SGN2009-00033 ., 1,
n CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2009 -00033
.' DATE ISSUED: 2/19/2009
TII ammi 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S103DD - 00800
BUSINESS NAME: TIGARD DONUT ZONE: C -
SIGN LOCATION: 13815 SW PACIFIC HWY 80 JURISDICTION: TIG
APPLICANT /AGENT: TIGARD DONUT
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X )VALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 31" X 47"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) Valid 2/20/09- 3/23/09 Sign #2
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
MATERIALS: WOOD
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: ' C J 2-
�^ � i '�� i " / 0
PERMITTEE SIGNATURE:
DATE: 2/19/2009
III SIGN PERMIT APPLICATION
Cz y �Tiga7d Permit Center 13125 SW Hall Blzd, Tigarr4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site M- Ott` d Da % L .(
Address/ Street AMress Permit No.: - #` -W0 5_5
Location 13 801(-- 5 W f G? J1 C IN
Expiration Date: 2 / 1 -0 /(1 9 - a'/ z3/0
Suite /Bldg. # Qty/State Ziipp
gt I ` ! 22' Receipt #f : - a - 6 3 5 yi
Name Approved By. �`�
y.
Property Date: z //R /0)
Owner Mailing Address Suite Map /Th## : 1 6 / ` 3 OA -0° ' O J
Zoning: G 6-
City/State Zip Phone
Tenant or Name Electrical Permit Required? El Yes l[ -No
Business i r Dd r ,t.-1 Building Permit Required? ❑ Yes 0±
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit '
issuance, all a REQUIRED SUBMITTAL ELEMENTS
coy of City/State Zip Phone
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 of Tigard's
database) ❑ 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: 8 x 11 ", or 11" x 17"
apply) q
❑ New sign? Pf Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: /0 6 4 d (3 copies, if a building permit is required)
3/
)( size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $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): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Copy placement.
Materials: GW 8 • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. regtiired a building
Will sign have illumination? ❑ Yes ❑ 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 ❑ 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.
DA 1ED this 2-0 day of t` vJ , 20
Signature of Owner /Agent
Contact Person Name Phone No.
— 11 jav
DotACT
0
`'` ''• CITY OF TOCARD 2/19;2009
r r i ; 11I25 SW hall HMI. 10 35Ai\'l
a;,
5 ' I i ar(I. ()l 97221 5113.639.4171
; T
6.1ft'AlietA ::
IGGARD
Receipt #: 27200900000000000354
Date: 02/19/2009
Line Items:
Case No "Iran Code Description Revenue Account No Amount 1'ai(I
SGN2009 -00033 [SIGN] Temp Sian Perm 100 - 0000 - 437000 17.00
SGN2009-00033 [LRPF] LIZ Planning Surcharge 100-0000-438050 2.00
Line Item "Total: 51 9.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash TIGARD DONUT KJP In Person 20.00
Change C.O.T. KW In Person (1.00)
Payment "Fotal: S19.00
•
ckcrcipi.rpt Pace I or I