SGN2005-00004 •
C ITY OF TIGARD SIGN PERMIT
4 DEVELOPMENT SERVICES PERMIT #: SGN2005 -00004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 -- DATE ISSUED: 1/3/2005
PARCEL: 1 S 136CD -00100
BUSINESS NAME: TACOS Y TORTAS LA TAPATIA ZONE: C -G
SIGN LOCATION: 11705 SW PACIFIC HWY C JURISDICTION: TIG
APPLICANT /AGENT: TACOS Y TORTAS LA TAPATIA
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' 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: Placement of one A - frame sign. Sign #1. Valid from 1/6/05 through 2/6/05.
MATERIALS: WOOD
EXISTING SIGNS: 1
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: '`'' / O `
DATE: 1/3/2005
,
V
A
I -' 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
L FOR STAFF USE ONLY
Site iryC2S Ie,AS 4113 Pfri /-
Address/ Street Addr ss 1 Permit No.:
I ��
Location S 71,J 1 RlEl t 1 c 4 W t a"t y Expiration Date:
Suite /Bldg. # City/St e Zip
Receipt #:
Name T�ci r �3 Approved By:
Property 1.. IL C r o R c) � / � / '��� Date:
Owner Mailin Address Sui Map /TL #:
1 L 4 5v) S h Ao Zoning:
• /State Zip r Phone
a .d �y ,d °V' '1 7 C4. 6 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes ❑ No
Business
S • , �) Rev- 7/1/04 is \curpin\ masters \revised\sign permit app.doc
ame
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 111 2 copies of elevations, drawn to scale
(Check all that ❑ Other
apply) El Billboard ❑ Balloon (3 copies, if a building permit is required)
21 New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $1 Fee (Temporary sign, any type)
i 7. ski
Sign Data Total Wall Area (sq. ft.) Jurisdiction: n City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet):
but must include dimensions of wall face and
Projection From Wall (inches sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: kJ ppci • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes V] No building permit.
Type: ❑ Internal 111 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
❑ Yes ❑ No BECOME NULL AND VOID.
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 3 day of , , 20 i
€Y\\C ?\s
Signature of Owner /Agent
98 50Y\■ck so - gng
Contact Person Name Phone No.
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