SGN2005-00087 CITY TIGARD SIGN PERMIT
k DEVELOPMENT SERVICES PERMIT #: SGN2005 -00087
..� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/6/2005
PARCEL: 2S 102C B -00302
BUSINESS NAME: SALVADOR'S BAKERY ZONE: C -G
SIGN LOCATION: 13185 SW PACIFIC HWY B1 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10'X2'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 20 sq ft temporary banner. Valid 4/7/05 thru 5/7/05. Sign #1
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 17.00
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 . en permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 ay om va . ity date.
APPROVED BY:
PERMITTEE SIGNATURE: ��" C ins 'o
DATE: 4/6/2005
03/21/2005 12:23 FAX 5035981960 CITY OF TIGARD 0002
i d i :c i _ d 11/N SIGN PERMIT APPLICATION : lui
CITY OF TIGARD G\ t 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7197
11Ltlt Li i i ,JF TIGARD
BLIP
GENERAL INFORMATION — - —
Name or DevelopmontiProiect FOR STAFF USE ONLY
Site ii?A,c� ?0\ZA — Sy /� S o 7
Address/ Street Address Permit No.:
Location V?.›1 %�� S■,J _
ONG, k- - Expiration Date: `771 (1 — _ �2f 0�
suite/Bldg. # City /State Zip -. >
Receipt #:
(3 �,cx r ow �, 223 .
Name Approved By. -
Property 1-lEU,C F. V't2�� �'Z 1 -€.,`-' 'L.-L(1_ Date: 1l " )
Owner MailIng Address suite Map/TL #:
tLA C J %.-J 0-0 .Tct._ Zoning: L �) .
Ciy /State Zip Phone
_Vw —Z ql - 2.._ r-k _`"'— 2.. - ` 2 t \ Electrical Permit Required? ❑ Yes goo
Tenant or ^erne
Building Permit Required? ❑ Yes m_No
Business t_ut.00, 2S ' ■v
Name Rev. 1/3/05 ocuron\rnasterstreviaathslpn permittop.doc
Sign
Contractor Ma1Nng Address suite REQUIRED SUBMITTAL ELEMENTS
(Prior to perms (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip ne
licenses are
required If N Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City ofTigard's Wen se# 1 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign 54 Temporary ❑ Wall ❑ Electronic
(Check au that ❑ Other ❑ Billboard ❑ Balloon I ❑ 2 copies of elevations, drawn to scale
apply) - (3 copies, if a building permit is required)
,New sign? ❑ Alter to existing sign's size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: ,
U' x .Z ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): $17.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.) I Jurisdiction: ❑ City _ Urb
Sign Data
(complete all Direction Wall Faces (circle one): NOTES:
tt ems in thi
section) N CS E 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): sign placement.
Copy: • Wall signs do not require site /plot plans.
fvlaterials. • Freestanding signs over 6 ft. required a
I sign have illumination? ❑ Yes ❑ building permit,
If work authorized under a sign permit has not
. N6� •
T •e: • Internal O. External _ been completed within ninety (90) clays 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.
_1
❑ Yes J No 1 —
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
VS /ZI /Zuuo iz:Ls rna JUJaa51 OU k,ilr iiunxU wJvUo
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I hereby acknowledge that I have read this agent op owner, and that plans submit are
correct, that I am the owner or authorized ag
in compliapce with the City of Tigard.
DATED this _ day of
cc-J.1.k_ 6?. Signature of of Owner /Agent
� r
C LAc) 503 — 634 —c3
Contact Person Name Phone No,
j
moc( Cell r ���
CM/ OF TIGARD
Approved
C ooditiornaliy Approved l ,
1 r only the work as described in: 3
PEFMIT NO. c
3e Letter to: Follow I
Attach
f 1
! ;b "ddress: f 3 �I 5 � pr ("L 3-1