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SGN2007-00173 I \ - 0 v CITY Y OF TIGARD SIGN PERMIT • ' • DEVELOPMENT SERVICES PERMIT #: SGN2007 -00173 'TI'GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/4/2007 PARCEL: 2S 102AB -02000 BUSINESS NAME: A TAST OF HEAVEN ZONE: CBD SIGN LOCATION: 12535 SW MAIN ST JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 6'X6" TOTAL SIGN AREA: 3 sq. ft. WALL AREA: • 380 sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 6 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) temporary 3 sq. ft. banner. Valid 10/4/07- 11/04/07. Sign #1 MATERIALS: VINYL 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 to ary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: • PERMITTEE SIGNATURE: y Q,/\ DATE: 10/4/2007 I r Irri SIGN PERMIT APPLICATION City of Tigard Perot Center 13125 SW Hall Blzd, Tigard OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project A T e A ��,� FOR STAFF USE ONLY Site ` Address/ Street Address Permit No.: 5 ('7G ■ ` �`3 J - v( Location ! ;5,3,' U) "ain Si , Expiration Date: / 0 1 `/l d 7 ' ( / yf ty7 Suite /Bldg. # City/State Zip 11 #, ) Or 411;4 a'`rf Receipt # : 7 "Li Li Li Name Approved By. Property Pi /�� / / /y�1 /y/ /7 yy * $, Date: 4 ? i Owner Mailing Address Suite Map /TL# : Pb toYselalipA Zoning: 6) Gry /State Zip Phone ? ori Q,T \ ' ( ` ' at t Electrical Permit Required? ❑ Yes 2 No Tenant or Name Business A Tast -e o c )eJe Building Permit Required? ❑ Yes [f(No Name Rev. 7/1/07 is \curpin \ masters \land use applications \ sign permit app.doc Sign Fort s 1 , s Contractor Mailing Address Suite issuance,a i 1 5a4.5 slit.)‘ ` W1 . C•4 1 copy of all Gry/State Zip Phone 3 REQUIRED SUBMITTAL ELEMENTS licenses are � , � (Note: applications will not be accepted required if ^"y y w , without the required submittal elements) expired in the Ot nst. nt. Board License # Exp. Date Guy of Tigard's database) ❑ Completed Application Form Proposed ❑ ermanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign emporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17" apply ze re q g New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 6 1 x t 11 (3 copies, if a building permit is required) size requirement: 8 x 11 ", to 24" x 36" Total Sign Area (sq. ft.): Ir! ❑ $40.00 Fee (Permanent sign, any size) Data Sign Total Wall Area (sq. ft.) g J 1 . -.5-. - ❑ $ 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): C fa 1 ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): I i R i t must include dimensions of wall face and sign , placement. C°Py GrtA6 Opfne . Wall signs do not require site /plot plans. Materials: , • Freestanding signs over 6 ft. required a building Will sign have ill um tion? ❑ Yes X 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 tit,L 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. DA' 1 "ED this day of , 20 Signature of Owner /Agent Contact Person Name Phone No. , , t--- A Tct, l -4 1 ntckuei) / a S35 ui in c v S 7 1 Q o1/4Nec 1 ,D Cc.. or? ccsi\ ; . A .. 1 TIGARD ` ; �; escri � F - r1 wo rk as dbed in: to: Follow __ . _ .— A ttach / L�S35 S ;. {dkq,h 4 ... fi M i x-7 ZCl 1 ' e a ,�. " ) (0I 0 a5 ' .� 5tan Co.: F63-1- J s S , h r iil , Dr. . � � Z # +` , 5b3 - 114 ";, CITY OF TIGARD 10/4/2007 , A . , , 13125 SW Hall Blvd. 1 2:37:5OPM Tigard, OR 97223 503.639.4171 TIbia 0 Receipt #: 27200700000000004468 Date: 10/04/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00172 [SIGN] Sign Permit 100- 0000 - 437000 35.00 SGN2007 -00172 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00 SGN2007 -00173 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00 SGN2007 -00173 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $59.00 Payments: Method Paper User ID Acct. /Check No. Approval No. I - Iow Received Amount Paid Check RITA M. GOLDBOROUGI - 1 & KJP 1346 In Person 59.00 MARIA T. RITTER Payment Total: $59.00 cReceipt.rpl Page 1 of 1