SGN2006-00158 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00158
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/31/2006
PARCEL: 2S 113AC -01201
BUSINESS NAME: SPLIT DINE AND DRINK ZONE:
SIGN LOCATION: 07339 SW BRIDGEPORT RD JURISDICTION: TIG
APPLICANT /AGENT: SPLIT DINE AND DRINK
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1' 9" X 7'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 600 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 36 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 1'9" X 7'
MATERIALS: ALUM /NEON
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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: Y
PERMITTEE SIGNATURE: , 4/
DATE: 8/31/2006
SIGN PERMIT APPLICATION
0 NI
City of Tigard Pernit Center 13125 SW Hall Blzd, Tigard OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Pro ect FOR STAFF USE ONLY
Site 5p4/T NC /IN° ,/1/N, _
Address / Street Address j� Permit No.: D la-. 'd (Sr
Location 7335 -5) �A'Y Ra,Q� — a Expiration Date:
Suite /Bldg. # Qty/State Zip P
r / 1(674(2 (9I q7 / Receipt # :
` Na m e / / / Approved By: - T12e4T
Property - 4 ()6 P6(LT Cf l�(jc25 / L LC./ Date: W3 to
Owner Mang Address Suite Map /Th : -S 11 3 Ac 0 l a-0 /
Zoning: PUG j
City/State Zip ' / Phone
'' h / ' geD q 7�O?`1 Electrical Permit Required? El Yes El No
Tenant or Name
Business �'�- 0Grr D/ j/c lh & imr. Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/5/06
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Sign �
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Contractor Mailing Address Suite
nor to permit (� n ,[�
issuance, / /�O (J5G / V �
copy of all /State Zip Phone 5v...3 REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if ' & 1ZIO/Dc0g- ° � 77 V - 33 .----
- without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's 7
database) O 3 y Z Z /o G Completed Application Form
Proposed 'Permanent ❑ Freestanding ❑ Freeway 6 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary El Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
El Other ❑ Billboard ❑ Balloon size requirement: 8 x 11", or 11" x 17"
apply) ze re q r
JA/New sign? ❑ Alter to existing sign? Er 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
1 9 X 7 size requirement: 81 � x 11", to 24" x 36"
Total Sign Area (sq. ft.):
l2 25
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) / ❑ ( 7 p ry 'g y typ )
g ll $19.00 Fee em ora s1 n an e
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) NS E W NE ) SE SW
Height to top of sign (feet): I ► / ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): -56, 4 must include dimensions of wall face and sign
placement.
COPY: 574-17" DA/C Ajn P -uNK— ♦ Wall signs do not require site /plot plans.
Materials: A(uyh ihu o., ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? Yes ❑ No permit.
Type: Internal 7 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
El Yes pNo 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 ()‘
4
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Signature o Owner /Agent
I 363 722 / 72,s
Contact Person Name Phone No.