SGN2004-00014 r
CITY TIGARD SIGN PERMIT
"411 DEVELOPMENT SERVICES PERMIT #: SGN2004 -00014
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/20/04
PARCEL: 2S 102AC -00700
BUSINESS NAME: THAI PRINCESS ZONE: CBD
SIGN LOCATION: 12540 SW MAIN ST 150 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: Placement of one temporary banner. (3' x 8') Sign #1. Valid from 1/21/04 through
2/21/04.
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: ,, Q
PERMITTEE SIGNATURE: _ .40/
►'
DATE: 1/20/04
/... /I9 1
A
2444'11 it. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
, ENERAL INFORMATION
Name of Development/Project
Site A 1 F /IJ C L SS /¢()R4Arr FOR STAFF USE ONLY
Address/ Street Address
Location rZ j (f O S i) .4414 1 4: • (s(, Permit No.: 5 6 N a oo 4- 000 1'4
Suite /Bldg. # City /State Zip
Expiration Date: - I v "4 � / 6.kie b DMZ 97 Zz3 Receipt #: a 00 4 - 018 (0
Name
Approved By: C . e i„ w.)
Property 1 b L4-tkl Q` CO Date: / - a o - 0 Lf
Dwner Mailing Address Suite Map/TL #: a S / Da ,4C! -- Oo Ov
11 1 1 NW Ft rl) Zoning: C B 1)
qty/state Zip Phone
tk7[ !1'-117 4172c 503-126--Sot
tenant or Name Electrical Permit Required? 1.3 Yes ] No
3usiness 144141 PRI N ( (S S L L G Building Permit Required?
❑ Yes � No
Name Rev 8/7/2003 i:lcurpin\mastersvevised\sign permit app doc
Sign 1146 P)2 /N CESS eEs- rilj)2/r1UT
:ontractor Mailing Address Suite
Prior to permit R EQUIRED SUBMITTAL ELEMENTS
;nuance, a ) Z 5 N U �rW w4f� 11 „44-15-- (Note: applications will not be accepted
opy of all City/State Zip Phone without the required submittal elements)
tenses are {7 / et ab 717...-
equired if 1 / ('�
xpired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
:ity of Tigard's License #
atabase) ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
'roposed (3 copies, if a building permit is required)
� Permanent p Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
>ign L?51 Temporary ❑ Wall
Check all that 1:1 Electronic
❑ Other El Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
® New sign? ❑ Alter to existing sign?
Sign Dimensions:
X ,� size requirement: 81/2" x 11", to 24" x 36"
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
iign Data Total Wall Area (sq. ft.
Jurisdiction: ❑ City ❑ Urb
complete all Direction Wall Faces (circle one):
ems in this NOTES:
ection) N S CO W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes (j No building permit.
_ Type: ❑ Internal Xj External • 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
)cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes No
1 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 - day of ,TA /004 2 j 20 l
Si nacire of Owner/Agent
y
9 9
CRCA - knic. ?- NCk0 - 6Mut., CUB`)iii - I1a0
Contact Person Name Phone No.
CITY OF TIGARD 1/20/2004
13125 SW Hall Blvd. 3:42:15PM
/�L M ji z\ Tigard, Oregon 97223
' ° 4 ..< (503) 63 9-4 17 1
Receipt #: 27200400000000000186
Date: 01/20/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00014 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. Row Received Amount Paid
Check THAI PRINCESS, LLC CAC 1813 In Person 15.00
Payment Total: $15.00