SGN2005-00162 C ITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2005 -00162
F 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/6/2005
PARCEL: 1 S 136CD -00100
BUSINESS NAME: SUSHI HANA ZONE: C -G
SIGN LOCATION: 11705 SW PACIFIC HWY J JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 21 -2" X 27"
TOTAL SIGN AREA: 48 sq. ft.
WALL AREA: 497 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 14 ft.
PROJECTION FROM WALL: 14 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) permanent 48.5 sq ft wall sign.
MATERIALS: ALUM /PLEX /VI
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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 S n permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days frp lidity date.
APPROVED BY: /
PERMITTEE SIGNATURE: )( C�
DATE: 6/6/2005
i
i 06/02/2005 15:19 FAX 5035981960 CITY OF TIGARD Z002/003
A
SIGN PERMIT APPLICATION
CITI OF MAK/ 13125 SW Hal1131vd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684
GENERAL INFORMATION
Name of Development/Project r
Site
1 1-. 9 . ) ..g-LHA NIA
Address/ • FOR STAFF USEOLZ7,
7tree‘ An.dreSS Permit No.: 5 ft)
• Location L. 11705" 9.W. papici 1-11,uv
Expiration Date:
I suiiilg. 4 --- 17:.:t y /State
Nart,! Zip
Tigard OR °t7223
C .9 r .
Receipt #:
Approved By:
Westwood Det I . Date:
, -----
Property
Owner Maiiinc; Addres 1 Suite Map/TL#:
3o3o stu . Moo . 11 *4 Suae Zoo
Zoning: ------
. Zp Phone
1-Br4-1061,OR. quol i 228 . 3030
Electrical Permit Required? ;E.< s E No
rranant or Name
°• 1
• • S U 1 1 1-1At\l/It
L Bustriess Building Permit Required? E.:
ri‘nsr..isre,revisefzi pc.77. ft stp,doc
, SI jr)Cract Electrica, 1 A4 vertis r) -------------------
Sign
h --- -7: • A -...... ...... ... •■•■.......,..........
Contractor 1 rvIui.IF ,p 0,driress Suite REQUIRED SUBMITTALEhgMai:fii
(Prior to pdaritt P.0.00% 23(/3(.9 (We: applications will riot bc aci:entei:i
City/Stat Zip without the requited subrnittsi elemems)
Qop Of all e 1 Phone
Ilcenses are "
i$ard og .. 4 172231 51)3.434.w/10
required if / 12' Completed Application Form
expired in the — oregc;!:(5 -. .. , .3i7 Cont. E3c271 Ev. Data
City of lipard's Licenaa ii 166 4.zo I 1 . 22 - 05 7/ Copies Of Site/Plot PI:Fin, Drawn to Scale
* databaW '
(3 copies, if a building permit is regi.Pred:1
Proposed D painiament 0 Free,standing 0 Freeway size requirement: 81/2" x 1 r, Or 1 x 17"
Sign D *ramporary Y E Eectronlc
(Check e that r-1 , i + ,.,, .57 n board Blloon
Ei2 copies of elevati.ons, drawn to scale
L.., Sill Li a
aPPlY) (3 copies, if a building permit is required)
—I FiXew sign? 0 Ater to existing sign?
Sign DimensiOns - • SI t X 27 11
Tal Si Are a (sq. ft.): 48.5 tti
L size requirement: 8 x 11 to 2.6." x 35"
7 837.00 Fee (Permanent sign, any size)
ot gn
0 $17.00 Fee (Temporar sign. noy type)
Total Wall
Sign Data Area (sq. ft.) ,4(1-7 t r, Jurisdiction! 0 cizy' Li urb
(Complete a!I Direction Wall Faces (circle one):
items in tnis NOTES:
aection) 1 N S () W NE NW SE SW
Heigiit to Tdp cf sign (feet): ILI.' S " 4 Wan signs do not need to be drawn to scale,
but must inolude dimentjons of wail race and
c:r on From Wall (incl_____
sign placement.
Copy: SUSHI HAN A 4 Wall signs do not require site/plot plans.
Materialsjatomov_At
e Viniti-N VI 0 Freestanding signs or 6 ft. required a
Will sign have illumination? 0 Yes EV building permit.
No 4 If work authorized under a sip perrilit has not
I Tysf, 0 internal 0 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
iocation, including wall igns that overlap a tenant space?
AM V
0 No BECOME NULL A OID.
Yes
If "yes", a list or diagram of all sign dimensions and
saw° footaltpust also be submitted.
(OVER FOR SIGNATURES)
' 06/02/2005 15:19 FAX 5035981960 CITY OF TIGARD . 003/003
I hereby acknowledge that I have read this application, that the inflarrnatior 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 b • 3 - 03 dav of 7n
______, --_______.....
•.... 1
Signature of Owner/ v/ ent
'ke Cdb4 6 -b3 9- ?s/ 6
Contact Pemon N le Phone No.
•
961M&E.
Peo zid'' x °I7 "= 3 23 4
FM4414 b� �� � i x 22.'0" = .5476
TCA &7' 7 v
CITY OF TIGARD 6/6/2005
13125 SW Hall Blvd. 9:36:36AM
A Tigard, Oregon 97223
1 ∎ AL. (503) 63 9-4 17 1
Receipt #: 27200500000000002536
Date: 06/06/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00162 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2005 -00162 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2005 -00379 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27
ELC2005 -00379 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
Line Item Total: $94.67
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount
Check SIGNCRAFT ELECTRICAL BB 2797 In Person 94.
ADVERTISING
Payment Total: $94.67
cReceipt.rpt Page 1 of 1
Illuminated Channel Letter Wall Sign
21'2
1 N
Channel letters: 26" Channel letters with 5" black aluminum
•� °" returns, red trim cap and Cardinal red vinyl on Plexiglas faces.
. f.. Internal illumination from 30ma double tube white neon.
Mounted on 8" aluminum raceway painted to match building
:JJJ:r s facia.
Business front area: 497 sq. ft.
: - Sign area allowed: 75 sq. ft.
— 7-- Actual sign area: 48.5 sq. ft.
- Sign depth: 14 inches
Height of sign: 12 ft. from round
9 9 9
CT iV t�� Ted &Rfl
y. > a
Apc ovacs.. [\ 0
Project: SUSHI HANA Conditionally Approved
For only the work as deSp abed in:
11705 SW Pacific Hwy. Suite J PERMIT NO. SC7 IU D' -U41 So Z SignCraft
Tigard, OR 97223
S Letter to: Follow 1 ELECTRICAL ADVERTISING
A c 1
Date: June 1, 2005 Job F re s: ( M ° c
Contact: KC. Choi SIGNCRA'FT LECTRICAL ADVERTISING LLC.
9033 5W BURNHAM PO BOX 23636 TIGARD, OREGON 97223
503- 639 -4910 F: 503- 639 -4999
Approved:
email: signcrft@pcez.com