SGN2003-00080 CIT OF TIGARD SIGN PERMIT
' DEVELOPMENT SERVICES PERMIT #: SGN2003 -00080
c:�� DATE ISSUED: 4/15/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135DD -03301
BUSINESS NAME: TIEN TAE JITSU MARTIAL ARTS ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 26" X 54" FRAME
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: 360 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Projecting sign hanging from covered breezeway. 14' x 42' text.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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 dat
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 4/15/03
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CITY OF TIGARD /3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 11 bra . 2122
Address/ Street Add ess `, L� 'Permit No.: S 7, M a oU 3 — o U 013 0 Location I I (146 -5 0 t:- ¥\ o . ' * Expiration Date: ,
Suite /Bldg. # . City /State Zip
2_30 Ty rck a qc72 3 Receipt #:
Name Approved By:
,% Property r; \ 1 O • .o'r Date:
Owner Mailing Address Suite Map/TL #:
3320 N■ 4 Zoning: g: ' ' .. ,
City /State Zip Phone - •
%Pali kik r lnA q Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business '
1 Building Permit Required? " .' ❑ Yes ❑ No
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Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc
Sign N/ R
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 P 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)
P✓ojec-0icv,/ a.A.„n;,.� (3 copies, if building permit is required)
Proposed Permanent ❑ Freestanding ❑ 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)
rv;.v on - A. New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
exisfi•0C\ Sign Dimensions: / i% i ovd, %ahle kr #erf
h3fdu-a�z s -‘,,;, X S #rn, tA. r $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 4.7406 s8iv
❑ $15.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) ti 31 & 0 sp 4' v Jurisdiction: II] ❑ Urb
9
(Complete all Direction Wall Faces (circle one): (tQn is ?er Per>L l`(--t'-kt'r)
items in this ` ;w a ,ri NOTES:
section) N 0 E W NE NW SE SW
Height to top of sign (feet): t' ',at- o Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): ,ep•o2'' sign placement.
Copy: -Tie,,1TW. J;tS t`(\a -' I 0 Firs a Wall signs do not require site /plot plans.
Materials: t .ccoo\ /e,,,+. • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes X,No building permit.
Type: ❑ Internal External o 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 a . 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 I day of ►•fl , 20 0 $
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Contact Person Name Phone No.
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CITY OF TIGARD S 4/15/2003
13125 SW Hall Blvd. 10:47:20AM
i Tigard, Oregon 97223
_:. (503) 639 -4171
Receipt #: 27200300000000001476
Date: 04/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00080 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check ERIC JOHNSON /ELISA BINETTE CAC 1081 In Person 30.00
Payment Total: $30.00