SGN2003-00091 CITY OF TIGARD SIGN PERMIT
Alk DEVELOPMENT SERVICES PERMIT #: SGN2003 -00091
v� IJI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/25/03
PARCEL: 2S 102CC - 00600
BUSINESS NAME: VINTAGE CORNER ZONE: C -
SIGN LOCATION: 13565 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary A- frame. Sign must be placed on private property
and not in the public right -of- way.Valid 4/25/03 - 5/25/03. Sign #1
MATERIALS: WOOD
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 -er ign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire 'f�ay from validity date:
APPROVED BY:
PERMITTEE SIGNATURE: 6 - 7/ 1-
DATE: 4/25/03
NI lit
1444 Wp , i,,\ 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
U� -g-� Co4tu . FOR STAFF USE ONLY
Site
Address/ Street Address ') :hi Permit No.: 5 44J 2_(n 3- Ouo 9 1
Location 13.5 3,0 q-e4—)lietr. Ex . Expiration Date: 2 v o 3 - / 6 5
Suite /Bldg. # City/State Zip
Receipt #: y/a 510 - s1z� /
Na e ' 1 u , F j 111DSO d Approved By: JC
Property �LLy KC C ' Date: �i) j
Owner Mailing Address /' Suite Map/TL #: .2S 11-1 -0 c:x.
Sti>rnQ j G(X&.,erLCL J Zoning: L
City /State Zip Phone
Electrical Permit Required? ❑ Yes No
Tenant or Name
Business 3 44/ Q� �L��� Building Permit Required? ❑ Yes No
Name Rev. 2/28/2003 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 Temporary Wall ❑ Electronic
(Check all that ❑ ❑ B ❑ 2 copies of elevations, drawn to scale
apply) Other Billboard Balloon
(3 copies, if a building permit is required)
1$ New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions _ /
ate >(C� ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / /4 / ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes No building permit.
Type: ❑ Internal ❑ Exter al • 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 p No
If "yes ", a list or diagram of all sign dimensions and m
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 4 , 20 0 3
S. ature of Oifner /Agent
C•f'act Perso ame Phone No.
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A CITY OF TIGARD 4/25/2003
13125 SW Hall Blvd. 11:08:18AM
a � Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200300000000001658
Date: 04/25/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00091 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check JKN ENTERPRISES, LLC DBA KJP 4152 In Person 15.00
VINTAGE CORNER
Payment Total: $15.00