SGN2003-00322 v
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CITY OF T I GA R D SIGN PERMIT
A , DEVELOPMENT SERVICES PERMIT #: SGN2003 -00322
Au- c�
` DATE ISSUED: 12/29/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AB -03600
BUSINESS NAME: FAREAST FIGHTING ARTS ZONE: CBD
SIGN LOCATION: 12271 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: FAREAST FIGHTING ARTS
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign. Banner (3' x 8')
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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.
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APPROVED BY: / r
PERMITTEE SIGNATURE: ! l fr" 6,'1 A
DATE: 12/29/03
•
A
CITY ,r, SIGN PERMIT APPLICATION
OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
N e of D velo
• J f 4 ( 4 FOR STAFF USE ONLY
Site ( ) ! s i1 /' j�1i
Address/ Street Address (J !� ,
Permit No.: S6 0 aoo 3 • 003aa.
Location l2 Gib 0) n S)
Suite /Bldg.# Expiration Date: - O�
1 O ity/State r al ip
( 4 ( ---4 72i2„3 Receipt #: d o 0 3 - 55(0
Name / Approved By: t? . L a eti
Property 7 / g I ■ A f . / I. r , / Date: I a -amt _a 3
r
Owner Mailing Address u to Map/TL #: a51 o a AA - 03(0 0 0
2- .. i ' J/ Zoning: z CB D
/State _ i Zip Phone
aldqaktd 9 0 K 603 Rq5 - In
Tenant or e Electrical Permit Required? ❑Yes No
Business r l� ? L ;, " .� Bui lding Permit Required? ❑ Yes ( No
g ame l . TOr
ame Rev. 8/7/2003 i:lcurpinlmasterslrevisedlsign permit app doc
•
Sign
Contractor Mailing Address Suite
(Prior to, permit REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date Completed Application Form
City of Tigard's License #
database) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
Sign e P ermanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" '
*, Temporary ❑ Wall ❑ Electronic
(Check all that U Other ❑ Billboard ❑ Balloon 11 2 copies of elevations, drawn to scale
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
, X S ‘ '� $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.) a,
r/
T
Cr Z41 $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: Ci
❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N ' E W NE NW SE SW
Heig o 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
Co sign placement.
py • Wall signs do not require site /plot plans.
l
Materials:v ny • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes fi ' No building permit.
Type: ❑ Internal 1:1 Exter al . • 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 I
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑Yes ❑ No ` BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and II
square footage must also be submitted.
(OVER FOR SIGNATURES)
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•
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 Qt , % day of acezmit.44, 20
•
�_ t
ig -ture of Owner /Agen /
& 735
Contact erson Name Phone No.
12/29/200
CITY OF TIGARD 3 ''
13125 SW Hall Blvd. 3:26:53PM •
u. r , �. Tigard, Oregon 9 72 23 "; i
�,_ 61∎116'LL (503) 63 9-4 17 1
Receipt #: 27200300000000005561
Date: 12/29/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00322 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash FAREAST FIGHTING ARTS CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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