SGN2003-00253 1
1.
1 CITY OF TIGARD SIGN PERMIT
x d , 6, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00253
`z` c �'
1 11 DATE ISSUED: 11/14/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 115AB -01900
BUSINESS NAME: TIN TIN CHINESE BUFFET - ZONE: C -G
SIGN LOCATION: 16200 SW PACIFIC HWY A JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 20' X 30"
TOTAL SIGN AREA: 50 sq. ft.
WALL AREA: 1,373 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install new wall sign for tenant change. (Permit voided on 10/29/03).
MATERIALS: ACRYLIC /PLAS
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.
APPROVED BY: G� g i,
PERMITTEE SIGNATURE: r �/ //
DATE: 1/14/03
__ 10/15/2003 15:03 FAX 12122748889 202
t' Pos41t' Fax Nate 7671 p ► Z
Ailh, . • .
To C
SIGN PERMIT o
J
CITY Of TfGARD 13125 SW Hall Bhd , 7fgEA OR 97 �� 27 4 gen awrw • I
, Fe'a 2l Z19 051 Au* 1
GENERAL INFORMATION
of ppvolpontant/ ve
� FOR STAFF USE ONLY •
Sits t I i 1— l own -
Address! . • • • . Permit Igo.: S6 aDJ 3
Location AZ,9 0 5147 p�i 14 V `� Expiration Date:
suite/Bidg. w G !State
514 (Ye 4 7, , , - s C , i ��., Receipt # n,p� 00.3 5 60(
mama / Approved By. Ckt - a&-rt .)
gi n kiv 0 PAQTNERSNin Data: %/-iy 7 •
Property
Owner Mailing Address suite MaplTL,#: ? S 115A i3 -- 0/100
F act U Zoning: G &
Ct *torte
Tenant or Mama Electrical Permit Required? Yes ❑ No
Business ea e5 6A en Building Permit Required? ❑ Yes gf No
I Rev 577t2tf03 aoo.dae
//�� /� • Li c e �n,set7(.
Sign a. G c 5 OtAlt 4- t I ec,fy7a -r% •
Contractor Mang aeerPSS suite - REQUIRED SUBMITTAL ELEMENTS
(Pcbar t» lamed '��� • (Na at: applications will nit be accepted
a suanoe, a
=ay a WI Cltyiata to no Prone without the required submittal elernarda)
►icanps are •
required d 21 Completed Application Form
mono el the upon Cons*. Corti Board Exp. Date i
se) es Licenses _ Q 2 Copies of Site/Plot Plan, Drawn to Scala
dry of databa
(3 copies, if a building permit is required)
Proposed [(I ❑ Fraestanoi g Freeway siz he requirement 8'' x 11", or 11' x 17"
Sign Temporary 0-- Wan Eleevonle
(check as that fl other ❑ Billboard p 2 copies of elevations, drawn to scale
apply) (3 copies, if ai building permit is required)
New sign? in Alter to existing sign? _ size requirement 1331x" x 11', to 24' x 36'
Sin Dimenslons, i x 2-O � ❑ $ @ -Fee (Permanent sign, any size)
Total Sign Area (eq. R): 50 / ,l - ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq- ft.)13 Siff Jurisdiction: 0 City ❑ Urb
(Compbta all Direction W Faces (circle one). r ES
:earns in this NOT:
warm) el S E W NE NW SE SW
Height to top of sign (feet): at?' b '' • Wall signs do not need to be drawn to scale,
but
Prtaja�ian From Wall (inches): ) p :�. r must include dimensions of wan face and
n ude
• Copy: 77 /1 SA l 3 a et • W sig do not require site/plot piaens_
Meteriels:og1;•, f f(4,44 1 PlacfiG• • Freestanding signs over 6 ft. required a
Will sign have it mination? j" Yes ❑ No building permit.
Type: internal ❑ External • if wort( authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (SO) days after
location, including wall signs that overlap a tenant space? the Issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑Yes i[ No .
If `yea ", a list or dlaaram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
10/15/2003 15:03 FAX 12122748889 a03
n
I hereby acknowledge that 1 have road this application, that the Information given Is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
In compliance with the City of Tigard.
•
DATED this S day of Oct , 20 03
- �I
Signature • • er /Agent'
o r, C��� � �= 3 3 7 -433/
Contact Person Name
Phone No.
•
CITY OF TIGARG ... . _ , _
Appro Conditionalt y APP
ved ............... ...... ......... •• ".- .--- .....•-
Approved .. ..........................•....
For only the work as e rib o`a53
PERMIT NO.
See Letter to: Follow......... . ..
Attach ..--- " - - - " " " � �
Job Address: ► Ira o" �`� A
By:
R eaa,,.a, Data :_l� ' �+ =
.t7 -
■ i!i!aiti!i!ZiMiNI iM.iiiMi!i!i PAi!MWi!i
• 1:111:1:1: 1:1:.. _ ..._......
• r 1 1 1 1 1 1
I I I 11r1I I I I I I I I 111 I I
111111::..: = __________
1
1 1 1 1 1 1
1411410111:11,
11111111111111 \\ . __ -..
:r:I:r:I:r11:r
11111111111111: - , : :._ -. .
•
' 1111111
i1i1i1i1111 \� -
11111111 111111:...__:.:.- .__ :... ___ u
1 i 1 i 1 i 1 i 1 i 1 i 1 i CI
r
11
111:1:11111
III111111111r1 __.._::..
\�
• 11 :1:111:111:!
�: 1 1 1 1 1 1 1 1 1 1 1 1 1 1:•.
;1;1;1;1;1;1;1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 \\ w
1 11111011111111
111111
1111!111111111.- _...__... :._.. - - - :_ 1 QC
•
r11111r111r1r1 . II \ z g
1 1 1 1 1 1 1 t 11 ° '
1111111111111; I.
- b I l iI;I;Ipl;1 ;:
"' IIIIIIIIIIIIII — --
1 l:1::1 _ _.... -
I
11111111111111 1`
•
I
1lll
llll
l
11111111111111 • \� •
-.or 11111111111111 _....
11 , 1 , 1 1 1 , 1 1 1 1 1 .
IIIIIIr
1
•
!i!iIiiiiiIiiiami 1I111I1 fflhiI!jii!111 •
11111 1 .__:: . - --
0 1 i 1 i I 1 1 1 1 i 1 i 1
.1 :1!1!1!1!1!1!
• 1 :1:1 :1 :1:17 :1:I :1 :1 :1 :111:1 :1 :I :1:1 :I :I:I:I :I :I:1:
90 [21 688817LZZTZT XV3 ZT :ZT S00Z /5T /OT
10/15/2003 12:12 FAX 12122748889 LJ04
ij
D
7
7K
Z
G)
r
O
---I
--i: O
'--i--
N P
M
, a
SW PACIFIC HIGHWAY- -
0
CITY OF TIGARD 11/14/2003
13125 SW Hall Blvd. 2:17:23PM
•
k 1 - Tigard, Oregon 97223
AIN+ s'JI (503) 639 -4171
Receipt #: 27200300000000005006
Date: 11/14/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00253 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash TIN TIN BUFFET CAC In Person 31.00
Payment Total: $31.00
Page 1 of 1 cReceipt.rpt