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SGN2003-00256 t• C ITY OF TIGARD SIGN PERMIT 6, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00256 �•��l DATE ISSUED: 10/15/03 `--' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135AB-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: 2' 5" X 25' 4" TOTAL SIGN AREA: 63 sq. ft. WALL AREA: 1,392 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Placement of one (1) wall sign. 2' 5" x 25' 4" 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 • . 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 � JV ,� FOR STAFF USE ONLY Site Address/ Street Address Permit No.: SGN a0o3- oO4S(,o ' Location I cy -551 Sys ea erata 5 otzz5t a"). Expiration Date: "— Suite /Bldg. City /State Zip Receipt #: a 0 03 - 45 Name Approved By: c - Cow Property Date: /0 - / 5.-03 Owner Mailing Address Suite Map/TL #: / S 13 S ,JS - O / 03 Zoning: M G(4 r / City/State Zip Phone Tenant or Name Electrical Permit Required? rki Yes ❑ No Business ��� Building Permit Required? ❑ Yes ig No Name Rev. 01 -Jul -02 is \curpin \masters\revised\siqn permit app.doc � �:c'� t�f E1 L77U S Sign -- Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit _ _ , (Note: applications will not be accepted issuance, a i 5s. f-L- w ithout the required submittal elements) copy of all City/State Zip Phone , licenses are ;•� required if C ; . Oa • °1?2 f 4 Z3Z. 4 !7Z ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # database) 2.2..c l ; ❑ 2 Copies of Site /Plot Plan, Drawn to Scale (3 copies, if a building permit is required) Proposed Permanent Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign ❑ Temporary ErWall ❑ Electronic (Check all that ❑ Ot he r Billboard ❑ Balloon I ❑ 2 copies of elevations, drawn to scal apply) (3 copies, if a building permit is required) New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" ign Dimensions: , 5-'ex o?S' y q ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ( 8 ❑ $15.00 Fee (Temporary sign, any type) Sign Data / 3 Total Wall Area (sq. ft 1 A (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N S E et NE NW SE SW e 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: a Wall signs do not require site /plot plans. Materials: a Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ No building permit. Type: ❑ Internal ❑External a 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 day of , 20 , Signature of Owner /Agent SW c..rg, LJ4) . 2S2..,L4' 17 Z Contact Person Name Phone No. 1..11 1 VII' 11VA1W 13125 SW Hall Blvd. 12:27:34PM �unrnrH��g�,� Tigard, Oregon 97223 Akilli•ALI (503) 639 -4171 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 • • " - 116' -0" _ i i •Ua ? P UB be GRILL ■ c n r uu C1 O II 1 West Elevation C - " Gustav's" Channel Letters & "Pub & Grill" Open Face Channel Letters 63.8 Sq. Ft. N.T.S. 25'- 4" 11' -7 1 /2" 12'- 5" i.r) - 0 U B Zi. GRILL ,, ... N West Elevation Signs C Scale: 1/2"= 1' - 0" "Pub & Grill" Open Face Channel Letters: "Gustav's" Channel Letters: CITY OF TIGARD Colors Inside letters - PMS 187 Red Faces White Acrylic Approved I)( l Vinyl on Faces Plum translucent vinyl with 1 /4" white outline conditionally Approved [ ] F "Plum" Outside letters - White y Y For only the work as d escribed in: Illumination Ruby Red neon, exposed within letters Returns White PERMIT NO. Sang a003 -ooa5 Raceway Painted aluminum Benjamin Moore 2141 -20 Trim Cap White See Letter to: Attach [ ] Cabbage Illumination EGL Designer Series 8300 White Neon lob Address; io35� s� bree�b� �d Raceway Painted aluminum Benjamin Moore 2141 -20 s �' • L -� . Date: 10- S - °3 Cabbage © Copyright 2003 Security Signs, Inc. DATE 101503 _ t lil 1 LANDLORD APPROVAL CLIENT APPROVAL �— This original design and specifications are I y ' t _ exclusive pro of Security uce Signs, Inc DRAWING � ' P 03- KS209R5 - I The use ese dent s to rod a �2 sign without sim out written authorization from ilar PUB & GRILL _,./ Q UALITY SINCE 1 9 # 3 OF 6 Security Signs, Inc. is forbidden. PAGE Yf 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 10350 SW GREENBURG RD PORTLAND, OR 97214 F. 503.230.1861 WA SECURS1020CF INITIALING HERE DENNIS BROCKMANN P , OR DATE DATE