SGN2003-00004 SIGN PERMIT
14 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00004
A CITY OF TIGARD
— — E DATE ISSUED: 1/13/03
- 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171
PARCEL: 25111 DD -00201
BUSINESS NAME: BARGOS PIZZA ZONE: C -N
SIGN LOCATION: 15917 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: Temporary a -frame sign Valid 1/14/03 to 2/14/03
MATERIALS: WOOD
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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 ex• •= 10 days from validity date.
fir
APPROVED BY: - , _/,�� ‘
PERMITTEE SIGNATURE: ' ` 0 / 4r 1-
DATE: 1/13/03
CITY OF TIGARD 1/13/2003
13125 SW Hall Blvd. 10:55:02AM
Tigard, Oregon 97223
�," `'' (503) 639-4 171
Receipt #: 27200300000000000135
Date: 01/13/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00004 [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
Cash NABIL MET In Person 20.00
Change COT MET In Person (5.00)
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt
} 4:I f _. SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name f Development/Project
M —CCgo S / • 3 _ 7 FOR STAFF USE ONLY
Site G
Address/ Street Address � �� D r r Permit No.: 6/1) j ` S —°0°0 Location / • l! Expiration Date: �Zlf! 03
Suite /Bldg. # t Zip
' __V1)� 72 Receipt #: ��f 3c
Name Approved By: - ���' /
RSe.L.-et -L J- 1 Date: 13 /03 .
Property 25 � I I
Owner Mailing Address Suite Map /TL #: D — OOl.Ol
Z.(Y 1 (, A � ` e- 23cs0 Zoning: e -0
City/State Zip Phone
5 - - i k vio_ lg zl
Electrical Permit Required? ❑ Yes [9
Tenant or Name _
Business 0 $1RCO ® s i I 336Z_ Building Permit Required? ❑ Yes 11Klo
Name Rev. 01- Jul -02 is \curpin \masters \revised \siqn permit app.doc
Sign ..
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if V, Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 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 igi Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Oth ❑ Billboard ❑ Balloon ❑ 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: 3 x
(4 ❑ 30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): t,
j $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) s
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
ON section) S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): L but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: a Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes [a 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 day of , 20
PAL( a---
Signature of Owner /Agent
fu\cl
663 � 7 I
Contact Person Name Phone No.