SGN2004-00249 I ,
i .
C ITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00249
r11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/20/2004
PARCEL: 1 S 136AD -04000
BUSINESS NAME: HALAL DELI MARKET ZONE: C -G
SIGN LOCATION: 11535 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X10'
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 3,625 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 9 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 30 sq ft permanent wall sign.
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 32.00
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 from validity date.
APPROVED BY: /J { / �
PERMITTEE SIGNATURE: "- 7
DATE: 9/20/2004
r_:-: -,..
7 . ,
Allk
i1'4 SIGN PERMIT APPLICATION .
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
A K' of Development/Project
"'j '' F STAFF USE ONLY
\ddress/ Street Address
.ocation 1(5 S,I,,�, PA-ee � J N �� — 00 z f
Permit No.:
Suite/Bldg. # City /State Zip Expiration Date:
°r'c o L C' t e -: Receipt #:
Name Approved By: �� 0
'roperty i b) 1 1'1- � 1` 4 Date:
9 // ("/(1
0
)wrier Mailing Address Suite Map/TL #: /
6 StO lM SlD Zoning: Cz$6,
CState Zip Phone
Z 2 Zl-:9
" enant or
Name Electrical Permit Required? (�'Qes El No
lusiness WA-I— &-z-_( AnPi /_e- Building Permit Required? ❑ Yes III-No
Name ,, `` Rev. 8/7/2003 i:lcurpinlmasterslrevisedlsign permit app.doc
sign Il_7t v (4 , L-
:ontractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
, rior to permit 101,1) o � ,/�� (Note: applications P
suance, a C�lf�<!� t Note: a lications will not be accepted
)py of all City/State Zip Pho a without the required submittal elements)
a IS) q tenses uire/ if re I au :37z23 ro' %1-y01► 0 ❑ Completed Application Form
(pired in the Oregon Const. Cont. Board Exp. Date
ity of Tigard's License # �
3tabase) 554 -z,2- OS ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
proposed tg Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 1 1 ", or 11" x 17"
;heck all that El Temporary Wall • El Electronic
)ply) ❑ Other El Billboard l: Balloon ID 2 copies of elevations, drawn to scale
(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° k l0 to
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): >70 S� 'P--
❑ $15.00 Fee (Temporary sign, any type)
ign Data Total Wall Area (sq ft.) Jurisdiction: ❑ City ❑ Urb
z5 50.
:omplete all Direction Wall Faces (circle one):
ams in this NOTES:
ction) N S E C NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): Gj" but must include dimensions of wall face and
sign placement.
Copy: t1/14.(, MC-- 6I Teel A - ) 1 t.1 • Wall signs do not require site/plot plans.
Materials: /yWMrpt.E` • 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
.re there any existing freestanding or wall signs at this been completed within ninety (90) days after
,cation, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
2( Yes ❑ No ` BECOME NULL AND VOID.
"yes ", a list or diagram of all sign dimensions and °
quare footage must also be submitted.
(OVER FOR SIGNATURES)
1
IM 4.16 '11'
I Iv:
X
3:
o
mi t
1 ' le`
r
F0 Ill>
V, ' C) CS
.E irli
. ... . _.
ro _
�a ; (.,,
' 1 ri it.
'>, 0
,z_
..
,, „ r, , ca
L
,...„
Q m
, ,
c •
D ,,
,..,
E 'T1
,_ ;..-4-...,. , .,
mom = � �. �
Q ni
D
K 0 -1
(.- ii NA \ ' , .. , t , 0 Qo
L a_
0 ri)
I . !
v
project: HALAL 51GNCRAFT ELECTRICAL ADVERTISING LLC.
M =
9033 5W BURNHAM PO 50X 23636
11535 SW Pacific Hwy TIGARD, OREGON 97223 rD
Tigard, rd, Ore o n 503- 639 -4910 FAX: 503- 639 -4999 r
9 9 email: signcrft@pcez.com 4:1)
Date: Sept. 9, 2004
Approved: CITY OF T CARD
Approved , I
Cunditionally Approvod
•
For only the work as descr' • -d i0 o
PERMIT NO. -.. ,L...._.
See Letter to: Follow [ 1
Aitach [
c Job Addr- r • Z t.
By: � � __.._ , Dat::�
Mr,