SGN2003-00233 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00233
�, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/23/03
PARCEL: 2S111 DD -00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -N
SIGN LOCATION: 15981 SW HALL BLVD 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: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 12 sq ft A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
9 -29 -03 - 10- 29 -03. Sign #1
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 expir 0 days from validity date.
APPROVED BY: A ..< —1—e-A-4
PERMITTEE SIGNATURE: k
DATE: 9/23
Recd By �0�' ,
plication Date Reed Y J L3 /e ,
;ITY OF TIGARD Sig n Permit A p
3125 SW HALL BLVD. Permanent or Temporary Permit No. Sc.) / - 002,33
•IGARD, OR 97223 Commercial or Residential. Permit Fee ¢ 6 0
503) 639 4171
Receipt No. 9—Y
Please Print or Type. Called •
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this .
location, including wall signs that overlap a tenant space?
Site ❑Yes �No
Address/ Street Address If "yes ", a list or diagram of al si n dimensions and
Location (591 1 "�t square footage must also be submitted.
Suite/Bldg. # City /State Zip •
i CIAQ -A. (fie— Chi +
NOTE: If work authorized under a sign permit has not
Name I~ • t been completed within ninety days after the
Property (��Slr� lU,�IIVu �r issuance of the permit, THE PERMIT WILL •
Owner
M ailing Address Suite BECOME NULL AND VOID.
Zoo t Cn --�t 2_300
City /State Zip Phone I hereby acknowledge that I have read this application, that the
$1't 20b` 4 8. 19-15 information given is correct, that I am the owner or authorized agent of the
SE}'�E {�, owner, and that plans submitted are in compliance with the City of Tigard.
Tenant or Name , Da
Pei Mo ESPeE Sig y:ture of Owner /Ag e nt Z On2
Business SC . ` UUA. llv C A ' V/ ° OS
Name Con .; Pers • Name Phone
Sign f�� 2 lit i� 503- 7 4
M ailing Address Suite I a (40 V J I LL
Contractor -
Prior to permit •
issuance, a Phone
copy City /State Zip
of aft licenses Required Submittal Elements
are required A :
Dat -
expired in Oregon Const. Cont. Board s C appllcafloCi f orm ,:
C.O.T. License #
database ❑ 2 copies of site /,plot plan, r
dawn to scale
3 co tes f a ulidiig ;p ermit is reciutred)
. Proposed a BOA-024 ❑Freeway p p
Sign Permanent ❑ s ize requirement 8 112 - x 11:� or�l'I° x � 7 ° : ,
freesta ❑ Electronic `� Utre s�tel lOf plans
Ct,eapallthat Temporary _.Note Wall .si ado not req P
Other ❑ Wall ❑ Balloon
apply _ ❑ Billboard • C 2 c ( oPtes of e levations, drawn to scale _ -_
3 ; !copies if e build :„permit is required)
New sign? :size requirement 1 /2" x 11 ", to 24" x 36" .
Note : - Wall_.signs:do no(needto bedrawn.to
Alteration to existing sign?
Sign Dimensions: .31$ 4 i scale, bm
ut u in
s t clude dimensions. .
$50
a .00 F (Permanentsign arty si
Total Sign Area (sq. ^ ft.). ❑ $ g any type .
15:1 Fee (Terriporary s l n,
12 25
Sign 24 _. Data Total Wall Area (sq. ft.)
Please
complete Direction Wall Faces (circle one): FOR OFFICE USE ONLY: •
each item Map/TL# Zoning:
in this N S E W NE NW SE SW
section `
•
Notes
Height to top of sign (feet): 4
Projection From Wall (inches): ElectricaiPermit'Required? ❑ Yes ❑ No
Copy: . .
. . .. .
.
Materials: ' B'uitai ie ID No :
ng Permt R qu ire d? Yes
� .
Will sign have illumination? No? Yes Aiipoved By :.
Date of Approval;
• E xternal • _ . •
Type: ❑Internal ❑ : Expitation:D.ate:
•
Sign Elevation
P rimo
Espresso duplicated face on
OPEN
5:30AM
WEEKDAYS
6 AM
WEEKENDS
I 3'
Temporary Freestanding A -Board Sign
12 Square feet per side
Scale 1 " =l'
Site Address: 15981 SW Hall Blvd.
Tenant/Business Name: Primo Espresso
Sign Company: Signs Now
11520 SE 82nd Ave
Portland, Oregon
503- 652 -2072
Si TE Vi—N-t■
t
CITY OF TIGARD
Approved [ k l
Conditionally Approved _ [
For only the work as described in:
PERMIT NO. SC7N Z.oc,3 —O02 3 3
7LA 0 See Letter to: Follow [ l
V 3 c; - PR-WO Attach [ l
r '��} � i / Job Addr s: 1 -s- 7 re/ 5 ti h ['ra -L-A- 6 I d
;''' 1-1\9v"7, t C* 50 By: lC. Date: 5/ 7 34.2
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CITY OF TIGARD 9/23/2003
13125 SW Hall Blvd. 10:52:18AM
iitii,,.4 11 4�Y�� Tigard, Oregon 97223
(503) 639 -4171
•
Receipt #: 27200300000000004237
Date: 09/23/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00233 [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
Check NORTHWEST GOUTMENT KIP 16393 In Person 15.00
COFFEE CO INC
Payment Total: $15.00
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