5-; r 16v/A 1/,. c 7/7 /L PIM SW ET . Ttt. ?Errs J A i/ 1"�� r CATER / Ouf 1c7/3 S /32 kb AVE , Ala) >,t qE6 g 3 (%0) Y3 4 s (focv -101cY ( 3pig mCrPr &u E A ; 2E FT 4 7 lEirPoRAgy 51 &Al 3 FR o MaTi °MAL 51 &NAGE CITY OF TIGARD Approved :)nditionliy Approved [ t as rkTscriglity 0 Sne Letter to: Follow [ Attach 1 Job A(. By: Se...a..0-04112a2—___ Date: k V t W,/so 1 , -reer PBA wEET - TuotE-TS c A7E/2 /A/6 2V . 12W-) AVF VAkiCOUVEP. 2 WA c1g6 g3 7o-32'12 1:11 Y UP 1 IlUAIKD 5/ 14 /2UU_5 13125 SW Hall Blvd_ 11:43:52AM �� Tigard, Oregon 9 72 23 L (503) 63 9-4 17 1 Receipt #: 27200300000000003637 Date: 08 /14/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00191 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 SGN2003 -00192 [SIGN] Sign Permit 100- 0000 - 437000 31.00 Line Item Total: $62.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check KEVIN & SHERRY WILSON DBA CAC 3020 In Person 62.00 Payment Total: $62.00