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SGN2003-00303 C ITY OF TIGARD SIGN PERMIT tli l DEVELOPMENT SERVICES PERMIT #: SGN2003 -00303 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/1/03 PARCEL: 25111 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'X4' 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 A -frame sign. Sign must be on private property and not in the public right -of -way or visual clearance. 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 • ys from validity date. APPROVED BY: PERMITTEE SIGNATURE: A DATE: 12/1/03 d _Ai. . SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 • GENERAL INFORMATION Name of Development/Project FOR STAFF USE ONLY Site Address/ Street Address Permit No.: 5 C N Zoo 3'O? 3 0_3 Location - iitefitS t 5961 Su‘i NAw pt, JJ 43 Suite /Bldg. # City /State Zip Expiration Date: I� -`j /D 3 2/3� TIG oa_ q71 Receipt #: .--e_3� - 51 I a • Name Approved By: /- Propert '6, a QA -R_ �0f l.5 Date: 124,1'63Y v Y Owner Mailing Address Suite Map /TL #: - / f /3n - 0 0 2 1 20071 5tx'r 'f-ve 2300 Zoning: &6k City/State Zip Phone SEA - ►kJ r Electrical Permit Required? ❑ Yes ❑ No Tenant or Name Business t d.11.Cj E-sW( 2o Building Permit Required? ❑ Yes ❑ No Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign Q t o NO u) Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit t tS2o 92 0C (Note: applications will not be accepted issuance, a without the required submittal elements copy of all City/State Zip Phone q elements) licenses are 61( (,/� D t 563 207 required if ©' Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # 0 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that Other 1:1 Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale apply) (3 copies, if a building permit is required) ❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 3144.2 as tD S El $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): Z,z( -- ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E W NE NW SE SW Height to top of sign (feet): 4 % • 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: a 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 wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL BECOME NULL AND VOID. ❑ Yes ® No 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. DATED this I day of J0C,W , 200 - - W A-- ll Sig i ure of er /Agent ZA tL Jjp 563 -c 4627 Contact Person Name Phone No. CITY OF TIGARD i 2/1/2003 Aliki, 13 12 5 SW Hall Blvd. 9:51:24AM Tigard, Oregon 97223 Ida (503) 639 -4171 Receipt #: 27200300000000005192 Date: 12/01/2003 Line Items: • Case No Tran Code Description Revenue Account No - Amount Paid SGN2003 -00303 [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 GOURMENT KJP 16554 In Person 15.00 COFFEE CO INC Payment Total: $15.00 SITE VLi\-NN CITY OF TIGARD Approved [ X 1 5 Conditionally Approved [ ) 1 u ,., For only the wok as described in: PERMIT NO. C7 2 - 1, - N3 —o03e3 See Letter to: Follow [ ;d t4 ach r ��" y , , I}t..4 PR- M ® Job Add es • • 1 At � 8I S g-74-r--c- c. c., r A i ,. x 7'y�7�" —7 P G`� Ey: . �@ 9- �.w,a✓ pat �//�3 ^ a kV CONC -2e ■nhat acLvA y' P • / — • /,,,......____ 1,......1 S ' C O N OZZIE \N AL I< HALL F)LvO LAcemear )i '-•F2t 5i'PiNoiNCi 't.. M POz IAY 6160 c is - kpre5.S i 5 V 5v A A U... 4 30 4) Pl.nhike - 55 NAW+ " 7(2;‘, MO . Pe.e.Ssi5 t I 526 Sc22MaAvi Sd3 ‘ i,52.. 2.o12. . • Sign Elevation Primo E spresso Cope duplicated face on OPEN 5 :30 AM WEEKDAYS 6 AM WEEKENDS 3' I 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