SGN2006-00153 1 4
'h ° ���0 I1'i�0��j�, �l{lYdP'I'; CITY
"11�? ���� V ITY OF TIGARD SIGN PERMIT
;'""11?-4 PERMIT #: SGN2006 -00153
� ,r3,4,;urp , a I , . DEVELOPMENT SERVICES DATE ISSUED: 8/23/2006
T 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
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: 12 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
8/25/06- 9/25/06. Sign #3
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
•
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. w�
l 1, (JU L
APPROVED BY: 1 d Q
/ PERMITTEE SIGNATURE: I ^'{
� LIU
DATE: 8/23/2 1
SIGN PERMIT APPLICATIO ED
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 - 97 G a 2006
Cale OF
GENERAL INFORMATIION Iopment/Project pLANNI N G/ ENC T ' ' �� ER ►V
FOR STAFF USE ONLY G
Site A (o�.
Address/ Street Address Permit No.: �( 6- 00 (3
Location ( 598 5vj LAI BUD
Suite /Bldg. # City /State Zip Expiration Date:
1 Otft'r6%) 4'7224 Receipt #: (p '1 a-/ v
Name (� Approved By: - — y(
Property Bc lJ *►f' Prop2.wTl Date:
Owner Mailing Address Suite Map /TL #: <2--S 1 t ( b 0-
a “Avs 2300 Zoning: L�
City /State Zip Phone
Se tl/p Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business 7 i( MO E5i & SO Building Permit Required? ❑ Yes ❑ No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
SU J5 ki0 uJ
Sign - - -- _ --
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit S S-2 (Note: applications will not be accepted
issuance, a < < 20
w ithout the required submittal elements)
copy of all City /State Zip Phone q
licenses are PO j o Gp a;
required if t' �Tl VT�f7 re 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"
Sign ® Temporary Wall
❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon E 2 copies of elevations, drawn to sc a l e
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 y 4- (ON) 2.Sioes
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):.2SQ Fi 1?____
[9 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) JuPlsdiction: C City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this 1 NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 4` • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ s [(No building permit.
Type: ❑ Internal y 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 overlap a tenant space? the issuance of the permit, THE PERMIT WILL
1:1 Yes allo BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
8/1-c 97a-.S.
• 1
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 2- CI° day of AV-C4. , 20 0 G
WA) U-SL--- __ ____ ______ _ ____
Sig ture of er /Agent
Contact Person Name Phone No.
t W �
Ml h_ S
CITY OF TIGARD 8/23/2006
I III '1 " 13125 SW Hall Blvd. 10:49:25AM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000004210
Date: 08/23/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00153 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00153 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Cash JAMIE WILLIAMS ST In Person 20.00
Change COT ST In Person (1.00)
•
Payment Total: $19.00
cReccipt rpt Page 1 of 1
,
Sign Elevation
P rimo
spre s s 0 Copy duplicated on
reverse face
OPEN
4' 5:30 AM
CITY OF TIGARD
Approved
WEEKDAY S Conditionally Approved
For only the work as described in'
PERMIT NO.. A) a- w(.- c - oi.t 3
6 AM See Letter to: Follow
Attach
ob Address: (S'9 art s. t{- _
y: Vic' Date: 8Aaa /
WEEKENDS
3'
Temporary Freestanding A -Board Sign
12 Square feet per side
Scale 1 " =l'
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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