SGN2004-00251 C ITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00251
ata-
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/20/2004
PARCEL: 1S136AD-04000
BUSINESS NAME: HALAL DELI MARKET ZONE: C -G
SIGN LOCATION: 11527 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' -6 "X19' -4"
TOTAL SIGN AREA: 48 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 permanent 48.25 sq ft wall sign.
MATERIALS: PLEX &ALUM
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 days from validity date.
/ APPROVED BY:
PERMITTEE SIGNATURE: 6
DATE: 9/20/2004
r1/
, 41
,h2stieis-, SIGN PERMIT APPLICATION . .
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION
ir, , 1 1" Name of Development/Project •
lie
tk `'s ;' * � FOR STAFF USE ONLY
\ddress/ Street Address
ocation I. _ v `°� j Q Permit No.: t t �1/ 7 sz y .-G� Z.S
//�� 1 Expiration Date:
Suite /Bldg. # City /State Zip
,6 t2 " f -) :) Receipt #:
Name Approved By: f
'roperty 't 1Th .W\ IT i Date: // / 7I ,1
)wner Mailing Address 1 Suite Map/TL #:
j21 SW (VAKIN ' ` Zoning: G (7
City /State Zip Phone
' enant or
N i6 0411 2-'23..1 l Electrical Permit Required? es ❑ No
lusiness Building Permit Required? ❑ Yes ❑_146
Name — Rev. 8/7/2003 is \curpin\masters \revised\sign permit app.doc
iign �t6"1'V ll CAA L- -C-
:ontractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
'rior to permit �
�J�1 —
suance, a �� 11v'��ll Tv�J�\ (Note: applications will not be accepted
)py of all City/State Zip Phone without the required submittal elements)
tenses are C�_pn ^ � q /I4
squired if 3�JYUJ ` l�
❑ Completed Application Form
rpired in the Oregon Const. Cont. Board Exp. Date
ity of Tigard's License # �® �( 2 Copies of Site /Plot Plan, Drawn to Scale
atabase) �7 ❑ p
(3 copies, if a building permit is required)
'roposed , - , Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
'tgn Temporary 0—Wall ❑ E
;heck all that
ly) ❑ ❑ 2 copies of elevations, drawn to scale
Other ❑ Billboard El Balloon
[` .New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
g g size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:.Z - o x 11, 1. 4 , 0
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): e (
LE ❑ $15.00 Fee (Temporary sign, any type)
ign Data Total Wall Area (sq. ft.) 3 coI5 El Jurisdiction: ❑City ❑ Urb
:omplete all Direction Wall Faces (circle one):
ms in this NOTES:
a ction) N S E n NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): G but must include dimensions of wall face and
Copy: I �RA
\1P■f UJ 5 . -kg,� sign placement.
� � I � v � • Wall signs do not require site /plot plans.
Materials: . Freestanding signs over 6 ft. required a
Will sign have illumination? g Yes ❑ No building permit. .
Type: 0 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
❑ 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)
.
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'RINT 17 HALAL FA5
•.•••• MEDITERRANEAN FOOD & DELI _ -- - - . .
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• V ER PRINTING 30( COLOR COPIES -
t PANDA
HEALTH COPIES FAX ALWAYS i. �,,
Single faced aluminum cabinet with
S Lexan Folycarbonate face, Translucent vinyl
reverse face graphics with 3M Cardinal
• red and border color 3M Mango.
CITY OF TGARD
At c;:-wed
Corthti� pally Approved [ 1
For only
the v rras described in:
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.,& Lctter to Follow
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