SGN2004-00357 CITY TIGARD SIGN PERMIT
71 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00357
c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/2004
PARCEL: 1 S 136CD -00100
BUSINESS NAME: LA PLAYA AZUL ZONE: C -G
SIGN LOCATION: 11705 SW PACIFIC HWY C JURISDICTION: TIG
APPLICANT /AGENT: LA PLAYA AZUL
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary banner. (3' x 6') Must be placed outside of
right -of -way. Sign #1. Valid from 11/30/04 through 12/30/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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.
4(1, a •
APPROVED BY: J
.PERMITTEE SIGNATURE:
DATE: 7 11/29/2004
_aarly 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 4 6 f1/W
� FOR STAFF USE ONLY
� / le6
Site / 111/4‘)/k;//c: /�
Address/ Street Address
Permit No.:
3 &) aho4 — c:)0 '35
Location ., A T. A y/4 a�,i;,/L ll4 X &. si
Expiration Date: j 3 c 4
Suite /Bldg. # City/State Zip
c • I - �,Aa Qe q ?1i Receipt #: 0700 — 0055'7
Name �`/ Approved By: C- C
Property lv IlU11f>�£�t �Lhha Date: (/- al- o
Owner Mailin6 Address Suite Map /TL #: f S 1 3c" CD — vo / Od
Zoning: C — &
City/State Zip Phone
10 - O I2 Electrical Permit Required? 111 Yes ❑ No
Tenant or Name 1 1 A
Business L A V LAi 3 tkv -l.� r 1 �r'1 A VS>/ Building Permit Required? 1=1 Yes 111 No
Name J Rev. 7/1/04 iacurpin\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 # 111 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building ( p g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign SI ❑ Electronic
(Check all that T emporary El ❑ 2 copies of elevations, drawn to scale
apply) ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
IA New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 6 ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft): 1 i ? ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: III City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) ( S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 3 but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? El Yes 60 No building permit.
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
111 Yes ®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)
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 :4 3 day of /44 GC , 20 COY
zde /Al 41-s/cid
S ' ature of Owner /Agent
Spimc c (i (503) 6 c 2 D - 13
�. l �
Contact Person Name Phone No.