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SGN2003-00110 CITY OF TIGARD SIGN PERMIT i I DEVELOPMENT SERVICES PERMIT #: SGN2003 -00110 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/15/03 PARCEL: 2S 110AB -00200 BUSINESS NAME: TAQUERIA DON JUAN ZONE: C -G SIGN LOCATION: 14297 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 3' 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 A -frame sign for restaurant. Sign #1 Valid 5/15/03 through 6/15/03. Sign must be placed outside of City right of way. MATERIALS: WOOD EXISTING SIGNS: 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. APPROVED BY: ;- PERMITTEE SIGNATURE: 1 4-" - rU! Q DATE: 5/15/03 • ,y L SIGN PERMIT APPLICATION 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 7 O%,)Jeic \ 0 Z3i1 )(Un Address/ Street A Permit No.: s Ni c;1od3-- 00 11 U Location \Laq- 'W C Q(ici C 4v3 (o — 15 - c:.' 3 E xpiration Date: Suite /Bldg. # City /State Zip r 7 t ` O 1 —1 Receipt #: d 7 O 3 I cI S S "Dail Na a Approved By: (? . Ca-4-vL.?.,� Property 'C'1 aJ Date: 5 — I Co - 0 3 Owner Mailing Address Suite Map/TL #: p a SJIC) -00ao0 I li \oX V13 Zoning: e. G City /State Zip Phone GoCNAi 0 Ca 7. - bt ( � q� `'� Electrical Permit Required? ❑Yes No Tenant or Name Business l a i;a. �,R Jt � Building Permit Required? ❑Yes [ No Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc u Sign 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 # iii4K2 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 LI Other ❑ Billboard ❑ Balloon 02 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) .' New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36" Sign Dimensions: U i 3 / 1 ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ' \?‘ pkx.e Rr$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: kO • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes g.No building permit. Type: ❑ 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 BECOME NULL AND VOID. ❑ Yes g No a 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. 4 DATED this \ day of ` IC l , 20 O `I S ig ature of Owner h gen 6ccias -oGG Contact Person Name Phone No. In Ne '6©R .l lni -4&-.44.--)9vo g -L.W k b_»• - 53 (.- I-- fee-L b Q ' ? q-- pie ek M9 'bs`e,1 U1 I- .-YA . c r- T -------r- 3 t .....-- PaS V r CICt , . ,,„ g ,h 01 i■roC\ Q -s, . I �. r �...... . -- o1°N - , <, `- . o i! , u osa' 7 CITY OF TIGARD 5/15/2003 13125 SW Hall Blvd. 3:06:49PM ,, . iC Tigard, Oregon 97223 " 61k ii (503) 63 9-417 1 Receipt #: 27200300000000001988 Date: 05/15/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00110 [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 CreditCard LARISSA WHALEN CAC 005665 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cRecei pt. ipt