SGN2006-00114 4 ff:..:� ryJ `,
SIGN PERMIT
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®EVELOPMENT SERVICES PERMIT #: SGN2006- 001.14 ,
`� `��� DATE ISSUED: 7/17/2006
"r;iGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 1 S136AD -06502
BUSINESS NAME: NEWPORT SEAFOOD GRILL ZONE: C -G
SIGN LOCATION: 10935 SW 68TH PKWY JURISDICTION: TIG
APPLICANT /AGENT: NEWPORT SEAFOOD GRILL
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'X6'
TOTAL SIGN AREA: 36 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 36 sq ft permanent wall sign.
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 39.00
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 temp�ry sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY:
PERMITTEE SIGNATU�: '�� � _ ��
DATE '° 7/� 1006
. • ~'
�� SIGN PERMIT APPLICATION
City of Tigard Pernat Ceritei� 13125 SWHaII Blul, Tigrz� OR 97223
Phore�• 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
S�� � .
Name of Development/Project FOR STAFF USE ONLY '�
Site �/
Address / Street Address Permit No.: 5�7� � � ' � � f `�'
Location
Expiration Date:
Suite /Bldg. k Caty /State Zip
Receipt �
Name Approved By: �-���
Property Date: �� J 7/d ��I //
Owner 1�'1ailing Address Suite IVIap /'I'L,# :
Zoning: (� �/
City /State Zip Phone
Tenant or N� Electrical Permit Required? ❑Yes �Vo
Business Building Pem7it Required? ❑Yes [�"No
Name Rev. 7/5/06
is \ctupin \mastersVand use applications \sign permit app.doc
Sign
Contractor Mailing nddre55 Snice
(Prior to permit
issuance, a � BRED SUBMITTAL ELEMENTS
copy of all City /State Zip Phone Q
licenses are (Note: applications will not be accepted
req"'red if without the required submittal elements)
expired in the Oregon Const. Cont. Board License /! Exp. Date
Qty of Tigard's
database ❑ Completed Application Form
Proposed � Pem�anent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary � Wau ❑ Electronic (3 copies, if a building pernut is required)
(Ch'�k all that ❑ Other Billboard ❑Balloon size requirement: 8 " x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: � f �. � � � (3 copies, if a building permit is required)
size requirement: 8' /z" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): �/
b S'j� ❑ $39.00 Fee (Permanent sign, any size)
Si n Data Total Wall Area (sq. ft.)
g ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
itetru in d'is NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but
Projection From Wa11(inches): must include dimensions of wall face and sign
placement.
� ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑Yes ❑ No permit.
Type: ❑Internal ❑External ♦ If work authorized under a sign pernzit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes ❑ No 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.
DA 1 �;D this day of , 20
Signature of Owner /Agent
�����o �
�.n.. ersonName Phone No.
o �'
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Building Permit Application FOR OFFICE usE ONLY
City Of Tigard Date /B a Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 • '�I I Date /B : Other Permit-.
Inspection Line: 503.639.4175 ,,, � � �• ,� Date Ready /By: luris: ®See Attached Checklist for
Internet: www.Ci.tigard.or . us Notified /Method: Supplementallnformation
TYPE OF WORK REQUIRED DATA: 1 -AND 2- FAMILY DWELLING
❑ New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1 -and 2- family dwelling ®Commercial /industrial Valuation: $
❑ Accessory building ❑Multi - family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10935 NW 68 PARKWAI' New dwelling area: square feet
City /State /ZIP: TIGARD, ORE, 97223 Garage /carport area: squaze feet
Suite/bldg. /apt. no.: Project name: NEWPORT SEAFFOD GRILL Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COA1DfERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed,
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
ILLUM SIGNS AND SIGN FACE REPLACEMENT Valuation: �
Existing building area: square feet
New building area: square feet
® PROPERTY OlVNER ❑TENANT Number of stories:
Name: PACIFIC COAST RESTAURANTS Type of construction:
Address: 7165 S�V FUR LOOP ST Occupancy groups:
City /State /ZIP: TIGARD, ORE, 97223 Exis[in
g�
Phone: (503)684 -2803 Fax:( ) New:
® APPLICANT ❑CON'T'ACT PERSON NOTICE
Business name: MEYER SIGN CO OF OREGON All contractors and subcontractors are required to be
Contact name: DENNY MEYER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 15205 SW 74 AVE jurisdiction in which work is being performed. If the
City /State /ZIP: TIGGARD, ORE, 97224 app;icant is exempt from licensing, the following reasons
pP Y�
Phone: (503)620 -8200 Fax:: (503)620 -7074
E -mail: OFFICE @MEYERSIGNCO.COM
CONTRACTOR
Business name: )t1e er Si n Co Of Ore on
y g g BUILDING PERMIT FEES*
Address: 15205 sw 74the ave
Please refer 10 fee scl►edule.
City /State /ZIP: Tigard, OR, 97224
Fees due upon application
Phone:(503- 620 -8200) Fax:(503- 620 -7074)
Amount received
CCB lic.: 64014
Date received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: DENNY MEYER I Date: 7 -14 -OG *Fee methodology set b}- Tri- County Building Industry
Service Boazd.
is�Building�Permits�BUP- PermitApp.doc 12/03 440- 4613T(I I /02 /COM/wEB)
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Re face one (I) double face pylon sign with formed --
lexan faces and embossed co and graphics. �� ��� ��
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b ,s�' a'"" -. - '/z "thick cut sincra letters and logo
,���` � * "� -' •- paint letters PMS# 7403
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PERMIT NO. ��� � 1 �f
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bottom _ � _ _ � , t - -- illuminated aluminum /sintra wall mount sign.
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���-= :�� =�� CITY OF TIGARD 7/17/2006
'�`� v
13125 SW Hall Blvd. 9:34:57AM
Tigard, Oregon 97223
�TIGpRD (503) 639 -4171
Receipt #: 27200600000000003552
Date: 07/17/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
ELC2006 -00390 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40
ELC2006 -00390 [TAX] 8% State Surcharge 100 - 0000 - 207020 4.27
SGN2006 -001 15 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -001 15 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -001 14 [SIGN] Sign Permit 100 - 0000 - 437000 34.00
SGN2006 -OOl l4 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $135.67
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MEYER SIGN BB 15541 In Person 135.67
Payment Total: $135.67
cReceipt.rpt Page 1 of 1