11945 SW PACIFIC HIGHWAY STES 109 & 110 ADDRESS:
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CITY TIGARD Au tiint. .31 12 os� o
SIGN PERMIT APPLICATION OF Date 19__ No.
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: tnn
APPLICANT: Owner _ Lessee _ Authorized Representative _ 117,0 _
NAME/COIVYANY_ Way (,i.Lv :i 'Inc. Tel.
PROPOSED SIGN: _ Freestanding Wall _ Projecting Other
SIGN DIMENSI'JNS I' x 10' AREA __ HEIGHT WALL AREA
PNOPFRTV F�<ONTAGE 50' COST_ "ZONING DISTRICT --.--ILLUMINATION
MA rFRIAL --- I•t";tic &77t COLOR _
COPY -ettp "lion URB --
EXISTING SIGNS: Freestanding Wall _ _ Projeating Other —
COMMENTS: —_
A',i sign permits must be accompanied by a scale drawing and plot
plan. If wvrk authorized ander a sign permit has not been completed
within nine ' days after thef''�suance of the permit, the permit shall
PLANNING DEPARTMENT become nul and void.
25.00
_Pcrmit Fee_ ,��
Approved D►,:'t3 Applicant's S gn- a—Wren- --
I Receipt No.
' Renewal Da "-- --- ---- --
��_ to Address Telephone
i,
SIGN PERMIT APPLICATION CITYOFT I G A D Date __» 19 -- No. -
The applicant hereby applies for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS
APPLICAN T Owner—�--- Le seeAuthorized Representative V
NAME/COMPANY 14 Tel.
T`cl. - - - - - - - - - - -
PROPOSED SIGN: — Frc-estanding Wall —�__ Projecting Other
SIGN DMIENSIONS _ . '. f g(�_AREA _ U HEIGHT ._- WALL AREA
PROPERTY FRQ
AIT-1r: - s _ COST pn ZONING �j$TR�CT ILLUMIN�j,QN L
MATER L� -,—, —�� t�'f74�_.T, COLOR ``u �2 I° + n r� G4'" DRB .--
COPY
""R�B .
COPY —
EXISTING SIGNS: Freestanding Wall Projecting Other _
COMMENTS:
All sirn permits must be accompanied by a scale drawing and plot
pI an. If w -k authorized under a sign permit has not been completed
thin in ty days after the issuance of the permit, the permit shall
PLANNING DEPARTMENT till ar icl
Permit Fees U� --
Approved Applicant's ig tur 6
Renewal Date __ L______ Address Telephone
o
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t� V
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gUIL�ING PERMIT APPLICATION 11T TIGARD DATE-- '"� - --, 19-2 - ti i Q8
OF
T-IE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATED BUILDER PHONE_
03 AS SHOWN AND APP�.OVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONL:_
I_OT NO. --
OWNER Tn7xyS Karate JOBADDRESS11O Tillard Pl.e?EI. HOME ADDRESS
ARCHITECT
ENGINEER
BUILDER ADDRESS _ DESIGNER
STRUCTURE ❑NEW ❑REMODEL ❑ADDITION C3 REPAIR []RENEWAL. ❑FIRE DAMAGE _ ❑DEMOLITION
C1RESIDENCE ❑COMM ❑EDUCATIONAL ❑GGV'T Q— RELIGIOUS❑PATIO L S�-1 CAR POPT ❑GARAGE ❑STORAGE❑SLA13 []FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED []SIGNS
OCCUPANCY LAND USE ZONE._ -BLDG.TYPE— FIRE ZONE, PLAN CHECK BY HEAT_._.__-____
v;e.11 sign 3' x ' Copy: karate _Judo Kung-Fu, Plywood
Color: Flack and yellow --
NO STORIES _AFLEA 24 5g101-BEpgooms__._vAL.0-E. _
BL.ILDING DC'ARTMENT SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE
Permit 10.l)IJ � � -
- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN TH BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
-- WORK WILL BE DONE IN ACCORDANCE WITH THE FLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORE)INANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTIIACTORS TO HAVE CURRENT CITY BUSINESS
State Tax LICENSE_ SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total-� 10.00
L!Ayp
PPLICANT ORA ENT / /l / / 1pruved -- Receipt No. ` ! y l D 0 '7 �U�O C1_
-- ADDRESS - O
T!-41 1. '1 I';f:FS IC NU) 11LH I BY P, T F(Dti THE v,,URK HERL:'iN IND I CAI[D
';OWN AND APPROVED 1% I%'G PLANS AND SPECIF19ATIONS.
LOT NO.
1_"-�sle
R RE
541 TECT
ENGINEER
,.;Il LA'R r.Lcrrss DESIGNER
,IRUCTURE ONEW REMODEL OADDITION [IREPAIR L]FIENEWAL CIFIRE DAMAGE Elc)EMOLITION
. 1 ''FSIDENCE p0_'A"V.j IT .5UCATIONAL E3GQV'T ORELIGIOUS LIPATIO OCAR PORT EIGARAGF. 13STORAGE DSLAS OFENCE
MOVING EICONDITIONAL USE CIDESIGN REVIEW DCOUNCIL APPROVED WSIGNS
%1' 2 0 N F RL DG,TYPE IRE ZONE-- PLAN CHECK BY_ HEAT_,___
UkKNCY
, - I
"00w
00,
I _DEDR
iT_ NI( 10 QM.S
BUILDING )iFAR1MENT SET BACKS FRONT HEAR LEFT 31DE RIGHT SIDE
Permit
A10 THIS PIFREAIT 19 ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check RIEGULAtIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NUT WAIVE
RFSTRIC I IVF CO/FNANTS. CONTRACTOR AND SUB CONTRA ;TORS TO HAVE CURRENT CITY BUSINESS
Stale Tax I)Ci.%'E. IEPARATL PERMITS REOUIRED FOR ',EWER, PLUM81NG AND HFAIING.
Total
� -
By
Approved Receipt No,
a
LD
0
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