SGN2004-00026 a r
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00026
�•���. DATE ISSUED: 2/9/04
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135BD -01200
BUSINESS NAME: NEW YORK SUBS FRESH DELI ZONE: C -G
SIGN LOCATION: 09802 SW SHADY LN JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install one temporary banner (8' x 3'). Valid from 2/10/04 through 3/11/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: —
>PERMITTEE SIGNATURE:
DATE: 2/9104
�
CITY SIGN PERMIT APPLICATION
OF TIGARD /3125 SW Nall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
Name of Development/Project
Site /2 YOd< .S+J1r95 e-5h A i FOR STAFF USE ONLY
Address/ Street Adds
Permit No.: S N cRoo 4 -000 .a (
Location 5 I3 oy 5w $ /442 � 4 e Expiration Date: - 11
Suite /Bldg. # City /State Zip
77/a rd ,
Na Qk 97Z03 Receipt #: c.. b U - el?) o - B
Name Na 1 Approved By: e 111.--1--1-C (c 2r�
Property 5/4 /G > t�< 5" , i /CST�e1' 7f Date: c - J b - 0`4
Dwner Mailing Address Suite MapITL #: (s, 135 ('31' 0 1.E Dv
Zoning: C - ('
City /State Zip Phone
tenant or Name Electrical Permit Required? ❑ Yes ❑ No
3usiness Building Permit Required? ❑ Yes ❑ No
Name Rev. 8/7/2003 is \curpin\masters \revised\sign permit app doc
Sign '"'"----„,,
:ontractor •-A4ailing Address Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
nuance, a (Note: applications will not be accepted
opy of all City/State 'Zip., Phone without the required submittal elements)
tenses are _
equired if
xpired in the Oregon Const. Cont. Board Exp. to Completed Application Form
;ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
pro osed (3 copies, if a building permit is required)
v p ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Check 6 Temporary ❑ Wall I] Electronic
k all that
het ❑ Other ❑ Billboard 1:1 Balloon 2 copies of elevations, drawn to scale
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: g / X 3 /
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): Z
2 - Y [p $15.00 Fee (Temporary sign, any type)
iign Data Total Wall Area (sq. ft.) f , f Z
Jurisdiction: ❑ City ❑ Urb
Complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) ICS/ E W NE NW SE SW
Height to top of sign (feet): 1,7 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: Gp_G S c / � �C� 1�i C
/ • Wall signs do not require site /plot plans.
Materials: V y7 y • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ ExterFial • If work authorized under a sign permit has not
ire there any existing freestanding or wall signs at this been completed within ninety (90) days after
Dcation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes 1::1 No BECOME NULL AND VOID.
f "yes ", a list or diagram of all sign dimensions and
;quare 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 $ Y, day of Yr/G/r , 20 0
✓� /, /. LLB �_
'. natu of Owner /Agent
4 01_7u /' /6 5 3 - 7Gfo caw
Contact Person Name Phone No.
1 .
1 -
, (---) /
' 65
..-----1— —
....."
0 !
r 500 ki
,.._
1 /
1 K. ) Is1/4„) 6___
0 i
1 — i
.._
CITY OF TIGARD
Approved ................................. ............_ ................. . [X1
Conditionally Approved ...._ •••.•• r 1
For only the work oco.a(ork as described, in:
PERMIT NO.
See Letter to: Follow .................. ______ ..... [ 1
A t t ach ............... _ ......... 1
By: Date:...iqq -__IL:).Lic..2-4
CITY OF TIGARD 2/9/2004°
13125 SW Hall Blvd. 10:37:34AM
i';74k-1,1‘iiii Tigard, Oregon 97223
• (503) 639 -4171
Receipt #: 27200400000000000478
Date: 02/09/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00026 [SIGN] Temp Sign Perm 100- 0000 - 437000 1 5.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard DAVID C ANDREW /I PARDCO CAC 009946 In Person 15.00
LLC
Payment Total: $15.00
•
Page 1 of 1 cReceipt.rpt