SGN2010-00115 CITY OF TIGARD SIGN PERMIT
!t Permit #: SGN2010 -00115
COMMUNITY DEVELOPMENT Date Issued: 07/08/2010
TI GARL) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DD00800
Jurisdiction: Tigard
Name of Business: Tigard Donut
Business Address: 13815 SW PACIFIC HWY 80
Applicant/Agent: Kim, Peter
Work Description: Placement of one (1) temporary sign (A- Frame) 3' x 4' Sign #2 Valid 7/9/10 - 8/9/10
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 2 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: Yes
Sign Dimensions: 3' X 4'
Total Sign Area: 12
Wall Area:
Wall Face (Direction): Southwest
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood
Electrical Permit Required:
Building Permit Required: No
Total Permit Fee: $52.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: `
0
Permittee Signature:
RECEIVED
Er City of Tigard JUL 0 8 2010
Sign Permit Application CITY OF TIGARD
g App PLANfat iGrENGINEERING
GENERAL INFORMATION /G�D 0/ l
Name of Development/Project �/� FOR STAFF USE ONLY
Site Ti CixrC' ' 14 `` rn
Address/ Street Ad s Permit No.: -� t. l t) t7 l (!J
Location 13 CI I c W Pc i c " 1 4-1
Suite /Bll Uld V
dg. # City/State Zip
Approved By: S
SO . Tla Avoi iZ_ T1.12, 3 Date: 'I /g) I U
Name Receipt #:
Property ( `[6 C 1►1 GAS) Map /TL #: 0 /D 3 6 /' 01) &C
Owner Mailing Address Suite Zoning: 6
Allowable Total Area:
City /State Zip Phone
Electrical Permit Required? ❑ Yes Ill No
Tenant or Name
Business Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/10
is \curpin \masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
(Note: applications will not be accepted
Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway El 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Rt Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that
El Wall ❑ Other t »
apply) size requirement: 8 /z x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
❑ New sign? g Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: : � size requirement: 8t /z" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): ? X 5 ❑ $164.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 111 $52.00 Fee (Temporary sign, any type)
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE ESW)
Height to top of sign (feet): <4 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
_t placement.
Materials: VW v v `
• Wall signs do not require site /plot plans.
Will sign have illumination? Yes E No • Freestanding signs over 6 ft. required a building
Type: 111 Internal a External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
El Yes] No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard 1 13125 SW Hall Blvd., Tigard, OR 97223 1 503- 718 -2421 1 www.tigard- or.gov 1 Page 1 of 2
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
P ke-
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
CITY OF TIGARD RECEIPT
4
G . ; 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 178614 - 07/08/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00115 Temporary Sign Permit 1003100- 43115 $45.00
SGN2010 -00115 Temporary Sign Permit - LRP 1003100 -43117 $7.00
Total: $52.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 07772B STREAT 07/08/2010 $52.00
Payor: Dae Kim
Total Payments: $52.00
Balance Due: $0.00
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