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SGN2003-00056 r * CITY OF TIGARD SIGN PERMIT ti DEVELOPMENT SERVICES PERMIT #: SGN2003 -00056 — ' 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/14/2003 PARCEL: 1S135DD-03301 BUSINESS NAME: TORILLERIA SAN GABRIEL ZONE: C -G SIGN LOCATION: 11945 SW PACIFIC HWY 104 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary sign. Sign must be placed on private property and not in the public right -of -way. Valid 3/15/03 - 4/14/03. Sign #1 MATERIALS: PLYWOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 ys from validity date. • � APPROVED BY: PERMITTEE SIGNATURE: � ' ,W4:- DATE: 3/14/2003 7 44t,+ �,i�� _ SIGN PERMIT APPLICATION 1.111 CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site 10Z. i 1 LL F g-1 A ..s CAgR 1 EL C Address/ Street Address Permit No.: ✓ 9 Ki 2 -v 0 • 7 ' ° t1/4S"4, I Location t IC? c ( 'SW Pa(ilr:. /-/W/ft/O4Y Expiration Date: 3//,x,03 - Y /(y Suite /Bldg. # City /State Zip /fly . T/6/112D OR.- 92 Z Z,3 Receipt #: 0o0 3 Name Approved By: r� A Property 776/jR D P .NC Date: e3 / /J�i/ Owner Mailing Address Suite Map /TL #: 1 35bo - 0 3 3o Z/ tN S E 0010 CO S. • Zoning: City/State Zip ho e M IL :A) A 0 Ki E 02.. , 5 o '13 -5161 Electrical Permit Required? El Yes No Name w Bus nessr - TO luriLLE a 1 A 5I\1J ABP IS L Building Permit Required? ❑ Yes 'No Name Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all City /State • Zip. Phone licenses are required if ❑ 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) (3 copies, if a 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 111 2 copies elevations, drawn to scale apply) (3 copies, if a building permit is required) 2rNew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: U l 1 ❑ $30.00 Fee (Permanent sign, any Total Sign Area (sq. ft.): 1 Z ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area ft.) N A (Complete all Direction Wall races (circle one): NOTES: items in this section) N S 0 NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): LA l but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: -rofejt LLE RA SAO 6Ai 2.1 f` )OW OEN • Wall signs do not require site /plot plans. Materials: OVt I,l-.a-t d • Freestanding signs over 6 ft. required a building permit. Will sign have illumination? ❑ Yes Er No • If work authorized under a sign permit has not Type: ID Internal ❑ External been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑Yes 0 N If "yes ", a list or diagram of all sign dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) r 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 Co day of O v , 20 b 3 h1 a, S - ,►f Owner/Agent r S c � c , l ti �'��; ��✓ S 6 3 - 3 7 5 7 Contact Person Name Phone No. -_,',- ,i-: - - -_. ---, ----- -;,-,-... -•.' - --- - _,----- / - EXHIBIT A ...... , - - - ___ / 4.- - i',,:,; S (..L-, _, ,,,. ? 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(503) 63 9-4 17 1 Receipt #: 27200300000000000998 Date: 03/14/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00056 [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 TORTILLERIA SAN GABRIEL KJP In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt