SGN2005-00036 CITY T I GA R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00036
tell 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/15/2005
PARCEL: 1 S136DD -01400
BUSINESS NAME: TILLAMOOK FOOD SALES, INC ZONE: MUE
SIGN LOCATION: 06855 SW BAYLOR ST JURISDICTION: TIG
APPLICANT /AGENT: ESLINGER BUILDERS INC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 12" X 54"
TOTAL SIGN AREA: 4 sq. ft.
WALL AREA: 450 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a permanent wall sign. (12" x 54 ")
MATERIALS: SINTRA
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: / (�' '�l (ail . C_G(i
PERMITTEE SIGNATURE: /J��/ 1 ■ r4 •
DATE: 2/15/2005
,
SIGN PERMIT APPLICATION
• CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site Haihts C /n
Address/ Street Address [[ Permit No.: SC, K1 a 03c, OU 5 - po 03(
Location (9.33 s co > /Or Sf1'r d( Expiration Date:
Suite /Bldg. # City /State Zip
/11gQ/1C'�Olt cl7 Receipt #: a005- ( ZS I.
Name / `J
(�S Approved By: L • e r��►��
Property l /✓l e/' , .f jjtS -
IOC- Date: .2/ - v - `_
Owner Mailing Jess Suite Map/TL #: I S / 3 t, D D — 0/g oo
1 /40 S LA) C/,rnaiSf Zoning: M Lk E.
City /State Zip Phone
- 7z e07.01575— Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business Sa' Building Permit Required? El Yes ❑ No
Ti0(r100K
Name /, ,, J Rev. 2/28/2003 is \curpin \masters \revised \sign permit app.doc
Sign CSliri�je,- � l.t.l W &r --n G -
Contractor Mailing A Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ( (Note: applications will not be accepted
issuance, a 7��0 S+� C�� VOA r
. opy of all City /State Zip Phone without the required submittal elements)
enses are ?o(f / ,�,f O,297Zz3 S 6319L0 - �lrl
quired if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Da e
City of Tigard's License #
database) la ;).3(.o3 H ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
0�
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary :. Wall ❑ Electronic
(Check all that ❑ Other El Billboard El Balloon ❑ 2 copies of elevations,.drawn to scale
apply) (3 copies, if a building permit is required)
;® New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: / 71
/� .5v s. $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
C� S 9 IC • ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) yS . () S.? Jurisdiction: Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N 0 E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): /� » but must include dimensions of wall face and
sign placement.
Copy: - cri I la tn1J.) FoQl( r ?S y-Ir1 L ♦ Wall signs do not require site /plot plans.
Materials: �i r - 4 - r �, J • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes IV No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
• ocation, including wall signs that overlap a tenant space?
❑ Yes , No the issuance of the permit, THE PERMIT WILL
BECOME 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 o • er Agent
A (l sk) tt)a, / / D
Contact Person Name - Phone No.
•
CITY OF ITGARD .
Apr (0 V9(.1 ............... . ..................... _
GCS orially Approved ...................................... I .-
¶C only the vvorl( as described5inL
Srs
p ERMIT NO. ......... t
.9 De Letter to: F vv ollo ...................................
Attach .......
,J ,t' ................. : . - . 3;
z o s re -• ' /5..-----at,._ct-/11■5=?L T,/,,,,o4s,N,:,!,161,
,
M1111 M EM
vli\i-a_ A It
........--•■••••••••"""""--"..
6=1
...11[1.1!1111 a. !iiia
tor
„..,.....■ ffil ........M."'• ..............■ sm■......."1 mi NENIMS■18.'"818.1.°11"Ma a
ma•■•
la 11
, e
I 6v4k,ri, 1 FOOD SALES, INC.
---- is va \
\ T,
--
6L, r---'
_______. il
11111101111 -t7_ i . _ ______
GL, GC
41■V NM
4
ID
4gillhlh14%4°°Nl , ,.. . . ,
•
uH r1YL 141 nlr7.o -IJ5
i/ • 7
( i_D
0
3 � • .
5 . SIM, ........ , 0
L
! .
, . ..
_.,______
a. AI ,_ _J.
var q
T. i --
I � .
6 L
T' - Ter 6 - - - — -1
—.- 6 L,, P- ! - _ I ' ioN1FtY (....ER it i
III „ GL. ei:7 • .1(11.,..74_
" . i ,
. ,,, - I__ / , - - - _-_-_-. ----,:.--
. - -7 j 4 , :
CITY OF TIGARD 2/15/2005
13125 SW Hall Blvd. 9:25:38AM
J � Tigard, Oregon 97223
�' (503) 639 -4171
Receipt #: 27200500000000000625
Date: 02/15/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00036 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2005 -00036 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $37.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check TILLAMOOK FOOD SALES INC KJP 00001134 In Person 30.00
Check TILLAMOOK FOOD SALES INC KJP 00001139 In Person 7.00
Payment Total: $37.00
cReceipt.rpt Page 1 of 1