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SGN2004-00037 C ITY OF TIGARD SIGN PERMIT 1,i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00037 �� ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/26/04 PARCEL: 25111 DD -00201 BUSINESS NAME: TONY'S PIZZA ZONE: C -N SIGN LOCATION: 15917 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3X4 2 SIDES TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: temporary sign (first of three) MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 d y s from validity date. APPROVED BY: �/ PERMITTEE SIGNATURE: /¢ / DATE: 2/26/04 A SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site /11. ti Address/ Street Add ss Permit No.: S6.. �/L = (2° 1 — L(0 31" Location 15411 Sw /- Suite /Bldg. # City/Sta a a ,ql y p Zip Expiration Date: ^ t t 2y ) jq L l 7Z2 L( Receipt #: At Name Approved By: Property f1 CI c,,,- Date: 7.4 A/09 Owner Mailing Address Suite Map /TL #: 24.-2/ s,x -t(, ft A (i.E Z 3ov Zoning: G— City /State Zip Phone S e /i"' °'. c is 1Z I (zo4"-a^) 175 Electrical Permit Required? ❑Yes o Tenant or Name Business Kt \( 5 Building Permit Required? ❑ Yes 0 Name / Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign _ / Contractor , ailing Address a REQUIRED SUBMITTAL ELEMENTS (Prior to permit / (Note: applications will not be accepted issuance, a % copy of all CityCity /State ' • Phone without the required submittal elements) licenses are required if ©- Completed Application Form expired in th Oregon Const. Cont. Board Exp. -ate City o ard's License # ❑ 2 Copies of SiteiPlot Drawn to Scale da base) (3 cocopies,lf a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway -'Size requirement: 8 x 11 ", or 11" x 17" Sign .®. Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon ❑) copies of elevations, drawn to scale apply) -'(3 copies, if a building permit is required) 'g New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: �) 3 T X = /Z 5 y 1 ❑ $31 .00 Fee (f a manent sign, any size) Total Sign Area (sq. ft.): :::45/ 5e-et ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ['City ❑ U rb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) 0° E W NE NW SE SW eight to top of sign (feet): "e. • 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: • Wall signs do not require site /plot plans. Materials: WOOA • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes No building permit. Type: c] Internal ( Exter al • 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 BECOME NULL AND VOID. ❑ Yes ' No 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. DATED this 0/ day of , 20 y 1, /i na re owner/Agent , (5 7 70 on act Person Name Phone No. � \ /0 S Z 12 5f6?-0 -e few CITY OF TIGARD 2/26/2004 13125 SW Hall Blvd. 2:49:48',1 , „6,a Tigard, Oregon 97223 W (503) 63 9-4 17 1 Receipt #: 27200400000000000748 Date: 02/26/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00037 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid CreditCard SIROS SHOKOHIAN MET 3517 In Person 15.00 Payment Total: $15.00 Page 1 of 1 cReceipt.rpt