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SGN2002-00128 CITY T I GA R D � SIGN PERMIT + DEVELOPMENT SERVICES PERMIT #: SGN2002 -00128 ^' .� J I 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/02 EXPIRATION DATE: BUSINESS NAME: PIZZA RUSH PARCEL: 2S110DC -0220 SIGN LOCATION: 15660 SW PACIFIC HWY A -5 u FILE Copy APPLICANT /AGENT: PIZZA RUSH ZONE: C -G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2X5 TOTAL SIGN AREA: 10 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Temporary Banner Sign Permit Valid 8/1/02- 9/1/02 (Sign #3) MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All ' be done in ac•o sance with approved plans. A sign permit shall expire 90 days from approval date. A tem .orary sign shall expir- 30 says from approval date. A balloon sign shall expire 10 taus from annrnval tiatA APPROVED BY: PERMITTEE SIGNATURE: ,_ j� �;'� A' ' ' r � DATE: 7/ 9/02 . 4 • , At 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 i FOR STAFF USE ONLY Site 1 a 07 �4 ro ,,, , , , ,,,,„ck e ,r Address/ Street Address Permit No.: t ' 0 00 1 aU Location 1 .5 t; o s Li Pt-e . , , wr f Expiration Date: 9 I, Oa Suite /Bldg. # City /State Zip p fA-5" r -1 oK X77 .-2`� Receipt #: _ — fl O 1 Name Approved By: Property °'k-c -L C `^ r,.�7t Date: tr C & a- ' I��11 Owner Mailing Address s Map/TL #: Cow cVVVV d DC r oaa 00 777 L-J r (S v WU De) Zoning: r/ �" City /State Z`t Phone '5taa.( [Wide! l 31 1 2 -a7t -o$77 Tenant or Name Electrical Permit Required? ❑ Yes Ln No Business p, ZZGN g u Building Permit Required? ❑ Yes L No Name Rev. 30 -Jul -01 i:\curpin \masters\revised \sign permit app.doc Sign Contractor Mailing Address • SuiteJ REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance, a copy of all City /State ,, - ''Zip Phone without the required submittal elements) licenses are „, required if ," completed Application Form expired in the Oregon- G`onst. Cont. Board Exp. Date City of Tigard's Liceili # 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Pro Proposed size requirement: 8'/2" x 11 ", or 11" x 17" p ❑ Permanent ❑ Freestanding ❑ Freeway Sign © ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other El Billboard 1=1 Balloon (3 copies, if a building permit is required) apply) size requirement: 81/2" x 11 ", to 24" x 36" ❑ New sign? ❑ Alter to existing sign? si n / ❑ $50.00 Fee (Permanent sign, any size) Sign Di �tj 15.00 Fee (Temporary sign, any type) Total Sign Ar (dq. ft.): NOTES: Sign Data Total Wail Area (sq. ft.) • Wall signs do not need to be drawn to scale, but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): sign placement. items p p emi n this • Wall signs do not require site/ lot plans. section) N S E W NE NW SE SW • Freestanding signs over 6 ft. required a Height to top of sign (feet): building permit. Projection From Wall (inches): • If work authorized under a sign permit has not E v ,J'k Copy: D 0, ',-. "p(' been completed within ninety (90) days after Materials: the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes I J N o BECOME NULL AND VOID. Type: ❑ Internal ❑ External \ Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information. CI location, including wall signs that overlap a tenant space? visa U MasterCard Credit card number / / ❑ Yes ❑ No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown 041 credit card square footage must also be submitted. Cardholder signature Amount (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 2 G day of 344 , 20 0-2 I Signature of wn gent .57) 5G6'- 7 ` 1 ? Contact Person Name Phone No. Approval PITY O f ":l3P410 _ [ l Condi. ;: .Ay Approved._ I For only the wort, es clescrilned in: F I NO..._._ - Sso Let; r to Follow .. ........ ...................___ _ 113cony-e). C (7 LA Job Al dioss.: tsv:__.. _ T - . _ -- - oats: r 5 ---------- ) 2 / N eve s-'` 45 v i55t4 344 Receipt #: 27200200000000002781 TIDEMARK Date: 07/29/2002 COMPUTER SYSTEMS, INC. - Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00128 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check PIZZA RUSH DCP 2670 0 $15.00 TOTAL AMOUNT PAID: $15.00