SGN2006-00060 s ,
Ir CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00060
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/14/2006
PARCEL: 25111 DD - 00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -
SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT: PRIMO ESPRESSO
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC: •
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4' A - FRAME
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: Placment of (1) one temporary 3'x4' A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
4/15/06- 5/15/06. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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: - p 1 ' I Q
PERMITTEE SIGNATURE: �)� ---t �""'`�
DATE: 4/1 006
1
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411k . .
Av.„...w, 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 .
Site Pia IMO LSpreSSO FOR STAFF USE ONLY
Address/ Street Address
Permit No.: ,...5./02.4 (0-000(0 0
Location IS98 1 • 3in) HA1A._ gtI,Ip
Suite /Bldg. # City /State Zip Expiration Date:
•
• 710\20 69- 912 24 Receipt #:
Name Approved By:
Property t-Pi hpt.L ‘NW nciiAS Date: `�// `/��6
Owner . Mailing Address Suite
Zoning: (
City /State ' Zip Phone
Se
Tenant or Name Electrical Permit Required? ❑ Yes ['No
Business
r)
- l lvl0 ESores 56 Building Permit Required? ❑ Yes g--'No
Name Rev. 7/1/05 is \curpin\masters \revised \sign permit app.doc
Sign •
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: •applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements) •
licenses are
required if .
expired in the Oregon Const. Cont. Board Exp. Date Completed Application Form
City of Tigard's License # •
database) R Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway 1 „ „ „
•
Sign E Tem orar size requirement: 8 /z x 11 , or 11 x 17"
(Check all that p y ❑ wall ❑ Electronic -�
apply) Other ❑ Billboard ❑ Balloon I copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? El Alter to existing sign?
Sign Dimensions: �
3s ,
size requirement:• 8 x 11 ", to 24" x 36"
C iwo s60.5) ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
2 4 Ek$18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction:
El City E Urb
(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):, q a Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
Copy: sign placement.
•
Materials: • Wall signs do not require site /plot plans.
• e Freestanding signs over 6 ft. required a
• Will sign have illumination? ❑ Yes ai building permit.
No . If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? • BECOME NULL AND VOID.
❑ Yes LA No
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 \4— day of A+ t-- 20 O (0
Signature of Owner /Agent
761. 4(27
4act Pero Name Phone No.
CITY OF TIGARD 4/14/2006
1114 " 13125 SW Hall Blvd.
9:24:36AM
' ' Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000001676
Date: 04/14/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00060 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2006 -00060 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check NORTHWEST GOURMET KJP 18119 In Person 18.00
COFFEE CO INC
Payment Total: $18.00
cReceipt.ipt Page 1 of 1
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CITY OF TI GAf; D
Approved '
Conditionally Approved
or only the work as described in:
PERMIT NO. ,5'f3tv2wC, - Uc:o�2� __ --
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Sign Elevation
P rimo
E spresso Copy duplicated on
reverse face
OPEN
4'
5:3OAM
WEEKDAYS
6 AM
WEEKENDS
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