SGN2004-00061 •
CITY TI GARD SIGN PERMIT
jr , r; DEVELOPMENT SERVICES PERMIT #: SGN2004 -00061
c I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/7/04
PARCEL: 2S 103DD -00800
BUSINESS NAME: PETAL PATCH FLOWERS ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 60 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4' 2 -SIDED
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Valid
4/7/04 - 5/7/04. Sign #2 for Java Juice
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 or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall expire Thdays fro ity date.
APPROVED BY: • ` -"'
PERMITTEE SIGNATURE: jC��� ' ` '
DATE: 4/7/04
►�
may. Ail SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Developm nt/Project
,i) FOR STAFF USE ONLY
Site e I-4 A r _o 74 -ti-e-65
Address/ treetAddress i P erm it No.: S C �1 Z-1/4D — 0 0 C,(o
Location 3% i 5 5W 6,G ' F c � 6o
Expiration Date: / / Lj _ /
7 3 7 1
Suite /Bldg. # City /State Zip
y
p5 -oL- 77 7) 3 Receipt #:
Name Approved By:
Property Date: `f f ��O
Owner Mailing Address Suite Map /TL #:
Zoning: Cc
City /State Zip Phone
Tenant or Name Electrical Permit Required? [1 Yes ® No
Business ,C 4 -yyt� — Building Permit Required? ❑ Yes ja No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign C f TG/. FI6Wey•
Contractor J)eL
ling dress Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 1315 1 S�1 i�L
issuance, a /
ff�W (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are - e J p 1) 1 7
required if t!� / o� �! J
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
❑ P ermanen t ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ,2_ Temporary El Wall ❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: j c,/
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
/ . i , ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
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 El- No building permit.
Type: ❑ Internal ❑ External • 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
❑ Yes El No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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 day of , 20
71 / 75
Signe of Owner /Agent
Contact Person Name Phone No.
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OrY OF 'TIGARD
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Conditionally Appro,s.d [ J
ror only the workcas,described in:
PERMIT NO.
See Letter to: Follow [ ]
Attach I I
Jct) Addresc- / a (. , lac( i#C6 '
!.'%•: 7,r7,6,1_,N......„,„_a___ Da t e:
,o,c,
CITY OF TIGARD 4f//2UU4
1 4 13125 SW Hall Blvd. 9:39:47AM fil
Tigard, Oregon 9 72 23
� ► (503) 63 9-4 17 1
Receipt #: 27200400000000001422
Date: 04/07/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00061 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User 11) Acct. /Check Approval No. How Received Amount Paid
Cash JAVA JUICE KJP In Person 15.00
Payment Total: $15.00
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