SGN2004-00178 r a a
. A CITY OF TIGARD SIGN PERMIT
t DEVELOPMENT SERVICES PERMIT #: SGN2004 -00178
'4141' 61 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/2004
PARCEL: 1S135BA-00102
BUSINESS NAME: BRAVA ZONE: C -G
SIGN LOCATION: 10246 SW WASHINGTON SQUARE RD C -16 JURISDICTION: TIG
APPLICANT /AGENT: SIGN A RAMA
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 35" X 56"
TOTAL SIGN AREA: 13 sq. ft.
WALL AREA: 435 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one permanent wall sign. (35" x 56 ")
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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 Lt "
PERMITTEE SIGNATURE: •�/
DATE: 7/29/2004
t • f
t'I' SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
ISRPV FOR STAFF USE ONLY
Site
Address/ Street Address C Permit No.: S Co A) a 004 -co) 7 5
Location 102_40 Iv 1/� p ? ul�lU 0( m
Suite /Bldg. # City /State Zip Expiration Date:
C 7_ _R ItitpnO OR t I laa3 Receipt #: o?o 04
Name Approved By: 0 • eG
Property THL /NACRIC>N COIN') PA , Date: 7 _a ° )'a `f
Owner Mailing Address Suite Map/TL #: I S /3 S 8 — 00 / U
'IbI tau 15htRc WV - 100 Zoning: c c
City /State 04 Zip Phone
sAiV1AMaNi� Cti0 3/0-49 Electrical Permit Required? Yes ❑ No
Tenant or Name
Business R,eAVff Building Permit Required? ❑ Yes X No
N ame Rev. 30 -Jul -01 i:\curpin'masters\revised\sign permit app.doc
Sign 7 A
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 38Ir 5 oil (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
l are �?7Z q y2 5 503
req icenses uired if �'rfU iv/ Q!1 ` �WJ ❑ Completed Application Form
expired in the Oregon Const. 6ont. Board Exp. Date
City of Tigard's License # i 3Lj9NZ ,-11-'°5 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanen ❑ Freestanding ❑ size requirement: 8'h" x 11 ", or 11" x 17"
Freestandin Freeway
Sign ❑ Temporary K Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other Billboard Balloon (3 copies, if a building permit is required)
apply) size requirement: 8' /2" x 11 ", to 24" x 36"
"New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: .. X %,
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): � � � c a y NOTES:
Sign Data Total Wall Area (sq. ft.) % 3 • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S 0 W NE NW SE SW ♦ Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): /q' building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? [l Yes ❑ No
BECOME NULL AND VOID.
Type: VD Internal ❑ External
Are there any existing freest nding or wall signs at this No all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number / /
❑
Yes No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(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 of Owner /Agent
Contact Person Name Phone No.
72929 /2004
/
CITY OF TIGARD 10 7 2AM
13 12 5 SW Hall Blvd.
-
�� .rx i %, I ,�' Tigard, Oregon 97223
l
1 . L . (503) 63 9-4 17 1
Receipt #: 272004000000000033
Date: 07/29/2004 •
Line Items: Revenue Account No • Amount Paid
Case No Tran Code Description 32.00
ELC2004-00471 SGN2004 -00178 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
[ELPRMT] ELC Permit 220 - 0000 - 431510
100-0000-207020 4.27
ELC2004 -00471 [TAX] 8% State Surcharge
Line Item Total: $89.67
Payments: Amount Paid
Method Payer
User ID Acct. /Check Approval No. How Received
HOLMAN ENTERPRISE LLC CAC 4970
In Person 89.67 Payment Total:
• Check $89.67
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ant OF IIGARD . 1 / ...■ l'ki .
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PROPOSAL FOR: channel letters mounted on aluminum
Channel letters internally Trim and returns: DARK GREEN
illuminated with neon.
White acrylic faces. Channel lettters to be mounted
Faces have 3m tranlucent sunflower against aluminium die -cut
and emerald green, painted burgundy. Aluminum sheet
white reveal between vinyl color. mounted directly to wall facia.
FRONT VIEW of Channel letters
,} YL
a i
#
56.1" (4.67', 13.54sq ft)
35" b , f
(2.9,)
laVa*
SIDE VIEW of channel letters
WALL
— _ ALUMINUM
CHANNEL LETTER
37" 35 ri
5
S,GP Beaverton This original artwork is
.iEti �► SIGN *A *RAMA the property of
411WAO AA, llak CLIENT APPROVAL:
1111,a‘ AL an" 3899 S. W. Hall Blvd. SIGN *A *RAMA and is
�30E 9 iLP Beaverton, OR 97005 protected under Federal
O
Phone: (503) 672 - 7636 Copyright Laws. LANDLORD APPROVAL;
MIKE HOLMAN Fax ( 574 Make no reproduction of
Date: 6 -3 -04 Email: sigisbeav@aolccrn this design concept