SGN2004-00220 C ITY OF TIGARD SIGN PERMIT
Jl DEVELOPMENT SERVICES PERMIT #: SGN2004 -00220
-� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/30/2004
PARCEL: 25111 DD -00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -N
SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 3'x4' A- frame. Sign must be placed on private
proverty and not in the public right -of -way or visual clearance area. Valid 8/30/04 -
9/29/04. Sign #2
MATERIALS: WOOD
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: (sq o d ' . �G
PERMITTEE SIGNATURE:
8/30 04
r ,
'' ' , 4 ,,, SIGN PERMIT APPLICATION
2 ,_,,�,. •111
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
Address/ Street Address Permit No.: 6C,■ a oc .4 - OOaaO
Location 1 SCi8 1 SW NAtrl, 3L t1D Expiration Date: a q r 4
Suite /Bldg. # City /State Zip
"TIGARD o2. 917224- Receipt #: moo (( — 3
Name I_ Approved By: C • Ca..w.�,
Property ZQS, �1, �l. ( � Je3�1TYne)ff5 L Date: 8/3 `E
Owner Mailing Address Suite Map/TL #: •= / p 000 /
12.0 ME 230 Zoning: C - AJ
City/State Zip Phone
Seailk VJA Electrical Permit Required? ❑ Yes No
Tenant or Name
Business P. ESP Building Permit Required? ❑ Yes No
Name Rev. 7/1/04 is \curpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
T emporary ❑ Wal
Sign
(Check ❑ Electronic IX copies of elevations, drawn to scale
Check all that Other ❑ Billboard ❑ Balloon
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 ,, < 4 r El $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.) , p $15.00 Fee (Temporary sign, any type)
l2 x2Si0a= 24-
Sign Data Total Wall Area (sq. ft.) Jurisdiction: CI City CI Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 4 but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes EKNo 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
location, including wall signs that overl a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes No 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.
Z
DATED this
fiYe'e — day of AUa U& , 20 O
Signat i • of O r gent
c\Atk Uditti s -W 70 '462-
Contact Person Name Phone No.
CITY OF TIGARD 8/30/2004
13125 SW Hall Blvd. 9:56:11AM
* Tigard, Oregon 9 72 23
(503) 63 9-4 17 1
Receipt #: 27200400000000003859
Date: 08/30/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00220 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check NW GOURMET COFFEE CO, INC CAC 17104 In Person 15.00
Payment Total: $15.00
Sign Elevation
Primo
E spresso Cope duplicated face on
OPEN
4' 5:30 AM
(a]TY OF ?IGAR .... ..... tX
WEEKDAYS Conditionally Approved
6 AM . - -c -ri bed ••-•• i
as descri0
o v ..... [
PERMIT NO. ..... - • `[
See Letter to: Follow-- ........_... - - -• •• °•.
Attach
For only the wg .• -•• a t 1
� S 8 , -
Job re, pat
WEEKENDS By:
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
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