SGN2004-00124 CITY TIGARD SIGN PERMIT
•/'` I� DEVELOPMENT SERVICES PERMIT #: SGN2004 -00124
111 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/2/2004
PARCEL: 1 S 135DD -03301
BUSINESS NAME: BREWED AWAKENINGS ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 100 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO: •
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' -6" X4'
TOTAL SIGN AREA: 10 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 10 sq ft A -frame sign. Sign must be place on
private property and not in the visual clearance of public right -of- way.Valid
6/2/04- 7/2/04. Sign #1
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 permits expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 day validity date.
APPROVED BY:
PERMITTEE SIGNATURE: X 7l/ i 2i �lr/�t�t�/1
DATE: 6/2/2004 �)
04/28/2004 09:18 FAX 5035981980 CITY OF TIGARD 2002
•
A.
I
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmeDevelopment/Project FOR STAFF USE ONLY
•
site 'brewed �a iq 1 , -VICi S
Address/ Street Address Permit No.:_ _{4 /V1 z--(A) V — bO ('.
Location 1 C4 C't4S SW R1U L 0 i1&Y! Y, r� - 7 Z AV Expiration Date. I C- y
Suite /Bldg. # City/Stale Zip
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100 -- ii c D 2 q-72,23 Receipt #: '7—Q' q ';?-- 3 5( O
dame Approved By: . 1
Property \ \ .
-v `Q2G` Date: 4/2✓ tl /
U _
Owner Mailin ddress Suite Map /TL #: .
1 V 1 1.i• C. .wxi `DU Zoning: C C7
City/State Zip < Phone • •
— CYl .V\ 0 0S. A11 Electrical Permit Required? ❑ Yes 13--No
Tenant or - �"
Business k l_1Js�` X '\\.‘. '` CX_VuYU , YL� Building Permit Required? ❑ Yes Q--No .
Rev. 817/2003 i lcurpinlmaster8lrevlsedtBign permit aop.doc
Name
Sign
Contractor Flailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all — City/State Zip Phone without the required submittal elements)
•
Ilcenres are
required If ►Qo Completed Application Form
explred•in the Oregon Const. Cont. Board Exp. Date
City of Tigard's license # ❑ 2 Copies of Site /Plot Plan. Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ' ErFreestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign E' Temporary ❑ Wall ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon El 2 copies of elevations, drawn to scale
apply (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
X Cl gn
• `i�'r $31,00 Fee (Permanent sign, any size) -
2� - � �� Total Sign Area (sq. ft.). - 1 2
►��' $15.00 F ee ( Temporary sign, any type)
I .
Sign Data Total Wall Area (sq. ft.) Jurisdiction: [J City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) ` N S E W NE NW SE SW
to eight t t of sign (feet): • Wall signs do not need to be drawn to scale,
V 2•Z (� A. t - but must include dimensions of wall face and
A .- rojection From Wall (inches): sign placement.
S\ -- \--,( Copy: • Wall signs do not require sitelplot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes JZ)No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this I been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? 1 the issuance of the permit, THE PERMIT WILL.
BECOME NULL AND VOID.
D. Yes No j
If "yes ", a list or diagram of all sign dimensions and •
square footage must also be submitted. .
(OVER FOR SIGNATURES)
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04/28/2004 09:16 FAX 5035981960 CITY OF TIGARD 0003
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.41.k<ackUyslay of , 20
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A/11-0c1)2P11614--'Wl
Signature of OwnerlAge
NrcklAzA qiQ Ck\oL,■_ill/\ ( 0 0 Vcrie-94/0
Contact Person Name Phone No. ov
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/ AAJ4-ice_
• CITY OF YOOARIO
Approv 1 )<)
Conditionally ApprovAd [ 1
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PER f'.,10
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CITY OF TIGARD 6/2/2004
13 12 5 SW Hall Blvd. 12:29:03PM
t� i1'�I� Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000002340
Date: 06/02/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00124 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash BREWED AWAKENINGS KJP In Person 15.00
Payment Total: $15.00
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