SGN2008-00233 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00233
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/9/2008
PARCEL: 1 S126CA - 01000
BUSINESS NAME: SUSHI HANA ZONE: C -
SIGN LOCATION: 09009 SW HALL BLVD 142 JURISDICTION: TIG
APPLICANT /AGENT: SUSHI HANA
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Lawn sign) 2' X 3' Valid 12/9/08 - 1/9/08
Sign #1 Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: "'
111�1�L? Y
PERMITTEE SIGNATURE: T V
DATE: 12/9/2008
IN . SIGN PERMIT APPLICATION
City of Tiganl Permit Center 13125 SW Hail BM, TigircZ OR 97223
Phi 503.639.4171 Fax: 503.598.1960
•
GENERAL INFORMATION
Name of Develop ment /Project
Site
SUIShI FOR STAFF USE ONLY
Address/ Street Address Permit No.: Sal OV - 6 ° 133
Location 9001 Sri() J/Af( 6/ 0 0
Suite /Bldg. # Qty /State Zip Expiration Date:
/42— TVAJ 97223 Receipt ># : 4 440V 4D
Name Approved By S .Tai f
Property /GA V) Date: l 2,14/0g
Owner Mailing Address Suite Map /TLS+ : 1S I at
Zoning: U.0
City/State Zip Phone
---5 — foi, – 7 r Electrical Permit Required? ❑ Yes 'No
Tenant or Name
Business Yu( S - .1-7)11 Building Permit Required? ❑ Yes [/No
Name Rev. 7/1/07
n is \curpin \masters \land use applications \sign permit app.doc
Sign J '�/ 51
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all Qty /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if P' ) 332.3°/1- without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Qty 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 size requirement: 8 x 11 ", or 11" x 17"
appl
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: Z (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
O n $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) n $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): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
GVY: 51/15Lrr Nun", • Wall signs do not require site /plot plans.
Materials: A P/~5 fi G • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes [No permit.
Type: . ❑ 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 overlap a tenant space? of the permit, THE PERMIT WILL BECOME
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 • V day of , 20 V e
.
Signature of Owner /Agent
/ �
4 - c3'3) / -31r‘
Conta ' erson Name Phone No.
SIA S � -►� HA
/vo vV
■
1171 CITY OF TIGARD 12/9/2008
13125 SW Flan nnvd. 12:10:46PM
Tigard. OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000004055
Date: 12/09/2008
Line Items:
Case No Tian Code Description Revenue Account No Amount Paid
SGN2008 - 00233 [SIGN] Temp Sign Perm 100 0000 - 437000 17.00
SGN200S - 00233 [LRPF] LIZ Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: S19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. Flow Received Amount Paid
Cash JUSTIN LIM ST In Person 20.00
Change COT ST In Person (1.00)
Payment Total: 519.00
cRcceipt.rpi Page I of I