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SGN2004-00305
� 1 C ITY OF T I GA R D SIGN PERMIT i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00305 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/19/2004 PARCEL: 25111 DD -00201 BUSINESS NAME: PRIMO ESPRESSO ZONE: C -N SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 3'X4' TOTAL SIGN AREA: 24 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 3'x4' A- frame. Sign must be placed on private proverty and not in the public right -of -way or visual clearance area. Valid 10/19/04 - 11/19/04. Sign #3 MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: 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: nA PERMITTEE SIGNATURE: DATE: 10/ 912004 ' `,,,,2„ 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 �j, --a: _ FOR STAFF USE ONLY Address/ Street Address Permit No.: SC.,N c 0 c 4 003 Location tsq e W BALL 3LIJP Suite /Bldg. # City/State Z; Expiration Date: f I - 1 e 1 - o 4 P -- SAC( Agn OQ 97224-- Receipt #: o700 -4 — `j5 $ C. Name Approved By: 0 Cc� -.w� Property -- balmAg P2Ow�'`Q 'i S Date: /0 (C1 0 4 Owner Mailing Address Suite Map /TL #: (PS 11/ Do - Cj ©a v! (07- -NC- 23cso Zoning: L' N City /State Zip Phone SeATTt, is W A Electrical Permit Required? ❑ Yes cg No Tenant or Name Business Q ((U rz -, O Building Permit Required? ❑ Yes VI No Name 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 copy of all City/State Zip Phone without the required submittal elements) licenses are required if Cr 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: 81/2" x 11", or 11" x 17" Sign ❑ E lectronic Sig eck all that ❑ Other ❑ Billboard ❑ Balloon Temporary ❑ Wall C 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: 37(4- ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): 24 (2 Sim) 0 $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) Jurisdiction: Ill City ❑ Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this 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, 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 q] 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) 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 , 20 Signature of Owner /Agent Contact Person Name Phone No. l arn A tr.mapt t a t n....... --� -- [ j .................................... tiOel.TV j aP se /l x 01 8VDEL de) TO (Wu-7'J%! Wa Ps C►25 I ! MON ;0 '915 1155 ?06 S-3 011! i 11VVI MS 1c ti tvv\ !PAD') NO OA WH AriN. k \ \ 3- 32 0 7 IS QsgzzkIgn mike V 1\17115 c; CON ?`,a 55a.)CCIN1 31-A5 Cy, .-1 (3 a ` S at yid IN) 9 kWyrbOdvjai, :aN igW2- �.Q a Sign Elevation Primo Espi.e s s o Copy duplicate faced on OPEN 5:3OAM WEEKDAYS 6 AM WEEKENDS 3' Temporary Freestanding A -Board Sign 12 Square feet per side Scale 1 " =1' Site Address: 15981 SW Hall Blvd. Tenant/Business Name: Primo Espresso Sign Company: Signs Now 11520 SE 82nd Ave Portland, Oregon 503- 652 -2072