SGN2003-00117 1
CITY TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00117
c ' J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/23/03
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'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way. Valid 5/26/03- 6/25/03. Sign #2
MATERIALS: WOOD
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 1 ays from validity date.
APPROVED BY: ,
PERMITTEE SIGNATURE: °-1-2-c `P^
DATE: 5/23/03
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
rt FOR STAFF USE ONLY
Site V Nr� Co1�p -1vL-re_-
Address/ Street Address Permit No.:_. 5:4/0 Z to 3 0 n (, 7
Location 13.5-66' U Expiration Date: S - 03 -FIB � 4 '� /Su
Suite /Bldg. # City/State Zip
jlawfitf.4. y ? 9 • 5„ Receipt #: 2-J 1 2 '
Na e /DSO Approved B :
Date: ✓�� ;23`a
Property KO C-4
Owner Mailing Address Suite Map/TL #:_ s((/o _CC - 00 6,00
S- (1-6-11-1-L2 Zoning: C
City/State Zip Phone
Electrical Permit Required? ❑ Yes ,i No
Tenant or Name
Building Permit Required? ❑ Yes 7f No
Business a/yyte, Name Rev. 2/28/2003 i:\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
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' 1J Wall ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon I=1 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
pf New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: ,4 3/
X�L ❑ $30.00 Fee (Permanent sign, any size) •
Total Sign Area (sq. ft:): /4 /
❑ $15.00 Fee (Temporary s 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 N E N W S E 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 ❑ 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 pi. No
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.
DATED this day of , 20 3
'
S ',. ► ature of 0 ner /Agent
/ r C6
Co act Perso f ame Phone No.
5/23/2003
CITY OF TIGARD 3:
13125 SW Hall Blvd.
'+�' � (503)6 0-417 97223
11
Receipt #: 272003000000000021
Date: 05/23/2003
Line items: Amount Paic
Case No Tran Code Description
Revenue Account No
SGN2003 -001 17 [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 Pai
Check JKN ENTERPRISES,LLC DBA KJP
4204 In Person 15.01
VINTAGE CORNER C
Payment Total: $15.01
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