SGN2005-00303 SIGN PERMIT II
CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00303
DATE ISSUED: 10/17/2005
=--� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103DD -00800
BUSINESS NAME: ASABACHE RESTAURANT ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 50 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: 1,250 sq. ft.
WALL FACE (DIRECTION): SW
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 16 sq ft wall sign.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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: 411b.... _ �" - ` 1
PERMITTEE SIGNATUR /`
•�t�r
DATE: 10/17/2005
•
A iII , SIGN PERMIT APPLICATION
,L -1
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
; �� rte FOR STAFF USE ONLY
Site Ii
Address/ Street Address ((�'' ��(( Permit No.: 5 Z.OQ5' 00 303
Location 1318IS (,I,J ?cC( CC 41vy Expiration Date: i0/261c S - 1( / 6 - /c;�-
Suite /Bldg. # City /State �, � 1 Zip `
a) QQ r U V( q �r�o2 Receipt #: 2-035 i $ 2-
Name v ' Approved By:
Property 19 tu. t �tf Y _co
Date: /34 71J c
Owner Mailing Address ?yV G ` Suite Map /TL #:
WO s A4,401d II/l, Zoning: C
City /State Zip Phone
POiiTL j4, p Z ?S_ Electrical Permit Required? ❑ Yes El'Slo
Tenant or Name
Business Building Permit Required? 1=] Yes [lo
Name Rev. 7/1/05 i:\curpin\masters\revised\sign permit app.doc
Sign — -- - - -
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a i
b
d i
t the required submittal elements
copy of all City /State Zip Phone q elements)
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
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ Other El Billboard ❑ Balloon
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: r 2_ ..e ,
❑ $38.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
i‘ ❑ $18.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) (z-- x'17 " - Jurisdiction: ❑ City ill Urb
9
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE
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 : / cc f-e G • Freestanding signs over 6 ft. required a
sign lave illumination El Yes ❑ building permit.
No • If work authorized under a sign permit has not
pe: ❑ 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)
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 / 6)— / 0 day of , 20
IPW/1
Sign 'nf Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD X
Approved t
Conditionally Approved
For only the work as described in:
PERMIT NO. 3 .__
See Letter to: Follow i I
Attach 4 1
J Addre . • 15 a a
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6y: •o .,,,. Date: _ _V4_
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ASABACHE RESTAURANT
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LUNCH --e-t: DINNER ...,,,. COCKTAILS
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CITY OF TIGARD 10/17/2005
13125 SW Hall Blvd. 11:56:11AM
i �M ,, t , iii; Tigard, Oregon 97223
(50 3) 63 9-417 1
Receipt #: 27200500000000005238
Date: 10/17/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00303 [SIGN] Sign Permit 100 - 0000 - 437000 17.00
SGN2005 -00303 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 3.00
Line Item Total: $20.00
Payments;
Method Payer User ID Acct./Check No.Approval No. How Received Amount Paid
Cash ASABACHE RESTAURANT KJP In Person 20.00
Payment Total: $20.00
I
I I
cReceipt.rpt Page 1 of 1
CITY OF TIGARD 10/17/2005
13125 SW Hall Blvd. 11:46:35AM
e „Hrr Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200500000000005236
Date: 10/17/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00303 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2005 -00303 [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 ASABACHE RESTAURANT KJP In Person 20.00
Change CITY OF TIGARD KJP In Person (2.00)
Payment Total: $18.00
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cReceipt.rpt Page 1 of 1