SGN2008-00053 Pi y CITY OF TIGARD SIGN PERMIT
• DEVELOPMENT SERVICES P ERMIT # SGN2 oos 00053
TIGARD DATE ISSUED: 3/20/2008
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 25111 DD - 00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -
SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4 X 3 FT
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: A - board sign 4x3 on both sides
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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 10 days
from validity date.
APPROVED BY: fi /7
PERMITTEE SIGNATURE: P'
DATE: 3/20/ 08
IN g SIGN PERMIT APPLICATION
City of Tiganl Permit Center 13125 SW Hall Blzd, Tigard OR 97223
Phone 503.639.4171 Fax: 503.598.1960
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GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: J (. N 7 --c="cD8 - DD 0S 3
Location i B 1 SU•J NAu_a -U O Expiration Date: 4 4/ 2 - c ' 1Z. y
Suite /Bldg. # City /State Zip "Z -2-°(-a " ct 7.- c...
fi GA 20 o q -- l Receipt # :
Name Approved By t°'‘"6'
Property aa-MAR PRO TOL crEss Date: 3/1- vc
Owner Mailing Address Suite lip /'I'I,# ; Z S ` \ \ t, a_2_
2_Do 1 St -STS+- A Zoning: - N
City/State Zip Phone
Tenant or N W� Electrical Permit Required? ❑ Yes [j�-
Business P42t M.0 �t2ES5'v Building Permit Required? ❑ Yes 0/No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City Tigard's
database) ["J Completed Application Form
d
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary El Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that II Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17"
apply) q
cEl New sign? ❑ Alter to existing sign? 1Z1 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
4 2c3 f ZS 1 t S size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
24 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(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): 4 i • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Co p y ' • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes X No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes gi No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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
Signature of Owner /Agent
Contact Person Name Phone No.
Sign Elevation
Primo
Espresso Copy duplicated on
reverse face
OPEN
4'
5:30AM
WEEKDAYS
6 AM
WEEKENDS
3'
Temporary Freestanding A -Board Sign
12 Square feet per side
Scale 1 " =1'
Site Address: 15981 SW Hall Blvd.
Tenant/Business Name: Primo Espresso
Sign Company: Signs Now
11520 SE 82nd Ave
Portland, Oregon
503- 652 -2072
SITE
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Er CITY OF TIGARD 3/20/2008
13125 SW Hall Blvd. 1 2:05:50PM
'hgard.OR 97223 503.639.4171
TIGARD -•
Receipt #: 27200800000000000920
Date: 03/20/2008
Line Items:
Case No Trap Code Description Revenue Account No Amount Paid
SGN2008 -00053 [SIGN] Temp Sign Perm 1 00- 0000 - 437000 17.00
SGN2008-000 3 [LRPF] LR Planning Surcharge 1 00- 0000 - 438050 2.00
Line Item Total: 519.00
Payments:
Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard JAMIE J WILLIAMS E.A 027169 In Person 19.00
Payment Total: 519.00
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