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SGN2003-00189 : R CITY OF TIGARD SIGN PERMIT A DEVELOPMENT SERVICES PERMIT #: SGN2003 -00189 , DATE ISSUED: 8/13/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC -00500 BUSINESS NAME: HOME TOWN BUFFET ZONE: C -G SIGN LOCATION: 13500 SW PACIFIC HWY 17 OLD CNTRY BUF JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4.03' X 13.83' TOTAL SIGN AREA: 57 sq. ft. WALL AREA: 1,696 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Install new signs for name change. Wall sign (4' x 13.8') MATERIALS: ACRYLIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 31.00 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 from validity date. APPROVED BY: a PERMITTEE SIGNATURE: 'Q '�l ° ' Q `�"`� DATE: 8/13/03 , A c,t. S IGN PERMIT APPLICATION . 111:_ 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 (AA - IOC(J A I 1Lk rre Address/ Street Address Permit No.: 56►i aoo 3 - DO 189 • Location /33-0o 111 P4! FIC Akuy E xp i ra tio n Date: • • Suite /Bldg. # City /State Zip 7 ----- m ai h / (112 , C (� Q 72 2 3 Receipt #: a 003 Name Approved By: . -'t _' • Date: b -0 -03 - Property Owner Mailing Address Suite Map/TL #: d 5 1 Da CC.. - 005 0 Zoning: .0 _G • Cit /State Zip Phone Electrical Permit Required? . M Yes ❑ No Tenant or Nam • [' �/-���, Building Permit Required? El Yes No Business 6(1d �"j /V� � . • Name Rev. 2/28/2003 f: \curpin \masters \revised \sign permit app.doc Sign /Ltkre. - � : OP dy)C Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 2 0S �� 7y j — (Note: applications will not be accepted issua a 75 - without the required submittal elements) copy of all City /State Zip • Phone licenses are . re Z p � � j � required if 77 ?722 L/ ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 1`30 OS ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) �o (3 copies, if a building permit is required) Proposed 2 Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary [>- Wall ❑ Electronic (Check all that ❑ Other ❑ Bi llboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) [W New sign? ❑ Alter to existing sign? size requirement: 81/2" x11", to 24" x 36" Sign Dimensions: $30.00 Fee Permanent sign, any size) A X /3.8 33 � 1- El $ ( 9 Y ) Total Sign Area (sq. ft.): 56, t1g4 41 ❑ $15.00 Fee (Temporary sign, any type) Total Wall Area (sq. ft.) Sign Data /& 94 .,•.5"b 0 Jurisdiction: ❑City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this • section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale, Height to top of sign (feet): 1l(' but must include dimensions of wall face and Projection From Wa�(inches): 5 N sign placement. Copy: / k - c,5 • Wall signs do not require site /plot plans. Materials: ?, 7/942 ta o Freestanding signs over 6 ft. required a Will sign have illumination? t -Yes ❑ No building permit. Type: tl .ternal ❑ External • If work authorized under a sign permit has not been completed within ninety (90) days after Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. Fa and Y ,h p ' ❑ No If "yes ", a list or diagram of a si gn dimensions and square footage must also be submitted. (OVER FOR SIGNATURES) r , 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 / 7, 14-- day of G-(� g'( , 20 o 3 ■./ Signature of Owner /Agent Aix R- P • ;�3 � Z© -6 o Contact Person Name Phone o. App roved - ��+�® unditionally Approve . - - - - - -- ' o Y e w d'............ -- f....\-1 r PERMIT the ork s described i - PEkMI S ....... i ) See Letter to ; F o -. OQ 1 0 9 ol low_. - -_ T, Job . tracn. .. - - _ - - - - - .. l ) Address: � "/ - .... f aC l Fi C � ) 2 'Y Taci _ ft Date: ` " " " m en - - QL3 Dig 1 U® v- • lo' -ILLS a -nas ° — ®® �® ®D l 0 VionteTowiaufm 'BU FFET I ' c s y -:,:„,-i--,1„,-,--...-...,:-,-- .- x� r., .-3' .-,t fi4 t A n. - Y^F •zz 5��' . y 3 d ,F. i .."4 " 'F'••• r ATM % *" A- ..� ..r et 404' 14 AFT •I , . ,...* r ",... , /1•:' •- :e • , sFA 1 IT P;.r ' - i ,F.;A „. '•.,,,,t ” 7 .7D''' •" t a - ;,. ' .n : ,.. F- -. `- -'4--� • .....:t :-$ '';..:,L' 'V ,-':: r..s..�i* . , . ;- `T ' ' _, fi- . h^� - I r • NTSTELEVATYIN cn vn -r z FORK AND FWEGRIFEC `_ 13-833' 74w ANTE FLESTESAS A.-771X F4 YMITETRIM CAP T YPICAL L.E.D. FLUSH MOUNT ]_ 4 O4O WHITE AW NNUM RENRN N DETAIL // • 9.8�}' C HANNEL LETTER SECTION K HOVAETW.N I— 2445 RFD PL SUFFET 55 AC ✓ , IARYLIC T - ALE - CHANNEL m LETTER —,� 6CERGVNR'TRIIA iN TRANSFORMER SOX COVER 940GREY ALUMINUM RETURNS I � ��. ,A' >y' L. E.0. UNITS hi" 11 <C RED LED I \ Y . ( '= TRANSFORMER SOX U ;; y y 4 2411 wing CORRECTOR TIUNSFORNER in \ I I , I H I : L , _ A �i 1 I 1L0 VOLT SERVICE 49 ` I 15, "� ' ; _ crtouEr pus scrrews • ' \ PENETRATIONS SEALED • AT Low VOLTAGE MIL I � CONNECTLW c� I •\ s A U ® F 1N' ACRYLIC FACE —1 \ 1 SLEEVE TO AM ALUMINUM RETURN RUN TIDtO11ON WALL 8.338' SdD ALUMINUM EACH ' M o 56.•84 SQUARE FEET I 0 c-..' PROJECT DRAWING) REVISION , NAME I SALES REP. o: CHANNEL LE TEYS I/1 ?SALES: MP THIS DRAWING IS THE PROPERTY OF I I z CUSTOMER ORIG. OAFS SCALE OR MINNESOTA MN AVE. N. sc iad-$r'ac b10 E- CUFF RD. HOMETESNN BUFFETS 05)22/03 _ CUSTOMER APPROVAL PH / 50 MN S 6p PHONE SEILLE, 8 19 2422 V2 " =�-0 PHONEf QAR CITY P / 957.8V4 -2421 I' STATE REV. DATE DRAWN BY FA)() 507 367.2A37 �q�� FAX) 45'1.894 -2748 TtGARD B� rLYI/15(f7P - tLWELt - -DATE - n. 5.9. JC.,.k l FONTS USED, I MPORTED IMAGE 'N . I l WORK ORDER q: I — . 1 tJ , .....! .,. ., a1 8!s 4 x1 '" a r 4 1 , v iii (€ ` • { V ®, r t' 1 ^��L °� fit - 4. ""� � ITIF 0 IIIIISERIENEMED :. __ 1W -MAnn > Fi .21 „ , , -. * i � I, .. Old _ o , U u � dr. ; ()Id 021414trY r o6r R _• • • y ' ' $1OCKRI C1co� , f New low rates �. �» - . ri ' direct from UPS: r : I '' _ a . ......� — I �..���� i ., < 7QOoMART 4� • � I _ .. z � =a `' �„, ';:...e �� _ — 4 r t : , 1 LT— • b . � . New IOW rates. . F . w �� i ► I roH';w� a 1... ' ^., t�-r�34�w'.� _. ^ direct ham UPS 1 u � fi i 5 [f — 6 „. ' (SL IIIIIIIIIIqllie . ' I ....._- L r -' — :::-.", OLb 00410 ItI it r7 " Iles ,7 / (C*Lorigi . i5 tutvuz_ Lea b„.-1 71 1.€5;) I1 , ,x) 0 0 s oL d dax !!Ce N 141 8,kit- 1 / 1 _ . . , 9 _ N m , ?I C i .. 00 v' i _ 1 (D L-1 ?c Y., ' "4 2''e -- 8 ` -- — $ -yAr 2 '-t, CITY OF TIGARD 8/13/2003 13125 SW Hall Blvd. 2:06:13PM Tigard, Oregon 97223 `._.. (503) 639 -4171 Receipt #: 27200300000000003617 Date: 08/13/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00185 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 SGN2003 -00186 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00188 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00189 [SIGN] Sign Permit 100- 0000 - 437000 31.00 Line Item Total: $124.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check MEYER SIGN CO OF OREGON CAC 8309 In Person 124.00 Payment Total: $124.00 •