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SGN2005-00010 • C ITY OF TIGARD SIGN PERMIT I , DEVELOPMENT SERVICES PERMIT #: SGN2005 -00010 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/19/2005 PARCEL: 2S 113AC -01201 BUSINESS NAME: ROMANOS MACARONI GRILL ZONE: SIGN LOCATION: 17003 SW 72ND AVE JURISDICTION: TIG APPLICANT /AGENT: MEYER SIGN CO. OF OREGON, INC BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 36 6" X 10' 9" TOTAL SIGN AREA: 38 sq. ft. WALL AREA: 2,892 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one permanent wall sign. (3' 6" x 10' 9) MATERIALS: ALUM /PLEX EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y 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: ('C�w ... PERMITTEE SIGNATURE: DATE: 1/19/2005 ' ,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 FOR STAFF USE ONLY Site t� m r-no 5 k -f2o N t G-fLt. 11 Address/ Street Address Permit No.: 5G /1 S - 000 / 0 Location ) o , 6i3O 7Z.4 14't' • Expiration Date: Suite /Bldg. # City /State Zip 16- -N X 02 • 97 7-2,1/ Receipt #: 2oo5 — o Name Approved By: 0 - PP-c4) Date: / — / 9 - OS Property &N TC-3 / 6a f'i-' 0 /,Zo/ Owner Mailing Address Suite Map/TL #: a S I /3 i"Cr 4y47 Nw lZ -15- ! ?7-, -- Zoning: M (.LC — I City/State Zip Phone (5z ) � Q' 73 6(ob' z3 / 3 Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business t /1?/9 t oS iii(I4razA1 i 11 Building Permit Required? ❑ Yes 0 No Name Rev. 2/28/2003 i:lcurpin \masters\revised\sign permit app.doc ,_,(� Sign 41(5*512 S /G� a• 6 4Q. Jt Contractor Mailing Address Suit REQUIRED SUBMITTAL ELEMENTS (Prior to permit applications will not be accepted issuance l a i 5Zv c u...) 7�/ - �¢ without the required submittal elements) copy of all City/State Zip Phone ( aj licenses are .-goo required if 1002 - ?7ZZ y ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 67 vo 4 / _ 30-0 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed Er ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary -Wall ErElectronic (Check all that ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) 311ew sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: 3 1-4's 1 X I D' - q A YL' ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): � 62 S ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Z g q Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this � section) l") S E W NE NW SE SW Height to top of sign (feet): Zls • Wall signs do not need to be drawn to scale, but must include dimensions of wall face and Projection From Wall (inches): 5 1 ' sign placement. Copy: ggIma4'i s /»tdalcnt -. i2-t l/ • Wall signs do not require site /plot plans. Materials: 44, . /P(.'4 . • Freestanding signs over 6 ft. required a Will sign have illumination? 0 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 )2'No If "yes ", a list or diagram of all sign dimensions and i • :. . . - 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 /9 day of , 20 o upecipaw Signature of Owner /Agent 5 j zo 2 - 0 a' Contact Person Name one No. •