SGN2007-00172 Ir CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00172
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/4/2007
PARCEL: 2 S 102AB -02000
BUSINESS NAME: A TASTE OF HEAVEN ZONE: CBD
SIGN LOCATION: 12535 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X18"
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: 380 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 7 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Installation of (1) permanent 3 sq. ft. wall sign.
MATERIALS: METAL,GLASS
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: /"
APPRO
PERMITTEE SIGNATURE: )(� Q N. ( L YCt
DATE: 10/4/2007
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SIGN PERMIT APPLICATION
City of Tigard Pernat Center 13125 SW Hall Blzd, Tigarc4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
Site A - t? . ,l . ,.
FOR STAFF USE ONLY
Address / Street Address Permit No.: . ' 7 Lc-s°1 - W 17 Z-
Location
``'` Expiration Date:
Suite /Bldg. # Ciry /State Zip
. . . t,.a► Receipt # :
Name a..,, Approved By: " / "r 7
O Date: /` ` 37 Property 4 �" l�
Owner Mailing Address Suite Map /TL# :
P'0 Bnd 354 Zoning: cg
City /State Zip Phone
'IraV Tenant or
am k O � ' Electrical Permit Required? ❑ Yes ❑ No
Business A 'lasts cc Heowc....\--.I B uilding Permit Required? ❑ Yes ❑ No
Name W Rev. 7/1/07
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Sign r'l �."b1 11 Co tie. `o.
Contractor Mailing ress Suite
(Prior to permit
issuance, a
copy of all Gry /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
ay of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 ❑ 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 e
X New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: • l t it I (3 copies, if a building permit is required)
(`7C /4' 1 C ', � size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
$40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
r c`
Sign Data $19.00 Fee (Temporary sign, an e
� ❑ (T P ry g � y 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): 7 I • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 1 I la iI must include dimensions of wall face and sign
CDpY � _ fi " ; �• A , placement.
l fl�d��h�-'.ak ♦ Wall signs do not require site /plot plans.
Materials:m *AA G �g5
• Freestanding signs over 6 ft. required a building
Will sign have illumina gi Yes ❑ No permit.
Type: ❑ Intemal X 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.
DAZED this day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
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CrrY OF TIGARD
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'r - 14 � C ITY OF TIGARD
i 10/4/2007 �,
� 12:37:SOPM
�9 . . , 1312_5 Shy Hall Blvd. Tigard, OR 97223 503.639.4171
�TI = ARD;
Receipt #: 27200700000000004468
Date: 10/04/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00172 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2007 -00172 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2007 -00173 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00173 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $59.00
Payments:
Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RITA M. GOLDBOROUGH & KJP 1346 In Person 59.00
MARIA T. RITTER
Payment Total: $59.00
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