SGN2004-00345 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00345
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/24/2004
PARCEL: 2S 102AA -02302
BUSINESS NAME: TAQUERIA RESTRAURANTE LA FUENTE ZONE: CBD
SIGN LOCATION: 12202 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: TAQUERIA RESTAURANTE LA FUENTE
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X12'
TOTAL SIGN AREA: 36 sq. ft.
WALL AREA: 420 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 36 sq ft permanent wall sign.
MATERIALS: METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 ro validity date.
APPROVED BY: .//
PERMITTEE SIGNATURE: - /
DATE: 11/24/2004
AA Ai SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site FOR STAFF USE ONLY
rG 114 e rt �- K,{ Q_, % ,- . Address/ StreetAdess Permit No.: . Ci 2,46 '1- as 3 C15
Location L'Z_O?-• Sl. '�C..
_ \ Expiration Date: a-cSO `�
Suite /Bldg. # City/State Zip
9 -??4,a____-, Receip #:
1 e
. . . _ , Name ' ��
Nam Approved By: f�-
Property \Q : 1 —. .C..� � � Date: 1 � �Z
Owner Mailing Address Sui te/ � Map /TL #:
5,, . Zoning: G 6 //
City /State Zip Phone J --oz, 3
dq--ci - ,1 6 . All '
—�.,. Electrical Permit Required? ❑ Yes Q410
Tenant or Na Building Permit Required? ❑ Yes L9' No
Business
Na /". Rev- 7 /1/04 i:\curpin\ masters \revised\sign permit app doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) I (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ED Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary Wall ❑ Electronic
(Check all that El 2 copies of elevations, drawn to scale
apply) ❑ Other Billboard 111 Balloon (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: 3 / Y ( 2-I ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 3 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City Ill Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N Sc E ' W NE NW SE SW
J • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: s i -- V\ 'r r4 ( i' • Wall signs do not require site /plot plans.
Materials: - A t''. tJ • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? 0 Yes 1:1] No
g p
_ Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
El Yes III No
BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
1
I hereby acknowledge that 1 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 Z / day of /-/ , 20 L/
Signature o wner /Agent
‘2-0 C "f
Contact Person Name Phone No.
W all Plan
- - -- 35'
3'
12'
12'
Total Wall Area: Height (12') x Width (35') = 420 sq. Ft.
Total Sign Area: Height ( 3') x Width (12') = 36 sq. Ft.
Site Address: 12198 SW Main St. r �
Tigard, OR 97223 (�
Business Name: Taqueria y Restaurante LA FUENTE
CITY OF TIGARD
Approved
Conditionally Approved
For only the work as described in:
PERMIT NO. S� iiJ 7_67_613 c - u s'
See Letter to: Follow • ._ [ ]
Attach J
Job Address: i 12O?_ pirtGaL gt. -
By: - - - - -- Deta•
CITY OF TIGARD 1 1 /2 /12uu4
13 12 5 SW Ha11 Blvd. 11:58:42AM
4& � � �t Tigard, Oregon 9 72 23
t %' (503) 63 9-4 17 1
Receipt #: 27200400000000005104
Date: 11 /24/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00345 [SIGN] Sign Permit 100- 0000 - 437000 32.00
Line Item Total: $32.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash TA.QUERIA Y RESTRAURANTE KJP In Person 32.00
LA FUENTE
Payment Total: $32.00
cReceipt.rpt Page 1 of 1