SGN2009-00049 T1 CITY OF TIGARD SIGN PERMIT
_ Permit #: SGN2009 -00049
.;,> COMMUNITY DEVELOPMENT Date Issued: 03/03/2009
T ICrARD 13125 SW Hall Blvd.. Tigard OR 97223 503.639.4171 Parcel: 2S102AB02000
Jurisdiction: Tigard
Name of Business:
Business Address: 12535 SW MAIN ST
Applicant /Agent: A Taste of Heaven,
• Work Description: Placement of (1) one temporary A -frame sign. Valid 3/3/09- 4/3/09. Sign #1. Sign must
be placed on privated property and not in the public right of way or visual clearance area
Permanent: No Freestanding: Freeway:
Temporary: 1 Wall: Electronic:
Billboard: Balloon:
Banner: A- Board: Yes
Sign Dimensions: 2x4
Total Sign Area: 8
Wall Area:
Wall Face (Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: wood
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: 819.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and
all other applicable law. 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: / • •
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Permittee Signature: .di.' g', 1, �, � �
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` SIGN PERMIT APPLICATION
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City of Tigard Pewit Center 13125 SW Hall Bled, Tigart4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Joi yt °L A IA eA N
Address / Street A dress Permit No.:_ _� ac]
Location S C l t. Expiration 5 # 5 SL / Zip
iration Date: 3 /3/oct Y�3 /�
1 1 s,A) Or. /1 i v Receipt #: .'^ �
Name "� Approved By / k-
Property � " �c-) -kiL Date: ‘...V.5/07 V
Owner Mailing Address Suite M :
p 6j� 56a∎ Zoning: G6 0
cCCiity/State Zip Phone
N ° i. Ns crgg 1 Electrical Permit Required? 1=] Yes 4o
Tenant or
Business fl- `1 0 4 eA V )�.`R Building Permit Required? ❑ Yes o
Name Rev. 7/1/07
is \ cumin \ 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 N Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent 13--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'/2" x 11 ", or 11" x 17"
appl) ) �l
❑ New sign? ❑ Aker to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 copies, if a building permit is required)
/ size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
t. -P-I-- ❑ $40.00 Fee (Permanent sign, any size)
S i Sign Data Total Wall Area (sq. ft.)
g ❑ $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): Ai 4 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
CoPY Oiko, a\6AS o f.a 5 E L \Y',5 • Wall signs do not require site /plot plans.
Materials: T (�.5�'r 5 k,
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No permit.
Type: ❑ Internal �Extemal • 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.
DATED this 3 day of 12C- , 20 (' 9
1
._AIF ‘A
Signature o Owner /Agent
Contact Person Name Phone No.
` CITY OF TIGARD RECEIPT
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13125 SW Hall Blvd . Tigard OR 97223
aa , � s " 503.639.4171
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Receipt Number: 2009 -00518 - 03/03/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00049 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00049 Temp Sign Perm - LRP 100- 0000 - 438050 $2 00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash KPEERMAN 03/03/2009 $19.00
Payor: A Taste of Heaven
Total Payments: $19.00
Balance Due: $0 00