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SGN2003-00255 CITY OF TIGARD SIGN PERMIT i l DEVELOPMENT SERVICES PERMIT #: SGN2003 -00255 gill:, ' DATE ISSUED: 10/15/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S135AB -01003 BUSINESS NAME: GUSTAVS ZONE: C -P SIGN LOCATION: 10350 SW GREENBURG RD CASA JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: Y OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 16' 8" X 3' 6" TOTAL SIGN AREA: 51 sq. ft. WALL AREA: 984 sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one (1) wall sign. 16' 8" x 3' 6" MATERIALS: ACRYLIC EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N 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: PERMITTEE SIGNATURE: DATE: 10/15/03 c ;y . A • r I�, 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 �..� Address/ Street Address Permit No.: c G Ni c7. Ou 3 - 00 AG S Location 10.--55/: gyp ( - i I%.L oz..Gt M. Expiration Date: Suite /Bldg. # City /State Zip Receipt #: 3 — q.5-45 a Name Approved By: e . O�:c.cw,..& Property Date: / 0- l 5- a 3 Owner Mailing Address Suite Map/TL #: JS 13 A - 0 i° 0 3 Zoning: Al Lc-F_ - I City/State Zip Phone Tenant or Name Electrical Permit Required? ® Yes ❑ No Business ����' Build Permit Required? fl Yes [ No Name Rev. 01 -Jul -02 is \curpin\masters \revised\sign permit app.doc Sign t 4`( v7U 5 Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a c f=‘, 5_e. i..__ t e re w ith ut th required submittal elements) copy of all City/State Zip Phone Q q: ) licenses are required if 17c ? , o ' . °1721 y 7.32 4177. ❑ 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) t2--Z (3 copies, if a building permit is required) Proposed Permanent Ii - -standing ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ' 9 Temporary �/� ❑ Electronic (Check all that ❑ Ot her 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: 81/2" x 11", to 24" x 36" lgn Dimensions: i ( 8/, X ..5/ 6, a (O ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 5/ . / ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) 9 sj , (Complete all Direction Wall Faces (circle one): `7 NOTES: items in this section) 10 S E W NE • NW SE SW o Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: • Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a Will sign have it umination? Yes ❑ No building permit. Type: Internal External • If work authorized under a sign permit has not Are there any existing freest nding or wall signs at this been completed within ninety (90) days after the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? 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 _ day of , 20 ' Signature of Owner /Agent _ S _ Sir Cwt L tW141111 Z- 44- /U/ Contact Person Name Phone No. _4l 1 VA' l AV 111\L .v....<. 13125 SW Hall Blvd. 12:27:34PM Tigard, Oregon 97223 _... (503) 63 9-4 17 1 Receipt #: 27200300000000004545 Date: 10/15/2003 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2003 -00254 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 SGN2003 -00255 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 SGN2003 -00256 [SIGN] Sign Permit 100- 0000 - 437000 31.00 SGN2003 -00257 [SIGN] Sign Permit 100 - 0000 - 437000 31.00 SGN2003 -00258 [SIGN] Sign Permit 100- 0000 - 437000 31.00 ELC2003 -00632 [ELPRMT] ELC Permit 220 - 0000 - 431510 267.00 ELC2003 -00632 [TAX] 8% State Tax 100- 0000 - 207020 21.36 • Line Item Total: $443.36 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check SECURITY SIGNS CAC 010505 In Person 443.36 Payment Total: $443.36 • • • 82' - 0" ■ u 01 I I` li D 111111 r: /// I// CITY OF TIGA n PUB 8 GRILL �` ° -- _ .■ ■ V On pproved Ti It10 i� . � _ = ; oron n aN yA pproved....... __._ 7 ?� Illy_ °' Illl - 1111 -' ■ :T = =_ = ■ yt the work ��da tribe d in: �� .� / ERMIT �■� Illl 1111 I l l[ 1 1I ■■ _ —_ — ■ NO. S i\J Ill! �M I11 1111 lI l � .: .ml - 1111: II t �� _ __ = � t 0: F OIIOw- • du11ll ! is Ir �T — : Job A ddr Attach. ■ f � , ...... Date :_ /v --rs- o3 North Elevation D - " Gustav's" Channel Letters & "Pub & Grill" Open Face Channel Letters 51.7 Sq. Ft. - - „ N.T.S. 16' -8" "Gustav's" Channel Letters: 12'-11 " Faces White Acrylic Vinyl on Faces "Plum" translucent vinyl with 1/4" white outline - 1 J "\ Returns White Trim Cap White L Illumination EGL Designer Series 8300 White Neon Raceway Painted aluminum Benjamin Moore HC - 18 N A IA E igi -)(----- . , 2 Adams Gold ' Z ---..., 2 / ? ...-------„, :. PLIB EL GRILL I "Pub & Grill" Open Face Channel Letters: Colors Inside letters - PMS 187 Red Outside letters - White North Elevation Signs D Illumination Ruby Red neon, exposed within letters Raceway Painted aluminum Benjamin Moore HC - 18 Scale: 1/2"= 1' - 0" Adams Gold © Copyright 2003 Security Signs, Inc. DATE 101503 LANDLORD APPROVAL CLIENT APPROVAL Th i s original design and specifications are � —t 2 _ c Il ` f� U / exclusive property of Security Signs, Inc. i 03- KS209R5 „i ) ,-' ,. � y - - The use of these d e s i g n s to produce a similar D RAW 1 N G # sign without written authorization from E P U B & GRILL _r='' QUALITY SINCE 1 925 Security Signs, Inc. is forbidden PAGE # 4 OF 6 PLEASE SIGN HERE PLEASE SIGN HERE WWW.SECURITYSIGNS.COM PROJECT MANAGER 436 SE 12TH AVE T. 503.232.4172 OR CCB #122809 CUSTOMER AGREES BY I 10350 SW GREENBURG RD INITIALING HERE DENNIS BROCKMANN PORTLAND, OR DATE DATE PORTLAND, OR 97214 F. 503. 230.1861 WA SECURSIO20CF