SGN2005-00012 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00012
�I DATE ISSUED: 1/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AC-01201
BUSINESS NAME: ROMANOS MACARONI GRILL ZONE:
SIGN LOCATION: 17003 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT: MEYER SIGN CO. OF OREGON, INC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' 7" X 13' 9"
TOTAL SIGN AREA: 63 sq. ft.
WALL AREA: 2,672 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (4' 7" x 13' 9 ")
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 10 days from validity date.
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APPROVED BY: i�faiFF- •
PERMITTEE SIGNATURE:
DATE: 1/19/2005
4 4, .
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
,
GENERAL INFORMATION J
Name of Development/Project ; ' I J FOR STAFF USE ONLY
Site � �o r tWo s & tk eA-fZO ?3 t C- --124 l / D 5= coo l of
Address/ Street Address Permit No.: J I^�O
Location )7 00 3 6w 7 Znc-t 41.-x- • Expiration Date:
Suite /Bldg. # City /State Zip Receipt #: °I aos - 38
-- "ri - L -1 ) oR . ° 7 Z2, y Approved By: a �'
� c,�°
Name i /9 US
N T Cie ni Date: / — /
Property Suite Map/TL #: ,::..C//.3.4(2. -- olio /
Owner Mailing Address
6 q Nw lz-15-- — Zoning: M (LC —
City /State Zip Phone (5-Z)
67 il:&M a . 7 o3 G ��� -i z 3 3 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name I Jf �1,, ( Building Permit Required? ❑ Yes ❑ No
Business 0 S 1
/f/l pt- arl-r%06Q 1 CV'- l Rev. 2/28/2003 i:\curpin\mastersUevisedlsign permit app.doc
Name me
l�k s,- i.A.' 6 O.Q. y }a
Contractor '� S uite REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address
(Prior to permit (Note: applications will not be accepted
copy alt y SZv t o 7�/ /- - without the required submittal elements)
copy of all City /State Zip Phone /gyp, }
licenses are
required if 7767172 N � Oi? , ZZ V b 20 ,-e y O El Completed Application Form
re
expired in the Oregon Const. Cont. Board Exp. Date ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
City of Tigard's License # 6,.. C p � / / — 3U� S
database) 7 �/ (3 copies, if a building permit is required)
Proposed Er
ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign ID Temporary .Et-Wall E lectronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ B illboard ❑ B alloon
apply) (3 copies, if a building permit is required)
E'New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: ` f , 7 X ) 3 '-ei " E $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): .vl ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data Zlo Z Jurisdiction: 11 City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S CE W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): ._5 ' sign placement.
Copy: CCY7)a' ,t'S g«< , .i �� l / • Wall signs do not require site /plot plans.
Materials: ,LJyi . /t Le'u - • Freestanding signs over 6 ft. required a
Will sign have illumination? a building permit.
es ❑ No • building
work authorized under a sign permit has not
Type: LA-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 / No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. i (OVER FOR SIGNATURES)