SGN2004-00149 CITY TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00149
Ar 6� ll , 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/2004
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: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' -6" X 4'
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 on private
property and not in the public right -of -way or visual clearance area. Valid 7/9/04
thru 8/8/04. Sign #2
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 d. - ign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 d. validity date.
•
APPROVED BY:
PERMITTEE SIGNATURE: • . Z�I / A a f ir, i t
DATE: 7/8/2004
A II ''
�,I: .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 Development/Project
Site .�``, '`�\\-Q1(.01,31.,06
5
�� FOR STAFF USE ONLY
Address/ Street Address . 1 Z-(93(-1 1 q
Location (C (L� j `7 \�� ���� Permit
No.: 5 i"
Suite /Bldg. # City /State Zip ��� Expiration Date: /9 /o y �/�
Nam �` � c , L'? ?. Receipt #:
Approved By: r
Property Date: 7 721 1 /0y
Owner Mailing Address Suite Map /TL #:
Zoning: C 1
City /State Zip Phone /
Tenant or Name Electrical Permit Required? El Yes [IV
Business S x �__KK ,�( Building Permit Required? ❑ Yes to
Name ��j > Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ 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 ( p� g permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 1 1 ", or 11" x 17"
Sign Electronic
(Check all that / — emporary ❑ Wall
El ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
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: t t k i '
L � i ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): V / r\ . ( -2 - ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) 1 l Jurisdiction: Ill City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ 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 been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
is
I hereby acknowledge that I have read this of application, tat the
wnerhand that plans a s submit are
correct, that I am the owner or authorized age nt o
in compliance with the City of Tigard.
t
, 20
\\ ()y
DATED this 7 day of J
dIA LA - k •/ ! .frL
Signature of Owner /Agen
Contact Person Name Phone No.
r/
/VOW OPN
vvfl-Nol
loll Y Vi' 111iA1[ll
13125 SW Hall Blvd. 12:32:54PM
i
iiii Tigard, Oregon 97223 r
' � (50 3) 63 9-4 17 1
Receipt #: 27200400000000002954
Date: 07/08/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00149 [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
Page 1 of 1 cReceipt.rpt