SGN2003-00307 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00307
r 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/4/03
PARCEL: 2 S 110 D C -02200
BUSINESS NAME: COFFEE PEOPLE ZONE: C -G
SIGN LOCATION: 15660 SW PACIFIC HWY A -8 JURISDICTION: 'TIC
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: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary, A -frame sign. Valid from 12/5/03 through 1/5/04.
Sign #2.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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.
66.
APPROVED BY: CA 4
PERMITTEE SIGNATURE: i -
DATE: 12/4/03
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, :i_L. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX.: (503) 684 -7297
GENERAL INFORMATION
• Named lopmen roiect
Site (C , FOR STAFF USE ONLY
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Address! Street Address t, Permit No.: s G N ao0 3 - v, �7 , _
Location / .4% 6n 5 W �u 99 SrN C P A- 8 Expiration "S - D .
Suite/Bldg. a City/ e / zip xpiration Date:
t b T, 30.i ,�l( p P"} -01-1-4 Receipt #: 9 ° C ) 3 - ' - 5 ° 1 " 4 5
Name Approved By: e ' C --)
Property Date: / - `/-
Owner bailing Address Suite Map/TL # : c2S I/O P a — o a a a 0
Zoning: C - 6
-- Cit Zip ------ . ---- - - Pttbrsg'
Electrical Permit Required?
Tenant or Name �, .- ❑Yes
Business C r C 4 ' O p 1 7 Building Permit Required? ❑ Yes o
Name J" Rev. 2!2812003 i: evisedlsign permit app.doc
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Sign )lr'r}i'.l)G( j; J:CJ 1 �i15,91
Contractor ^�� Address �+►s REQUIRED SUBMITTAL ELEMENTS
(Prior to permit : ,11
issuance, a 5 ' F � c w r�� r y (Note: applications will not be accepted
copy of au CityrSLIte Zip Phone without the required submittal elements) 1
licenses
r are �c `}�� 9�I '3 —�* -�1?�
expired in the Oregon Const n_ Co Board Exp. bate --Completed Application Form
City of Trgard's Ueense s
database) (l� q I- /C Z -0 ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required) ..s P ermanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign
all that Temporary ❑ wail 1:1 Electronic
WPM) ❑ Omer ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
- - (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 k 1 1", to 24" x 36° '
Sign Dimensions:
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
ra_S15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wail Faces (circle one):
items in this NOTES: ,
section) N S E W NE NW SE SW •
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_
t:opy. • 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 well 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
El Yes El 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)
•
1.
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 mot' day of '9e c e e J— , 20 0
Si ature of Owner /Agent
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CITY OF TIGARD 12/4/200,
13125 SW Hall Blvd. 1:51:11PM
i(it, Tigard, Oregon 9 72 23
1. (503) 63 9-4 17 1
Receipt #: 27200300000000005245
Date: 12/04/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00307 [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 CAC 055048 In Person 15.00
Payment Total: $15.00
•
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