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SGN2009-00232 CITY OF TIGARD SIGN PERMIT K. Permit #: SGN2009 -00232 • COMMUNITY DEVELOPMENT Date Issued: 12/16/2009 .11GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00800 Jurisdiction: Tigard Name of Business: Business Address: 13815 SW PACIFIC HWY 110 Applicant/Agent: Yum Yum Pizza, Work Description: Placement of one (1) permanent wall sign 24" X 120" Permanent: Yes Freestanding: No Freeway: No Temporary: Wall: Yes Electronic: No Billboard: No Balloon: No Banner: No A- Board: No Sign Dimensions: 24" X 120" Total Sign Area: 20 Wall Area: 336 Wall Face (Direction): South Sign Height: 13 ft. Projection From Wall: 9 in. Illumination: Internal Materials: Aluminum /Plexiglass Electrical Permit Required: Yes Building Permit Required: No Total Permit Fee: $40.00 Conditions: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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: '`' `U`-6Ljer Permittee Signature: 6" alp C OS-CV • • WA.yti:,lta SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 684 -7297 _ GENERAL INFORMATION 0`yY Name of Development/Project Y U Ct D ` i FOR STAFF USE ONLY Site 1 g/S C/Lt, Pel '/1J d ` e Address/ Street Address Permit No.: S 6 ,0 ��Q - 603-3 Location Expiration Date: Suite /Bldg. # City /State Zip »D -- 7l` Cf re{ . B-f2 /i--.223 Receipt #: 11 3 Name . Approved By: 5 -172-0 l 2-0 Property 9 • L J c.„',• L-(./ Date: l' .9 4) (o ` Owner Mailing Address Suite Map/TL #: 4 510_3 t)6 Ec I 'M 2 7 v 9(4) MA l'actOUt+ # lOi Zoning: C.. Co City/State Zip Phone - P 0 OK_ /9-2 3 - 24 Kr, Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business L fc,t,kiA u P `Z Building Permit Required? ❑ Yes El No Name Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc Sign 3 - 2 - l(e•c &`7 C g-„) C_ , Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit g ‘-2 s&,- 7 D k; e,L u ef (Note: applications will not be accepted issuance, a copy of all City /State Zip Phone without the required submittal elements) licenses are required if r 2,6LR Q k G 24 r e 4 / cfa ❑ Completed Application Form expired in the Orgon Const. Cont. Board Exp. Date City of Tigard's License # , r/ ` E] 2 Copies of Site /Plot Plan, Drawn to Scale database) � fi � � �j q.-7, (/ Ze l (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17" Sign [1:1 Temporary A Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other Billboard 1:1 Balloon (3 copies, if a building permit is required) apply) size requirement: 81/2" x 11 ", to 24" x 36" 2 New sign? El Alter to existing sign? ❑ $ Fee (Permanent sign, any size) Sign Dimensions: (/ �� 2, ic 1 ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): YE NOTES: Sign Data Total Wall Area (sq ft • Wall signs do not need to be drawn to scale, 3 3 S tt" but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): • sign placement. items in this section) N ® E W NE NW SE SW • Wall signs do not require site /plot plans. Height to top of sign (feet): • Freestanding signs over 6 ft. required a Hei g p g ( ) 1 ' building permit. Projection From Wall (inches): 9" • If work authorized under a sign permit has not Copy: \Imo, t alk. Jell 'pi Z 7A been completed within ninety (90) days after Materials: R ti4 ;$4f~4.. el ' kglic g the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes F:1 No BECOME NULL AND VOID. Type: fxr Internal ❑ External 7- Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more informa location, including wall signs that overlap a tenant space? visa ❑Mastercard Credit card number / / ❑ Yes NO Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. , Cardholder signature Amount (OVER FOR SIGNATURES) .. • 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 4' ( U" -- day of 20 •Zi_flkilt-edak-/s - Signatur Owner /Agent d - &)' ti A- 4-- L C 4_ - _ Contact Person Name Phone No. L. [ C;ogdalonaliy Approved __ For only the work as described in: PERMIT NO. ( U4- U7J) -3-a-- See Letter to: Follow..... - [._._1 i J Attach i = fAddr r w a,s J 3 uci .. - - 1 ■ ,, ,r4 _ 1,,,c c- Gs---. ,____pc ■ ..._. s 0 - 1 c' r 1 \ 0. 0 r Ti o . - i • d ij� _ . . . .. . _ . . (-,- 1 ;14 . ; 6( 1,.0 , (_ ,,,, ' 2 ,... : , . ' 1. '2' .S H:'.- C.4' Y (iir>* , 1 i . Cr( k . & '6L.LI t . f a ■ I 14 i • . . -: 1 • • I l ; _ 51 , (, S F ! 1 . . ' g t i il -!! (:e-i- 1\...... - z k i z' • . , 4 „LT r fif L; • I • 11W /urn _Yurn Drawing & description Sign cabinet 24"xl 20"x9" black aluminum constructed. Retainers 1-1/2' around. White plexiglass face with translucent vinyl in red for copy {pizza} & print of logo artwork. Illuminated with high output fluorescent lamps. UL approved, Mounting Details Illuminated Cabinet r a :, — RETAINER ♦IU -1 1.5" �♦ 3/8" LAC, BOLTS (MIN. EVERY 36 ") — 1 I. , .. FLOURESCENT LAMPS CJ i la AA/ x l‘ WO 98U\ +sue FF,LZ " Wig ai 7 - Wee-- r A °niw {ct 'PIZZA LEXAN/ACRYUC FACE ♦ 1I vx 511ce5 � � � P 1 I= • WALL: wood a i . BALLAST Not to scales Weight: appx 98 Ibs A pQ . IRTI I(� �I `� ul E Location: 13815 SW Pacific Hwy, Tigard, OR 97223 �\ Neo & Sli�g'uns File name: Drawn by: Designer Landlord approval: Date: Phone: 503 - 253 -9406 Fax: 503 - 253 -9407 Customer approval: Date: 8621 SE Powell Blvd., Portland, OR 97266 Customer name: KuanJaik The designs(s) shown on this drawing Ls proprietary to Mico Lite, Inc. and may not be reproduced or utilized in any manners without specific written permission from Artico Lite, Inc. Acceptance of this print will be construed as your agreement to these condtlons. • CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 176328 - 12/16/2009 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID SGN2009 -00232 Sign Permit 1003100 -43115 $35.00 SGN2009 -00232 Sign Permit - LRP 1003100 -43117 $5.00 Total: $40.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 2391 STREAT 12/16/2009 $40.00 Payor: Artico Lite Inc Total Payments: $40.00 Balance Due: $0.00 Page 1 of 1