SGN2006-00160 1p ii .o CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00160
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' X 3' 6"
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: 600 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign
MATERIALS: ALUMINUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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. 1 "
ar
APPROVED BY: d
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PERMITTEE SIGNATURE:
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DATE: 8/31/2006
SIGN PERMIT APPLICATION
• .
City of Tigard Permit Center 13125 SW HaII Blul, Tigarg OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION ` 4,3 �
Name of Develo ment/Project v
FOR STAFF USE ONLY
Site �IT Doge +n !N/_
Address/ Street Address Permit No.: � A d 17-° (P - 4)-67(
Location 7335— 5 /A 1 P)(1'Pc
Expiration Date:
Suite /Bldg. # City /State Zip
Rio ( 70 ,p b12
q72/
Receipt # :
Name I Approved By S - Tz�
1f�
Property )t�a C 4 72.> ( (_- Date: 8131i0C
Owner Mailing Address Suite Map /TL# : 9-S 1 1 3 19
Zoning: Mtn (
9 a /State Zip Phone
_
U ° t{p�1 ' ) (NZ '177-4 Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Bus iness J,PL�T �i tee- iivio PANG Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/5/06
� /�'�� is \curpin \ masters \land use applications \sign permit app.doc
Sign Vti� ' ( Si G
Contractor Mailing Address Suite
(Prior to permit n .... e
issuance,a / y
copy of all ity /State Zip Phone I REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if D SOD OA without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Dat
City of flgard's
database) (9& 3 �p� d 16 0 ❑ Completed Application Form
Proposed irmanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon si requirement: 8 x 11 ", or 11" x 17"
appl) ze re q
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 1 Y 5 /6 y (3 copies, if a building permit is required)
size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) $19.00 Fee (Temporary sign, an e
❑ P rY g y type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE SE SW
Height to top of sign (feet): ( • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): , " must include dimensions of wall face and sign
co `jf d l 1 Mr ,lam ` w./L placement.
Materials: • Wall signs do not require site /plot plans.
l�lthalt�tlA • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes o permit.
Type: El Internal ❑ 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 s e? of the permit, THE PERMIT WILL BECOME
❑ Yes No 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 4 , 20 d
Signature of O /Agent
/ 70 7 2 �s
Contact Person Name Phone No.