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SGN2003-00192 CITY TIGARD SIGN PERMIT Azot, ,i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00192 I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/14/03 PARCEL: 15101 TM -MISC BUSINESS NAME: SWEET TWEETS JAVA & CATERING ZONE: SIGN LOCATION: MISC SW NO ADDRESS JURISDICTION: APPLICANT /AGENT: KEVIN WILSON BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2 X 4 TOTAL SIGN AREA: 8 sq. ft. WALL AREA: 176 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Sign for mobile java business. MATERIALS: WHITEBOARD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N 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: 6L�- PERMITTEE SIGNATURE: DATE: 8/14/03 A ���� °`�` i � 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 SWEET - I U/EE(S JAM C�RIWC� FOR STAFF USE ONLY • Site Address/ Street Address Permit No.: se, Q003-00 )q dt Location Suite /Bldg. # City /State Zip Expiration Date: on Receipt #: o03- — ,3(;,37 Name K evat) itaso r) Approved By: (L . Cct.A -ri2.3) Property Q8A o SW EET - 174./ E ETC JA d CATEQ/A/ Date: 6 - 14 - -o3 Owner Mailing Address Suite Map/TL #: 15 10 1 M - N) 1 SC, 10213 SE /32 AVE. Zoning: PO ii City/State Zip Phone - 254_434 5' d'�,�1, CouvEg- A % �$ 3 503 - 780 -324 Electrical Permit Required? ❑ Yes ® No Tenant or Name Q Business i�US /NESS Building Permit Required? ❑ Yes j] No Name Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc Sign N/A Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a n copy of all City /State Zip Phone without the required submittal elements) • licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed n Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? • size requirement: 8 x 11", to 24" x 36" Sign Dimensions: G y ❑ $ 3 3$f6 � 0 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 5 ❑ $15.00 Fee (Temporary sign, any type) Total Wall Area (sq. ft.) Jurisdiction: 0 City ❑ Urb Sign Data j 7 (Complete all Direction Wall Faces (circle one): items in this NOTES: • section) N S E 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 sign placement. • Copy. • Wall signs do not require site /plot plans. Materials: W h i ,k. b o a r d • Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes jj 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 ' BECOME NULL AND VOID. I ❑ Yes] No If "yes ", a list or diagram of all sign dimensions and a 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 /7t day of 4U!'057- , 20 0 3 Signature of Owner /Agent KEy//u ( o , e ) S i l i f R C(IhL S o w 0360) 2 5 - 4 / - 2 4 3 Y - 5 CO Contact Person Name Phone No. ( 5 6 3 ) - 3 2 1 - 1 1 Z 780 Fl e D ¶ - f liCK w17-1- 6o.0 h6uka f3 O 3 1 ?i& T _5/ De., E, fEft) P'p,Qy 5/ bP E5P ,Fs5o pi? )c.E /nA1-121 X /2 s' ` CITY OF TIGAR® � n ditio'�mlly A?proved - F or only the work ^SNe 003 _ p O i See Letter to: Foiiow ..................... l 1 Rttsch _.... - Job A F1 x E(7 To TR tJ K 1 c91Tl ,i,��n � ,n ctdr� � 4 t e :. -� � By • �_-.S - .,, F' o/cE c i /6WT 5l DE , popitp_y 5 /6T1 2 /Y1oNTTHL Y 5PEc /AL /417/ U i�J 1U;/s 0/7 6, Sik Ei - 7boi,5 1 s ,) A vA 4 er , CATER/ k/ °- /a/3 s5 132 /U b 1 re VANco uvge WA 9g6 83 • ( ,o) 25L -Y34s ( 5o3) 730 - 32112 CITY OF TIGARD 8/14/2003 13 12 5 SW Hall Blvd. 11:43:52AM ( \ Tigard, Oregon 9 72 23 4fair (503) 63 9-4 17 1 Receipt #: 27200300000000003637 Date: 08/14/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 - 00191 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00192 [SIGN] Sign Permit 100- 0000 - 437000 31.00 Line Item Total: $62.00 Payments: Method Payer User ID Acct /Check Approval No. How Received Amount Paid Check KEVIN & SHERRY WILSON DBA CAC 3020 In Person 62.00 Payment Total: $62.00 •