SGN2001-00054 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00054
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/27/2001
EXPIRATION DATE:
BUSINESS NAME: THAI PEACOCK RESTAURANT PARCEL: 2S11ODC-0230
SIGN LOCATION: 11525 SW DURHAM RD D-3
APPLICANT/AGENT: THAI PEACOCK RESTAURANT ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: TX 4'
TOTAL SIGN AREA: 12 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of(1)one A-frame Tx 4' sign. Not to be placed in visual
clearance or public right-of-way. Valid 3/27/01 to 4/27/01 (Sign#1)
MATERIALS: PLYWD
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 rekulations contained in Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. rk All be done in accprda ce with approved plans. A sign permit shall expire 90
days from approval date. A t porary s' n shall expire 0 d ys rom approval date. A balloon sign shall expire 10
rtavc fmm annmval rintP c j
APPROVED B
PERMITTEE SIGNATURE: X491
DATE: 3/27/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX- (503) 684-7297
GENERAL INFORMATION
Name of Develop UProject r
' -PiA(� YAC rN
Site ��'ti �h
Street Address
Stre1
Address/ 1r /rJ �/ �A M YJ
Location
Suite/Bld .# Ci /State Zip
f
Nae
Property
Owner Mailing Address Suite
City/State Zip Phone
Tenant or Nae
Business �nrr�1
Na
Signm 2 V f\. k .
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
required if (Note: applications will nAt be accepted
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License#
database) I Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 2 Copies of Site/Plot Plan, Drawn to Scale
Sign [ Temporary ❑ wall ❑ Electronic (3 copies,if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
apply)
® New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: / (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq.ft.): ❑ $50.00 Fee (Permanent sign, any size)
Sign Data
Total Wall Area (sq. ft.) $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N �jS E W NE NW SE SW ♦ Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 4e . but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? E] Yes E] No building permit.
♦ If work authorized under a sign permit has not
Type: ❑ Internal ❑ 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 R No
If"yes", a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
square footage must also be submitted.
f . . 1
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 q:7 day of `� 20�_
Signature of Owner/Agent
K A VL; Rn5ol k)qc� glo—1945
Contact Person Name Phone No.
l
Example of Site Plan
3
x
Parking 3
v
a
O
U
Driveway
Cn
Retail
Building
AML Parking
3
x
3
y M
i-
U
Q
O
U
Freestanding h
Tempow Sign
5' Concrete Walkway
35'
SW Commercial Avenue
41
Site Address: 13524 SW Business Lane
Tenant/Businest Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503-555-4321
*Visual clearance area dimensions are drawn for this example only.
evelopment Code.
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Example of Sign Elevation
A Better Office
Products Copy duplicated
on reverse face
Company
4'
3'
Temporary Freestanding A-Board Signn
12 square feet
Scale: I" = 1'
Site Address: 13524 SW Business Lane
Tenant/Business Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200
503-555-4321
iAdstsWb ms\signcxmpl.ptt 01/13/99
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Receipt #: 27200100000000001284
,4k �... Date: 03/27/2001
T 1 0 E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00054Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check THAI PEACOCK RESTAURANT 0 1279 $15.00
TOTAL AMOUNT PAID: $15.00
1279
THAI PEACOCK RESTAURANT
11525 SW DURHAM RD 503-228-2310
TIGARD, OREGON 97225 Q-7 44 230 3270
DATE ,"7
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PAY DOLLARS
• . TO
S THE �7
ORDEROF
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