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SGN2007-00083 pr i CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2007 -00083 TIGARD. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 4171 DATE ISSUED: 4/27/2007 PARCEL: 1S135DD-03301 BUSINESS NAME: PHO BIHN MINH ZONE: C - SIGN LOCATION: 11945 SW PACIFIC HWY 242 JURISDICTION: TIG APPLICANT /AGENT: PHO BINH MINH BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one 24 sq. ft. temporary banner. Valid 4/27/07 - 5/27/07. Sign #1 Wall mounted MATERIALS: VINYL BANNER 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 expir days from validity date. A balloon sign shall expire 10 days from validity date. APPROVED BY: 1 l PERMITTEE SIGNATURE: );' = , (1 ?!'I,(l0 DATE: 4/27/2007 I li . SIGN PERMIT APPLICATION City of Tigard Penrt Center 13125 SW Hall Blul, Tigard, OR 97223 Phone. 503.639.4171 Fax: 503.598.1960 GENERAL INFORMATION Name of Development /Project l M d N �� FOR STAFF USE ONLY Site c Address/ ( i� Address l �4 Lacy * 2 Permit No.: J$At) Z.--00 7 — W 0?3 Location W Qty/State 94147 _ s'lz7 / �� Expiration Date: ` Suite/Bldg. # Qty/State Zip v�T 2— — 7\ 01W-0 o4._ o°)223 Receipt # : 2-0.1 — I e Name Approved By K. Property ( 1 2 )1 /UP 1 //v 1A9 Date: 4 67 J Owner / Mailin 25 gAdd ss _ _ lh Suite Map /TL# : k S Zoning: C.9 City /State Zip Phone 9 Tenant or 1Nae V � �� ®6 3i �f Electrical Permit Required? ❑ Yes [-No Business T r f f' Vvl //v l44` Building Permit Required? ❑ Yes [—No Name Rev. 7/5/06 is \curpin \masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to permit issuance, a 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 Thgard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign E— Temporary ❑ Wall El Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ B illboard ❑ B 1 " n 11" apply) s requ 8 /Z x 11 , or 11 x 17 " EFNew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 31 . 7 (3 copies, if a building permit is required) size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): , r' � ,'�" ❑ $39.00 Fee (Permanent sign, any size) Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E 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. Copy. ♦ Wall signs do not require site /plot plans. Materials: A/ _._.,,g.:____ ♦ Freestanding signs over 6 ft. required a building Will sign hav i llumination? ❑ Yes El 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. DA 1'P.D this ( 7 day of , 20 F �D Signa of Owner /Agent ( PA {-( c( o Contact Person Name Phone No. CITY OF TIGARD 4/27/2007 13125 SW Hall Blvd. 1:23:03PM Tigard, OR 97223 503.639.4171 TIGARD Receipt #: 27200700000000001871 Date: 04/27/2007 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2007 -00083 [SIGN] Temp Sign Perm 100 -0000- 437000 17.00 SGN2007 -00083 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00 Line Item Total: $19.00 Payments: Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid Check PHO BINH MINH KJP 1504 In Person 19.00 Payment Total: $19.00 cfeceipt.rpt Page 1 of 1