SGN2011-00061 CITY OF TIGARD SIGN PERMIT
� . l Permit #: SGN2011 -00061
COMMUNITY DEVELOPMENT Date Issued: 06/16/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 2S113AC00101
Jurisdiction: Tigard
Name of Business: Food Sales West
Business Address: 16655 SW 72ND AVE
Applicant/Agent: Dornath, Lisa
Work Description: Installation of one (1) permanent wall sign 36" x 33"
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 36" x 33"
Total Sign Area: 8.25
Wall Area: 8640
Wall Face (Direction): West
Sign Height: 18 ft.
Projection From Wall: 1.25 in.
Illumination: No Illumination
Materials: 1" Acrylic
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $164.00
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: 2 /J J it
Permittee Signature: d apple/ iD ►t...-
RECEIVED
!A . City of Tigard MAY 2 4 2011
Sign Permit Application CITY OF TIGARD
TIGARD P LANNING/ENGINEEMING
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site t bOCA SC _S W e_ A- S dV (� 000(e Address/ Street Address ' 1 /�, \ Permit No
Location I W W lX ) S S 1 Z °�"f V� (0,g /
Suite /Bldg. # City/State Zip A pp r oved By: `Jv�+ f
- ; - \cy4ucJ 6P. C{ -12 --2.L1 Date: i "S //
Name Receipt #: 1 0 a ( f('
Property p •
PC V.. Ma /TL #: g Si 13 (ga0O (0 /
Owner M ' A ddres S Z omn . T
I 50 u
g sequotC. g
ptci t _ 6 Allowable Total Are 15
RAID �
City/State Zip Phone
RAID M g12z so3 6924. La' Electrical Permit Required? ❑ Yes No
Tenant or ,
Business FC 5 J i S V V es .1 -. Building Permit Required? ❑ Yes 10
Name Rev. 7/1/10
is \curpin \ masters \land use applications \sign permit app.doc
Sign 'C S I n S
Contractor Mailin Ad es Suite
115�5
City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
rl'`l Cl- OCI ON C- 17Z23 a3- 24q _cg 3' (Note: applications will not be accepted
Oregat Const. Cont. Board License # Exp. Date without the required submittal elements)
I' 77 q 7 - R/Zl � [y Completed Application Form
Proposed Permanent ❑ Freestanding Freeway
❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign all that ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
apply) wau ❑ Other requirement: 81/2" x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: , 3i _ Y h X 32 1/ , w / size requirement: 8' /z" x 11", to 24" x 36"
Total Sign Area (sq. ft.): 25 S4 c-+ [ $164.00 Fee (Permanent sign, any size)
Sign Data Total Wall Il t 4 ) __ o ❑ $52.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E 6 NE NW SE SW
Height to top of sign (feet): A 1 ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): th " must include dimensions of wall face and sign
Materials 1" placement.
/ ♦ Wall signs do not require site /plot plans.
Will sign have illumination? ❑ Yes �f44o ♦ Freestanding signs over 6 ft. required a building
Type: ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes No
/ /// ���` (OVER FOR SIGNATURES)
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov I 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 Wec /U day of My , 20 t l
4'taf&
/ iei/
ature of Owner /Agent
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
Approved
Conditionally Approved
1 6 7 72nd Avenue 722 For only the my s d ri d
PERMIT NO. s � a Di 0OUIP
See Letter to: Follow . _...,
A ach .....
Job Address: 1 , C 1
by: 'e pate;. fs - /Y -!i
1 nth Scale
Logo size = 20'
36"Hx33.1 'w — 1 s+
/10 D
Material=
1 "Thick Acrylic
; I --is'
Colors -=
14'
3000 Blue
2000 Yellow
Mounting=
Pad/Stud Mounted
(-11-e &
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 182815 - 06/09/2011
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2011 -00061 Sign Permit 1003100-43115 $143.00
SGN2011 -00061 Sign Permit - LRP 1003100 -43117 $21.00
Total: $164.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 2037 KPEERMAN 06/09/2011 $164.00
Payor: FASTSIGNS - TIGARD
Total Payments: $164.00
Balance Due: $0.00
Page 1 of 1
FROM : PHONE NO. : 503 244 7753 Jun. 16 2011 11:43AM P1
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(503) 244 -8813
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RESTAURANT
COMPANY: T/Mi: Possible sign needs:
O Building Identification
()Z - ZC(C . l O Menu Boards
PHONE: FAX
0 Promotional Banners
FR�l�l1. O Easel Cards for Specials
O Hours of Operation
0 Window Identification
1.15 ri Do ✓elc,4 4k 'D
NAME.' 0 Address Markings
TOTAL PAGES met. COVER 0 Point -of- Purchase Displays
/��/���� � 0 Promotional Posters
/�� t _ ter _
0 Interior Room Identification
O Delivery Vehicle Graphics
> av , T .e ' 7 S � � c? g 0 Loading &Warehouse Signs
IL (}3 y L in fre — 0 Delivery Instruction Signs
0 Food Storage Signage
ctieZ_IL_AL4eb4s2_cizr, 4 fe& (� , 0 Work Scheduling Boards
0 Policy Statements
- 1-1- -. Vi co " "
. 'g6 `f- - hc...- 1016(k 0 Employee Schedule
tW _ Required ADA Signage
/ ff O Parking Signs
i'� Q_�i ^C()l/V� D i 11 Prl.4f) 0 Exterior Directional Signs
/---f 5 0 Interior Directional Signs
0 Rest Room Signs
_..____— U _ 7.,(4 (� _ Q� 1 0 Check Out Identification Signs
l v O Safety Signs
0 Entrance & Exits Identified
BANNERS • WINDOW LETTERING • REAL ESTATE & YARD SIGNS • VEHICLE & BOAT GRAPHICS - MENU BOARDS • RETAIL SIGNS •
El mer° ` • � 0 ° C i Directional R ER �1 ill
pdarpkei , --
. � mi.
ARCHITECTURAL GRAPHICS • LOGOS & SYMBOLS • TRADE SHOW DISPLAYS • MAGNETIC SIGNS • READY TO APPLY LETTERING