SGN2003-00052 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00052
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 2/26/2003
PARCEL: 2S 103 D D -00800
BUSINESS NAME: JAVA JUICE ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 80 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: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Sign #2 2/27/03 thru 3/30/03
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 e WOO days from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 2/26/2003
411,,
lill. ' �, SIGN PERMIT APPLICATION
CITY Y OF I 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 c(ue E S 1 'A rt ? 3 -v�og 2_
Address/ Street Address Permit No.:
Location , Zc C w ViAcecici(ti
Expiration Date: . /) - -7 / /3 / 03-
Suite /Bldg. # City /State ii Zip - 0� 77
l 1 r 9/1-.4 Receipt #:
Name V e Approved By: P 9/ 1
r S � �' Date: /03
Property C ` i
Owner Mailing Addre s Suite Map /TL #: $ / 0.3 P -.C.) 0 3 Cl) C
S .-k.M-c- Zoning: C
City/State Zip Phone
Electrical Permit Required? ❑ Yes g No
Tenant or Nam
� Building Permit Required? Li Yes No
Business `, C u A l J CC
Name Rev. 01 -Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign j
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if ❑ 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 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon El 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 7. � � ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): l r)-- ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E- W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: 1 • 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
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
/7")/ ai� . JOVER FOR SIGNATURES)
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03
CITY OF TIGARD 2/26/2003
13125 SW Hall Blvd. 3:35:28PM
///5,0 , Tigard, Oregon 97223
__.. (503) 639 -4171
•
Receipt #: 27200300000000000774
Date: 02/26/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00052 [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 JAVA JUICE KJP 210 In Person 15.00
Payment Total: $15.00