SGN2005-00258 4k CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00258
il DATE ISSUED: 9/6/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S135DD 03301
BUSINESS NAME: GIN LIN CHINESE RESTAURANT ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5' X 9.5'
TOTAL SIGN AREA: 24 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 banner (2.5' x 9.5') Valid from 9/8/05 through
10/8/05. Sign #2.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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.
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APPROVED BY: ��,u
PERMITTEE SIGNATURE:
DATE: 9/6/2005
Ni
A „1 S IGN 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 ci.., _ d pl,�.•hn.f
�
`` FOR STAFF USE ONLY
Site v +
.t 1..., Ci,..wr.sr l&e-s7 a- v, n }
/ Address/ Street Address Permit No.: .tNcoOS OS2
A Location 11 1 4 S
Suite /Bldg. # City/State GI r C Zip wvf Expiration Date: 1 O - ?i -- a 5
✓
217 ` Gw- 4 c17Z 3) Receipt #: <cuS - y333
Name �✓ Approved By: C C. C' a-4- - ...
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Property MO 8 I no e S -e. 4 S Date: `I -- i,
9wner Mailing Address Suite Map/TL #: i - - 03301
r 705 W - 7`& - i' - s Zoning: C - G
City /State ' Zip Phone
\Jc{ nccu: er ° I 8 tc (0S
Tenant or Name Electrical Permit Required? ❑ Yes KNo
\/Business 6, 1.. Ci,,... 1)--(4:,A.ra.r1C Building Permit Required? ❑ Yes 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 accepted
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
Cia Bard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding 111 Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign 19 'Temporary ❑ Wall ❑ Electronic
(Check all that Other El Billboard El Balloon ID 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
X Sign Dimensions:
A 3 ❑ $38.00 Fee .(Permanent sign, any size)
/ Total Sign Area (sq. ft.): --z
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wail Area (sq. ft.) Jurisdiction: 11] 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
sign placement.
Copy: • 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 i
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
Signature of Owner /Ag- •
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0 .��vi 1.�.P�i�tvtr� 561- p la-U12.l
Contact Person Name ✓ Phone No.
CITY OF TIGARD 9/6/2005 ''
13125 SW Hall Blvd. • 10:35:41AM A
o „#r : ,, Tigard, Oregon 97223
1 J.. (503) 639 -4171
Receipt #: 27200500000000004333
Date: 09/06/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00258 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2005 -00258 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
•
Line Item Total: $1.8.00
Payments:
Method Payer User ID Acct./Check No. Approval No. How Received Amount Paid
Cash GIN LIN CHINESE CAC In Person 20.00
RESTAURANT
Change CITY OF TIGARD CAC In Person (2.00)
Payment Total: $18.00
cReceipt.rpt Page 1 of 1