SGN2003-00172 CITY TIGARD SIGN PERMIT
i, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00172
4 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/25/03
PARCEL: 2S 110DC -02200
BUSINESS NAME: COFFEE PEOPLE ZONE: C -G
SIGN LOCATION: 15660 SW PACIFIC HWY A -8 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 4
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Temporary A -frame sign (3' x 4'). Must be placed outside of city right of way. Sign
#1. Valid from es 7_z off _ o g -Zs -ems
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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.
' ✓ i
APPROVED BY iry Mit SIGNATURE:
DATE: 7/25/03
07/23/2003 11:45 FAX 5035981960 CITY OF TIGARD l 002
A r , , .J ,, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
G ENERAL INFORMATION
Name of 0 elopmen Project
Site Ct,e. �e. p ., /) FOR STAFF USE ONLY
Address! Street Address l' / Permit No.: C -. /f/2.t,n 3 -cis z
Location I �� 60 5 W Nu/ 99 A - S Suite/Bldg. # City /S % e Zlp Expiration Date:
?) T9&r , o1( np . q-+ 1-4 Receipt #:
Name / Approved By:11ffC —
Property Date: 67 2S - 67,.
Owner Mailing Address Suite Map/TL #: - I .7)G
Zoning: e - 6
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes No
Business C G � &� Peopj f Building Permit Required? ❑ Yes No
Name Rev. 2/28/2003 i:lcurolnlmesterslrevlseasion permit app4Oc
Sign Al P6,6- N, 5;qrA De
Contractor Mailing Address i Suite REQUIRED SUBMITTAL ELEMENTS
,A (Prior to permit /
issuance, a 49. 5 (�� VA (Not ®: applications will not be accepted
copy ea City/State Zip Phone without the required submittal elements)
licenses are
q
required If
' PO ' aM Cr-)_t Lk 50'23� -�? l Eompleted Application Form
expired in the Oregon Const. Cont. Board Exp. bate
City of Tigard's License*
database) ( l � j /U- �2 - D El 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ P ermanent ❑ Freeetanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign 1E1 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies ofelevations, drawn to scale
apph)
New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
$15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
sectiQ N S E W N E N W S E S W r •
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement -
Copy • Wall signs do not require site /plot plans.
Materials: • 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
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wail signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No
BECOME NULL AND VOID:
If "yes ", a list or diagram of all sign dimensions and
•
square footage must also be submitted.
(OVER FOR SIGNATURES)
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07/23/2003 11 :46 FAX 5035981960 CITY OF TIGARD 2003
r, •
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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 ()_q-
1 , day of , 20
Signature of wner/Qgent
d ig 6AP ))iJ 5o3 � -9 703
Contact Person Name Pho a No.
RECEIVED
511URG Q Sh„iyc -d of Ki.�G� City
JUL 2 �/ 2003 15700 SW Pacific Highway
Ti0ord, Orcyon 97224
CITY OF TIGARD phone 503 684 5564
� - BUILDING DIVISION Fax 503 670 1097 A n c--e-- (77 Xfr
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CITY OF TIGARD . 7/25/2003
13125 SW Hall Blvd. 2:43:09PM
����� Tigard, Oregon 97223
'IL (503) 639 -4171
Receipt #: 27200300000000003277
Date: 07/25/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00172 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
CreditCard DAVID GARDINER MAS 025407 In Person 15.00
Payment Total: $15.00
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