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SGN2005-00343 p w ! CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2005 -00343 it DATE ISSUED: 11/8/2005 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103DD -00800 BUSINESS NAME: TIGARD DONUT ZONE: C -G SIGN LOCATION: 13815 SW PACIFIC HWY 80 JURISDICTION: TIG APPLICANT /AGENT: TIGARD DONUT BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 24 ' X 18" TOTAL SIGN AREA: 6 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one temporary A- frame. (24" x 18 ") Sign #1. Valid 11/9/05 through 12/9/05. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 18.00 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 10 days from validity date. APPROVED BY: - • PE RMITTEE SIGNATUR • — DATE: 11/8/2005 t , • A ..,.1 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 Site T-/ C? "if,� . OC'ive' 7 FOR STAFF USE ONLY Address/ Stre t Address Location /J /s 54/ Pflc, 6/41/. Si "7 1 1J 2 o Permit No.: 5 j au� 003 Suite /Bldg. # City /State Zip Expiration Date: i al - `j - o5 T: v0j q i2 z 3 Receipt #: <R0 °5 - 57 5(7 Name Approved By: C . e -„ Property ,DG `ti Date: a I - 5= 0 )( Owner Mailing Address Suite Map/TL #: .Q5/ 0 3 bp — 00 Sc Sa, Above Zoning: ( - C, City /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes No ,,V Business Ti C-7 A/2 0 Dof ✓U r Building Permit Required? ❑ Yes jg No Name Rev. 7/1/05 is \curpin \masters \revised\sign permit app.doc Sign - Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit issuance, a (Note: applications will not be accepte copy of all City /State Zip Phone without the required submittal elements) licenses are required if expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Pi Proposed ❑ Permanent El Freestanding ❑ Freeway 81/2" „ 11" Freestandin y size requirement: 8 x 11 , or 11 x 17" , • (� (Check all that ��Y Temporary ❑ Wall ❑ Electronic apply) ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale CI New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required) g size requirement: 8 x 11 ", to 24" x 36" / A' Sign Dimensions: 246k Id ❑ $38.00 Fee .(Permanent sign, any size) Total Sign Area (sq. ft.): 6 f), ❑ $18.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: 111 City 111 Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: 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 Co sign placement. py • Wall signs do not require site /plot plans. • Materials: • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ building permit. No • If work authorized under a sign permit has not Type: ❑ Internal ❑ 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 location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes ❑ No If "yes ", a list or diagram of all sign dimensions and _ square footage must also be submitted. (OVER FOR SIGNATURES) d K 1 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 % L' 67 20 ° Signature of Owner /went K' r`'j fo 3 — Contact Person Name Phone No. j ©p&i/ s'�� j o . I CITY OF TIGARD 13125 SW Hall Blvd. 11/8/2005 2:51:19PM t A., i„ 0 , 4 . t Tigard, Oregon 97223 (503) 639 -4171 Receipt #: 27200500000000005750 Date: 11/08/2005 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2005 -00343 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00 SGN2005 -00343 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $18.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Cash TIGARD DONUT CAC In Person 20.00 Change CITY OF TIGARD CAC In Person (2.00) Payment Total: $18.00 cReceipt.rpt Page 1 of 1