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SGN2003-00150 CITY OF TIGARD SIGN PERMIT 4.4 : m1 e ll( DEVELOPMENT SERVICES PERMIT #: SGN2003 -00150 �,�i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/25/03 PARCEL: 2S 102CC -00600 BUSINESS NAME: VINTAGE CORNER ZONE: C -G SIGN LOCATION: 13565 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 4' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Temporary sign permit for freestanding sign. Sign #3. Valid from 6/25/03 to 7/25/03. Must be placed out of right of way. MATERIALS: METAL 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 days from validity date. APPROVED BY: (1._ PERMITTEE SIGNATURE: DATE: 6/25/03 A SIGN PERMIT APPLICATION CITY TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE O 111017+g-g- /� 0 4 ,U L 0 0 X50 Site l� Address/ Street Address Permit No.: .SCykl Zcn 3- Location 15.5 5,0 .4 C A :.%."=7/:',-;.....11.e.-4.;,---, '7 s/© 3 E xpiration Date: ; Ef Suite /Bldg. # City/State Zip ( , e ��� / i % ` o'— Receipt #: _ a 7 49 Na e �/DS0 d Approved By: .%�� ../� G4(---- Property 7`� �LL�� D ate: = _ & -- 0 Owner Mailing Address Suite Map/TL #: .2S (02.,.. C C. - 0 cy S -j•Ytt axi__ -ICJ Zoning: ( Y City/State Zip Phone Electrical Permit Required? ❑ Yes Xi No Tenant or Name Business Q� Building Permit Required? El Yes No ;� / Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc Sign 1 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 ❑ 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 ❑ Ba lloon El 2 copies of elevations, drawn to scale apply) (3 copies if a building permit is requ 1$ New sign? El to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions i 7w/ ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ,. f /� ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E W NE NW SE SW Height to 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 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: ❑ Internal ❑ 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 location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. ❑ Yes pi. No If "yes ", a list or diagram of all sign dimensions and L_ 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 day of % , 20 6 3 S',• ►ature of 0 , ner /Agent ■ C6 55) C.. act Perso ame Phone No. • RECEIVED JUN 2 5 2003 (:-■ 1 Y tar i irdikElD P LANNING/ENGINEERING 1 to .1 1 " Y OF TISIARD Apr. ''1 EX cd. Approved .,11• the wo6._.ap Aetscrikeyil or!: __022152-2_ l_st-7.1 to Follow I I CITY OF TIGARD 6/25/2003 13125 SW Elal l Blvd. 11:45:28AM t Tigard, Oregon 97223 ►c'��.. (503) 63 9-4 17 1 Receipt #: 27200300000000002709 Date: 06/25/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00150 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. H ow Received Amount Paid Check JKN ENTERPRISES LLC CAC 4256 In Person 15.00 Payment Total: $15.00