SGN2002-00187 A • CITY OF TIGARD SIGN PERMIT
, DEVELOPMENT SERVICES PERMIT #: 0/9/02 2 -00187
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/9/02
EXPIRATION DATE:
BUSINESS NAME: GATOR'S EATERY PARCEL: 1S136AD -04301
SIGN LOCATION: 11475 SW PACIFIC HVVY
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X3'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 700 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 15 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary 24 sq. ft. banner. Banner valid 10/9/02 thru
11/08/02. Sign #1
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 dat- or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 11 iik
from validitylate.
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APPROVED BY:
17i�
PERMITTEE SIGNATURE: y 4 '` «/ 'al /(' `�/� L 1 ' 2
DATE: 10/9/02 J
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: 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 C1tdoY ``� �� �
7 S- � /
Address/ Street Address Permit No.: ( E1i ?.‹.�Z -0018 3
Location (IL( 1C9 e jl(\S e-A i C% - (V
Suite /Bldg. # Expiration Date:
h y /State Zip
06- �—� Receipt #: e""-' J � 7
�
Name \ 11 Approved By: /
M
Property 1 V6 k" `D �� Date: I 0 g l(o .
Owner Mailing Address Suite Map /TL #: C /5 / 3 4- f40-0 `'-36
1 t14-1 suN FAZA-fit VV i.)) Zoning:
City/State Zip Phone J
--- 5 ' r C9� 2.
0 112503 bq Z3cf&7 - Electrical Permit Required? ❑ Yes ` No
Tenant or Na e
Business
(1 6Y'S _t . � Build Permit Required? ❑ Yes ;k-
Name Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign 5e if
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # [j---Z 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 la� Temporary ❑ Wall ❑ Electronic
(Check all that /2" copies of elevations, drawn to scale
apply) ❑ [�,
❑ Billboard ❑ Ballo
Other
(3 copies, if a building permit is required)
J New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: , k g ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): :so 1U 00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 60
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
1 • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 4,-e,Pv - tG/ ` but must include dimensions of wall face and
Projection From Wall (inches):C "'� -. sign placement.
Copy: prey, 1 DOcwn — 2' OD cur, • Wall signs do not require site /plot plans.
Materials: 'P -- v�ir �ve�`( °D ` ' • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes, No • If work authorized under a sign permit has not
Type: Li Internal 0 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 0 N
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 O
( � hi 1411
Sign. ure of Owner /A• -nt
Contacf Person Name Phone No.
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by.
10/9/2002
3 :40:5 6PM
T I D E M A R K
COMPUTER SYSTEMS. INC.
Receipt #: 27200200000000003827
Date: 10/09/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00187 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00188 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2002 -00189 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $45.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Check GATOR'S KEG AND DELI LLC KJP 525 In Person 45.00
Payment Total: $45.00