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SGN2002-00027 Ar" 4 CITY F TIG,* SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2002-00027 ojo c': 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/22/2002 EXPIRATION DATE: BUSINESS NAME: PIZZA RUSH SIGN LOCATION: 15660 SW PACIFIC HWY A - 5 PARCEL: 2S110DC 0220 APPLICANT /AGENT: ZONE: C - BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: FREESTANDING: FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3' X 8' TOTAL SIGN AREA: 24 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Placement of (1) one 24 sq ft banner. Date: 2 - 22 - 02 thru 3 - 25 - 02 MATERIALS: VINYL EXISTING SIGNS: 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 OR. Specialty Codes and all other applicable laws. All work will . - .one' accordance with approved plans. A sign permit shall expire 90 days from approval date. A temporary i n shall - pre U •: s from approval date. A balloon sign shall expire 10 days from annrnval data APPROVED BY: 4 4./ , & PERMITTEE SIGNATURE: G' � ll DATE: 2/22/2002 , 1 ,,vile 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 FOR STAFF USE ONLY Site �iI .7 ro,.� .,,,.j Address! Street/Address ' / Permit No.: Yq A-) ZJ ° Z —U v O -7 Location / s--6 L G S iJ I*w y Expiration Date: © G -(> D- Suite/Bldg. # City/State Zip �� 11 /r S rgav- j 0!Z f ( 7)2 c Receipt #: 2 Name I ! Approved By: X_•- Property T? 4 Pr 0rh r 11A-liiet .�+ Date: �,-) /- Owner Ma Address Suite Map/TL #: 95 77 L.>, /s '& /Oct Zoning: (' City/State Zip Phone , 2 L J 1 lit ft CA 9W-1 Tenant or Name Electrical Permit Required? ❑ Yes 1=1 No Business P, Z7p RuSk.\ Building Permit Required? I=1 Yes I=1 No Name Rev. 30 -Jul -01 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 I=1 Permanent size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Freestanding ❑ Freeway Si n Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other ❑ Billboard El Balloon (3 copies, if a building permit is required) apply) size requirement: 8 x 11 ", to 24" x 36" ❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size) Sign Dimensions: f 3 Y 8 ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): , NOTES: Sign Data Total Wall 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 in this signs do not require site/ lot section) 0 S E W NE NW SE SW • Wall si plans. g q p p • 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 Copy: been completed within ninety (90) days after Materials: • the issuance of the permit, THE PERMIT WILL Will sign have illumination? I=1 Yes ❑ No 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. location, including wall signs that overlap a tenant space? visa ❑Mastercard Credit card number / / ❑ Yes ❑ No Expires If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount (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 .22- day of re 44u7 , 20 o2 Signatur 7 of Owner /Agent Pori,/,* / tu 966' —‘7ere9 Contact Person Name Phone No. - 1 • 6( c 3 toy 0 et-ITY Or '1fIllesral Apr .. tY. Cor 4( Approved... F•t. the won t,:. as s'•escrictreal RMIT NO. - Qvc, LeV-4 to t ....... • [ NI) Receipt #: 27200200000000000677 Date: 02 /22/2002 T I D E M A R K COMPUTER SYSTEMS, INC, Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2002 -00027 [SIGN] Temp Sign Perm 100- 0000 - 437000 $15.00 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check PIZZA RUSH 0 2515 $15.00 TOTAL AMOUNT PAID: $15.00