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SGN2003-00258 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2003 -00258 c � 11 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/15/03 PARCEL: 1 S 135AB -01003 BUSINESS NAME: GUSTAVS ZONE: C -P SIGN LOCATION: 10350 SW GREENBURG RD CASA JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 1' 9" X 8' 9" TOTAL SIGN AREA: 15 sq. ft. WALL AREA: 1,464 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT • DESCRIPTION OF SIGN: Placement of one wall sign. 1' 9" x 8' 9" MATERIALS: ACRYLIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N 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: PERMITTEE SIGNATURE: DATE: 10/15/03 ,z __ ..., . 4,, W„,,;t,h 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 _ _� , 5 FOR STAFF USE ONLY - = Site 1 Address/ Street Address Permit No.: -SC N D- o'D 3 -oo aS 8 Location 10-557> Syq e-sie - erI43 x 2 Expiration Date: Suite /Bldg. # City /State Zip Receipt #: a 0 0 3— 4 i-5 - '1 5 Name Approved By: C.. e ,) Property Date: /0 _ 15 - 03 • Owner Mailing Address Suite Map/TL #: /5/3 - 0/00.3 Zoning: /vi' 14..4.- - l City/State Zip Phone Tenant or Name • Electrical Permit Required? ❑ Yes ❑ No 1 Business ` , S Building Permit Required? ❑ Yes El No Name Rev. 01- Jul-02 is \curpin \masters \revised\sign permit app.doc Sign tic"( v7L( S M ailing Address Suite Contractor REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a L4 5..i..... without th re quired submittal elements) copy of all City/State Zip . Phone licenses are required if -cA i . Oa. °1f (4 Z3Z Li 177. El 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) C..Z �C� (3 copies, if a building permit is required) Proposed Permanent iii - estanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary 4 gi1 ❑ Electronic (Check all that ❑ Other III Billboard ID Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: ,� ,. / 9 5 /y y S 9 ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): /5, B ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) / Y (o `{ (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S 10 o W NE NW SE SW Height to op of sign (feet): • Wall signs do not need to be drawn to scale, but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will 'sign have illumination? ❑ Yes ❑ No building permit. Type: III 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. ❑ Yes ❑ No If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) 4- n 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 , , 20 , Signature of Owner /Agent Ti cL i4rt3I2-4.4.1° ZSZ.�'f 77 Contact Person Name Phone No. Y OFF TIGARD 13125 SW Hall Blvd. 10/15/2003 4 t Tigard, Oregon 9 72 23 12:27:34PM oL (50 3) 63 9-4 17 1 Receipt #: 27200300000000004545 Line Items: Date: 10/15/2003 Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00254 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00255 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00256 [SIGN] Sign Permit SGN2003 -00257 100- 0000 - 437000 31.00 [SIGN] Sign Permit 100- 0000 - 437000 SGN2003 -00258 [SIGN] Sign Permit 31.00 ELC2003 -00632 100 - 0000 - 437000 31.00 [ELPRMT] ELC Permit • 220 - 0000 - 431510 ELC2003 -00632 [TAX] 8% State Tax 267.00 • 100- 0000 - 207020 21.36 Payments: Line Item Total: $443.36 Method Payer User ID Acct. /Check Approval No. pp How Received Amount Paid Check SECURITY SIGNS CAC 010505 In Person 443.36 Payment Total: $443.36 • • • • 1 122' -0" I! i i.....,... 1 1 I 1 1 • im 1 /� �u�trt� l � • • /� ■ s ■■ I ■■ C) ■ •1 ■ ■ ■♦ ■ • Mi •11 _ : � 1 1 III 1 ! ■1 I11 I I Ili 1 II III ■ ■ In I . 1 ;1 ■ _ _ _ .. 1 ■1 1 ■ ■1 _ ...... r. 1 •11 ■%II 1 ■■ III 1 "ill ■ 1 11�7I ' II I i • • . • • ■■ lull 1 I I► • 1 11111 - , !�. 111 11111111 I. East Elevation A - " Gustav's" Channel Letters 15.8 Sq. Ft. S . N.T.S. "Gustav's" Channel Letters: 8'- 9" Faces White Acrylic Vinyl on Faces "Plum" translucent vinyl with white outline ,1 Returns White � ���(� Trim Cap White `'�' �,' � � Illumination EGL Designer Series 8300 White Neon U '; 4 P 12 Raceway Painted aluminum Benjamin Moore HC - 18 - ---/ / ` 7 . / Adams Gold CITY OF TIGARD Approved [Xi East Elevation Sign A Conditionally Approved [ j For only the Scale: 1/2"= 1 - 0" PERMIT NO. work ply oo3 in: See Letter to: Follow [ ] Attach [ 1 Job Addres : D3 0 5k) &,9 Rd By: e - Date: __ 2V - Y5- 3 © Copyright design specifications DATE 101503 01.$/tUalliti?1 LANDLORD APPROVAL C LIENT APPROVAL 1 — r — This original design annd d spececifications tions are ,° ' i �_ F I_ V ' - exclusive property of Security Signs, Inc. The use of 03 - KS209R5 U DRAW these designs to pro a simi ING # PUB & GRILL -'' CE -. sign without written authorization from / � 1 OF 6 a Q UALITY SINCE 1 925 Security Signs, Inc. is forbidde PAGE '1T PLEASE SIGN HERE PLEASE SIGN HERE WWW.SECURITYSIGNS.COM PROJECT MANAGER 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 CUSTOMER AGREES BY 10350 SW GREENBURG RD PORTLAND, OR 97214 F. 503.230.1861 WA SECURS1020CF INITIALING HERE DENNIS BROCKMANN PORTLAND, OR DATE DATE