SGN2011-00013 IL , CITY OF TIGAR SIGN PERMIT
Permit #: SGN2011 -00013
COMMUNITY DEVELOPMENT Date Issued: 01/21/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S103DD00800
Jurisdiction: Tigard
Name of Business: Asbache Restaurant
Business Address: 13815 SW PACIFIC HWY 50
Applicant/Agent: Loera, Tana
Work Description: Placement of one (1) temporary sign (A- Board) Sign #1 Valid 1/21/11 - 2/21/11 Must
be placed on private property not in public right of way. Must meet visual clearance area
requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 3' x 3'
Total Sign Area: 9
Wall Area:
Wall Face (Direction): North
Sign Height: 3 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Plastic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: ` I / 2 th.Ltl
Permittee Signature: n i "05
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City of Tigard
. - Sign Permit Application
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GENERAL INFORMATION
Name of Development /Project
� FOR STAFF USE ONLY
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Site Y t iir p s` `.f..1 4--
Address/ Street Address U Permit No.: '�O l� ((-
Location i14 g ( s 5,...) f - . T! ( cr. Approved By: S • � &)
Suite /Bldg. City /St Zip
S° Date: i/ 1i 1
Name Receipt #:
Property P r c I VC') Map /TL #: 5 /03 6.D 1)
Owner M. i� ng A Suite Zoning:
ex
Allowable Total Area: /
City/State Zip Phone
'k1- Ca-.i no.. ( c 6 -26C4 Electrical Permit Required? ❑ Yes 'No
Tenant or Name
Business // n f S i -
Building Permit Required? r] Yes to
Name n► rri Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign c' t --1 1 5 C r 2 i f -
Contractor • Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
❑ Permanent ❑ Freestanding ❑ Freeway Proposed y ! El 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ELTemporary ❑ Roof ❑ Electronic
(Check all that (3 copies, if a building permit is required)
apply) Wall El Other size requirement: 8 x 11 ", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
❑ New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: 3 size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ❑ $164.00 Fee (Permanent sign, any size)
9 F • ❑ $52.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) l I = i�
g
(Complete all Direction Wall Faces (circle one):
items in this I NOTES:
section) eS E W NE NW SE SW
Heght to top of sign (feet): 3 1 • Wall signs do not need to be drawn to scale, but
Projection From Wa (inches): must include dimensions of wall face and sign
placement.
Materials:
PL6 C, . Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes 0 No • Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes C No
(OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
foota • e must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard - or.gov 1 Page 1 of 2
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 Z ; day of J 'i.c is.sy , 20 1
Si: e . er /Agent
v� ( 0 0 520 -63 --
C ntact Person Name Plfone No.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 639 -4171 1 www.tigard - or.gov 1 Page 2 of 2
CITY OF TIGARD RECEIPT
114 s _ 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 181195 - 01/21/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00013 Temporary Sign Permit 1003100 -43115 $45.00
SGN2011 -00013 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash STREAT 01/21/2011 $52.00
Payor: Tana Loera
Total Payments: $52.00
Balance Due: $0.00
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