SGN2008-00205 CITY OF TIGARD SIGN PERMIT
r 17 1 ' z DEVELOPMENT SERVICES PERMIT #: SGN2008 -00205
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/3/2008
PARCEL: 2S 110AB - 00200
BUSINESS NAME: MALAI THAI ZONE: C -
SIGN LOCATION: 14297 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: MALAI THAI
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 145" X 20"
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 370 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 145" X 20" Must be placed on private
property not in public right of way. Must meet visual clearance area requirements.
MATERIALS: ALUM /PLAS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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 ' d " ` � -
IF
PERMITTEE SIGNATURE: �i=''=� �� - 1,f!
DATE: 11/3/2008 1
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SIGN PERMIT APPLICATION
City of Tigard Pernat Center 13125 SW Hall BluL, Tigani4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Proje `
FOR STAFF USE ONLY
Site 1 mA-1 - 1 - 11
Address/ Street Address Permit No.: 5 C° ° 3tri) t) Sr
Location I b1- 7 5(-.)
Suite /Bldg. # City/State Z;p Expiration Date:
14 AU OQ. `72.2 Receipt # :
Name Approved By S • re-e4(
Property y Date: lit 3 /0X
P riY �iC� l <��v�.
Owner Mailing Address I I Suite Map /TL# : ,?-5110 A 6-0 4-t91)
y 3g� S� t F ttc.7I -- Zoning: e Co
City/State -i Zip -� -7 I Phone
- D co_ 3R C ` . cs 7 Electrical Permit Required? Erces ❑ No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign C C VOUg --
Contractor Mailing Address Suite
(Puaanto perce, a mit I I � ro n �
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un � RS
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed 'Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon 1 " " "
apply)
❑ ❑ ❑ size requirement: 8 h x 11 , or 11 x 17
tM -_New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 (4 5 /l x n 1/ (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ( i
❑ $40.00 Fee (Permanent sign, any size)
Data
Sign Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S W NE NW SE SW
Height to top of sign (feet): i - V • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 1 I ,l must include dimensions of wall face and sign
spy placement.
Materials: I • Wall signs do not require site /plot plans.
M
q�'u w� ( • Freestanding signs over 6 ft. required a building
Will sign have illumination? 'I Yes ❑ No permit.
Type: 5f , Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that ov- lap a tenant space? of the permit, THE PERMIT WILL BECOME
0 Yes ❑ No 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 an— day of "o\iernsE---Q_ , 20 0 c`
, •
Signature of Owner/ ' g -nt
2c, g d
Contact Person Name Phone No.
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pr CITY OF TIGARD 11/3/2008
13125 SW trail Blvd. 4:35:45PM
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000003773
Date: 11/03/2008
Line Items:
Case No "Tan Code Description Revenue Account No Amount Paid
SGN2008 -00205 [SIGN] Sian Permit 100 -0000 - 437000 35.00
SGN2008 -00205 [LRPF] LR Planning Surcharge 100 0000 - 438050 5.00
ELC2008 -00619 [ELPRMT] [LC Permit 220- 0000 - 431510 53.40
ELC2008 -00619 [TAX] 12% State Surcharge 100- 0000 - 207020 6.41
Line Item Total: $99.81
Payments:
Method Payer User II) Acct. /Check No. Approval No. How Received Amount Paid
Check CANTERBURY SQUARE DEI3 8948 In Person 99.81
Payment Total: $99.81
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