SGN2003-00323 f y
CITY OF TIGARD SIGN PERMIT
�i� DEVELOPMENT SERVICES PERMIT #: SGN2003 -00323
r DATE ISSUED: 12/30/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135BD
BUSINESS NAME: NEW YORK SUBS ZONE: C -
SIGN LOCATION: 09802 SW SHADY LN JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1' - X 27' -
TOTAL SIGN AREA: 51 sq. ft.
WALL AREA: 512 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 14 ft.
PROJECTION FROM WALL: 13 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of (1) one 51 sq ft permanent wall sign.
MATERIALS: ALUM /NEON /PL
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:
4 1.--
PERMITTEE SIGNATURE: 2 e- " "U
DATE: 12/ 0/03
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SIGN PERMIT APPLICATION
„.„,v,,,,-, CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297
GENERAL INF_ORMATION
Name of Development/Project
Site "I V
60 Li0 st 1) S FOR STAFF USE ONLY
Address/ Street Address c. C3 � � 3 -Q 3 Z.. ��^^'�,�nn w l�n ' �n , _ Permit No.:
Location 1 S 1t� , SIT' 7o L i\ ',. - ,
Suite /Bldg. # City/State Zip Expira D ate:
Z Y ,n cj'7/L3 Receipt #: ` 3 - CC
Name � Approved By: ��
Property flue � *F ff & e / V Date: /a /30/0 3
Owner Mailing Address �. Suite Map/TL #: • L q(it) S a (A Pr^AOAM , / 1 Zoning: ( C - ,
City /State Zip Phone a , -
elXll4v0 1V271 93.2)1°- )-1t93
N ame E lectrical Permit Required ?s ❑ No..
Tenant or w u ) . �� tt � /� �/
Business LlO /LK.. 5vi I ,1UC Building Permit Required? ❑ Yes 21...111e—
Name pp ' / r Rev. 8/7/2003 i:\curpin\masters\revised\siqn permit app.doc
�,/
Sign v �f Z — /L - .C ,.
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit '
issuance, e �p � '"' ^- (Note: applications will not be accepted
copy of all City /State (�(� Zip Phone without the required submittal elements)
licenses are -1166R. / 6 � ', 5 64,: ci -Liq
required if 6 ) L�� 'di ' ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # sc'q--ez 9„ - 5- ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed 5 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 /2" x 11 or 11" x 17"
Sign Temporary ', Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard Balloon ❑ 2 copies of elevations, drawn to scale
apply) ❑
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: t i sv. � I . t O
❑ $31.00 Fee (Permanent sign, any size) •
Total Sign Area (sq. ft.): 5 1 '
❑ $15.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq ft
S
g f 2 Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) ( 5 E W NE NW SE SW
Height to top of sign (feet): /if r • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): /3 1' but must include dimensions of wall face and
sign placement.
Copy :j fA O/L,4S U /3 fl2 )l. kt_,l • Wall signs do not require site /plot plans.
Materials: k_\JN \ 6 ,OLE> • Freestanding signs over 6 ft. required a
Will sign have illumination? I Yes ❑ No building permit.
Type: A 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
F CC—..9 k1 VG, K Yes ❑ No BECOME NULL AND VOID.
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.
A //��
DATED this day of ,UC.��'L'aib�;i� , 20Q
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Si MI e of Owner /Agent
SC 5D3 (039 — g
Contact Person Name Phone No.
CITY OF TIGARD 12/30/2003
13125 SW Hall Blvd. 10:40:57AM
•
iM Tigard, Oregon 97223
0 (503) 63 9-4 17 1
Receipt #: 27200300000000005564
Date: 12/30/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00323 [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
Check SIGNCRAFT ELECTRICAL KJP 1459 In Person 31.00
ADVERTISING LLC
Payment Total: $31.00
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SUBS - Black letter edge and black trimcap with process yellow letters
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