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SGN2002-00290 CITY TIGARD SIGN PERMIT .I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00290 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/26/02 PARCEL: 2S110AB - 00200 BUSINESS NAME: ACE LEE'S ZONE: C -G SIGN LOCATION: 14297 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: X WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'X8' TOTAL SIGN AREA: 16 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): S SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Placement of (1) one temporary 16 sq ft banner. Valid 12/26/02 thru 1/25/03. MATERIALS: VINYL EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 15.00 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 epire 1 a d. s from validity date. APPROVED BY: /< PERMITTEE SIGNATURE: DATE: 12/26/02 lir . . A a,�s (ti' SIGN PERMIT APPLICATION CITY F I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site /.4C-0 . � 6 N2coZ -002 Z90 Address/ Street Address s Permit No.: Location ( 4- #'/ v� 17J'k (T-t -� (4-, Expiration Date: i 2 I � t o Z. Suite k /Bldg. # City /State Zip / Receipt #: 0-2-- <9 p 9 Name Approved By: . P Date: IZ-/ 2 ` i /zs /bz Property L1 G��fLtn (�� V Owner Mailing Address Suite Map /TL #: DS) / 04 j - nil 2 - 0 " ) ( to - ))d 6 5 141 r t t ' (4?"‘) Zoning: 69 City /State ip Phone (ib `2' IG- cc ,ciRI — 6 ' ii Electrical Permit Required? ❑ Yes -No Tenant or Name Business fk -'Ci Building Permit Required? ❑Yes ®kiVo Name Rev. 01- Jul-02 is \curpin \masters \revised \sign permit app.doc Sign Contractor Mailing Address Suite 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 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 ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign &L Temporary ❑ Wall ❑ Electronic (Check all that ❑ Other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) in New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: Z X ❑ $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): (b ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) (Complete all Direction Wall Faces (circle one): NOTES: items in this section) N (� E W NE NW SE SW • 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: 5 e e. PT - r'/tfL i d • Wall signs do not require site /plot plans. Materials: V) ei y I • Freestanding signs over 6 ft. required a building permit. Will sign have illumination? ❑ Yes 56 No • If work authorized under a sign permit has not Type: ❑ Internal ❑ External 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. ❑ 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 `7 day of ( Z , 20 0 �— Signature of Owner /Agent Contact Person Name Phone No. (� ( �F iV da L� { 'fF ::`s7 ¢ OF Ti '3 . ......... i V App roved..._ .. C X e worii . s i' ecrl�e .. » ......... th ..... "1+J11T NO. dC- �d ail: Le'... •r tC . � 1f CITY OF TIGARD 12/26/2002 13125 SW Hall Blvd. 3:47:06PM t o o Tigard, Oregon 9 72 23 - !+�- �'�L (503) 63 9-4 17 1 Receipt #: 27200200000000004909 Date: 12/26/2002 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2002 -00290 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00 Line Item Total: $15.00 Payments: Method Payer User ID Acct /Check Approval No. Mow Received Amount Paid Check KWANG S LEE/ ACE LEE'S KIP 1 108 In Person 15.00 Payment Total: $15.00