SGN2001-00174 A i CITY OF TIGARD SIGN PERMIT
, 4, ,rrn DEVELOPMENT SERVICES PERMIT #: SGN2001 -00174
I 13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/24/2001
EXPIRATION DATE:
BUSINESS NAME: BANGKOK PALACE
SIGN LOCATION: 12268 SW SCHOLLS FERRY RD PARCEL: 1S134BC -00301
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 10'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: 300 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft..
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT •
DESCRIPTION OF SIGN: Installation of (1) one 15 sq ft permanent wall sign.
MATERIALS: GALV /PLEX
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EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary ign s all expire 30 days from approval date. A balloon sign shall expire 10
rtavc from annmval rtatP
APPROVED BY
PERMITTEE SIGNATURE:
DATE: 9/24/2001
— 09/21/2001 10:54 _FAR 5035981960 CITY OF TIGA1tD X002
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�. SIGN PERMIT APP LICATION
CITY OF TIOARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 F4X (503) 684 -7297
GENER INF ORMATION �� ( ' r `>'= --o O3db
Name of pevelopment/Pro P
G TE . � i
aG l U 1 ��� r � li7 �iL r
Site � I 2 €F�w>aY', - SN�P� ar( ,._ v�l .
S treet Address I 14 4 t F1 r i , , � � _ ■ Address / C _ /�
Location 1 z z,c.,g 5w, 5 �wa --(-- rg�lr`1% • Ij r, f 1 r - - , I J I QIJ._ -S ' ,
City/State
Zip 9 ti
- SuiteBldg.# City de1�i I(l - t" ? _,-t
511, � ��I 1-.� 1+
/� 2n
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Name n i l
Property _ ( S L�- 1
J Suite , " ,
Owner Mailing Address -
U C �'', r ivR -
(Di 35 — S_E guawYSr City /State Zip Phone Z — �
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o i 74 y- f`7ta0
Tenant or Name a '-1 en it c p of I -I 1 + L i •\r�'
F ' 1:��} 11
Business q u 0k PALA c� 6 1WjtalUl�l;'�'�r �i4 G jlra� ; 1,-, li I i ; } 1
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Name L k� r ,. * a (+'�- 1i -1 - • n , L _ -. —
Si (q A (Z( TT SI �''
Contractor Malting Address Suite
(Prior to permit , t (( W `' 5 c . �-
issuance, a
co of all City /State zip
Phone jt app SU�Acations wITTAL n t RLEM be _ °1 i
r�censes are � �//� a ote: liill cepted
milked it Ckb,A/G- OA 9 O p ,e) _i" (°1 - 9' 8 l
expired in the Oregon onst. Cont. Boar Exp. Date without the req uired submittal ele
City ofTigard's License f 6, 5Z(p �r-ZZ'03
"abase (p Completed Application Form
Proposed Permanent ❑ Freestanding ❑Freeway ❑ 2 Copies of Site/Plot P lan, Drawn to Scale
Sign Temporary ® Wall El Electronic (3 copies, if a buildin permit is required)
(Check a theft ❑ Other ❑ Billboard ❑ Balloon s • ze requirement Ewe 11' or 11' x 17"
apply)
New sign? [:I Alter to existing sign? El 2 copies of elevations, drawn to scale
(3 copies, if a building perm is requir8d)
Sign Dimensions: 1 fe x 10 , s requirement 8'h' x 11', f 24' x 38'
Total Sign Area (sq. ft.): $50.00 Fee (Permanent s any size)
Total Wall Area (sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
Sign Data �0�
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S @ W . NE NW SE SW • Wall signs do not need to be drawn to scaleand ,
Height to top of sign (feet): but must include dimensions face
Projection From Wail (inches): �'
sign placement. of
Copy: �4,�L, wog P� 10.4 i Cutc,�e • Wall signs do not require site /plot plans.
Materials: p,,;,,, ,) (^, , PL& r AlC C • F reestanding signs over 6 ft. required a
building permit.
Will sign have illumination? El Yes ❑. No • I f work authorized under a sign permit has not
Type: N Internal Q External been completed within ninety (90) days after
Are there any freestanding or wall signs at this a of the ermit THE P WILL
location, inc luding existing wall signs that overlap a tenant space? BECOM issu NUnce L! p , AND VOID.
❑ Yes ® No
If "yes ", a list or diagram of all sign dimensions and
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(OVER FOR SIGNATURES)
square foots a must also be submitted.
09/21/2001 10:54 FAX 5035981960 CITY OF TIGARD Z1003
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 b2 -- ' day of 20 0
Signature of Owner /Agent
5(0.0 , 6 ? 5 • V081
Contact Person Name / Phone No.
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THAI CUISINE MITY OF 7f2P.T
Approved ........................- -.._..
Concli Approval d _ [
For only the work as descried en:
PERMIT NO..�. , C- ,AJ ZFzel(- 0o11.(
Se, Lerzw to: Follow . _ - __ [
DIRECT WALL MOUNT ILLUMINATED BUILDING SIGN ; °11 a 4
INDIVIDUAL PLEX FACE LETTERS AND AN ILLUMINATED i . _ -7-.---_.v..____ D 4 �A: _ 1 Lw_ -1
j] � i J_ Ba ngkok Pala SCALE 112 "=1'.O DA 09118101
DESIGN I l BANGKOK3A
811 HARNEY STREET VANCOUVER WA 98660
(360)693.9081 FAX (360) 693.5948 MSORIONALARMINIS THE PAOPERTTOFOARRERSN01CQ BYACCI110116 COPT UAGRffTOWALL
WWW. GanrettSign.com COSISffIPBDEMOPIE11lf USED FOR PURPOSES 01 1B MAN NECa61R00 0NOF ASONBYGARRETS16tICO.
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ME THOD OF ATTACHMENT
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FO R B S i , : . a
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FASCIA . ,
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MODULE) ;
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' � 1- 1I2X 1112 X 311" 6
ANGLE IRON
r PROFILE
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:, • 811; HARNEY. STREET VAN 98660
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(360) 693 -9081 FAX (360)'693 -5948
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METHOD OF ATTACHMENT FOR
DIRECT -WALL -MOUNT INDIVIDUAL LETTERS
TRANSFORMER BOX
TRANSFORMER
3' SCREWS
SINGLE
CUP WATER TIGHT
FLEX TUBE
PLEX FACE NEON
LETTER
9
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• WALL
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C O M P A
811 HARNEY STREET VANCOUVER WASHINGTON 98660
(360) 693 -9081 FAX (360) 693-5948
= Receipt #: 27200100000000003863
Date: 09/24/2001
'TIDEMARK 14)
COMPUTER SYSTEMS. INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00174 [SIGN] Sign Permit 100- 0000 - 437000. $50.00
Payments
' Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check GARRETT SIGN CO INC 0 007939 $50 "00
TOTAL AMOUNT' PAID: • $50.00
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