SGN2002-00143 CITY OF TIGARD SIGN PERMIT
.�, ,Ire DEVELOPMENT SERVICES PERMIT #: SGN2002 -00143
�.��I =. DATE ISSUED: 8/29/02
���'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: CASH & CARRY UNITED GROCERS PARCEL: 1S136CD -0100
SIGN LOCATION: 11745 SW PACIFIC HWY
APPLICANT /AGENT: UNITED GROCERS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10' X 28.7'
TOTAL SIGN AREA: 287 sq. ft.
WALL AREA: 5,952 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign.
MATERIALS: PLST /ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
This permit is issued subject to th- - • ulations contained in • - Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. ,_ I work II be done in acc rda ce with approved plans. A sign permit shall expire 90
days from approval date. A -mporary sign shall expire da s from approval date. A balloon sign shall expire 10
days from annrnval riatP
APPROVED : / '/ /;
PERMITTEE SIGNATURE: /OA 0 Al O
DATE: 8/29/02
7 ,
`' _ 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 L2LI ( FiQ 20 L ee
Address/ Street Address ,-....1 Permit No.: cSGVV / �a - C )9 [
Location LP L t Et Z. Expir Date: /
n
Suite /Bldg. # City /State ip
O Receipt #: as �.
Name Approved By:
Property
Date: (
Owner Mailing Address Suite Map /TL #: 1 t Q S ( C D -0 l
Zoning: G — szi'
City /State Zip Phone
Electrical Permit Required? Yes ❑ 90
Tenant or Name
Business v/ t l Q (.97(1.0c cS Building Permit Required? Yes No
Name Rev. 01- Jul -02 is \curpin \masters \revised\sign permit app.doc
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Sign ,, L (Z- TTYI CA kl S
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a (-4"-- S -_ (1 � '
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if 1 ?()( 1 i . flC °I 232 <( (7 Z Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 1 -l.L 1 /c ,3 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway requirement: 8 x 11 ", or 11" x 17"
. _Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billb ❑ Bal 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
Igf,New sign? ❑ Alter to existing sign? e requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions: ,,
10 2 - � NY $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,
18( X ---Z 1 III $15.00 Fee (Temporary sign, any type) ,
Sign Data Total Wall Area (sq. ft.) 5oPtS _-
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
e Wall signs do not need to be drawn to scale,
Heigh 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:?,04 - r r c., /k,,t,. ► „A.e( a Freestanding signs over 6 ft. required a
building permit.
Will sign have illuminati n? . Yes ❑ No . If work authorized under a sign permit has not
Type: Internal IV External been completed within ninety (90) days after
Are there any existing freestandl 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 ❑ No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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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
Signature of Owner /Agent
�cd S03 232 L f (7
Contact Person Name Phone No.
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Manufacture and install one (1)10' x 28' - 7 . r single faced, internally illuminated Cash & Carry 8
wall sign. Sign to be painted aluminum construction with a Flex face and vinyl graphics.
QTY OF 8 prz
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Let:...:! 1c• FoUraw::..:..,. ! a
Wall Signs
Scale: 3/16" = 1' - 0"
• DATE j CLIENT CLIENT APPROVAL
' ---- r � ; , 436 SE 12TH AVE 08050 Copyright 2002 Security Signs, Inc.
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J � �i I1 r speci
si 1) i, L b PORTLAND, OR 9721 4 T. 503.232.4 1 72 This or nal des gn and verity icanons arc
- exclusive property of Security Signs. Inc.
The use of these designs to produce a similar
i --�� WWW.SECURITYSIGNS.COM CaSh&CarrY : PLEASE SIGN HERE
��� L �� �� ,-- --= - --= OR CCB # 1 22809 F 503.230.1 8 6 1 P ROJ E T MANAGER United Grocers- authoauthorizatioFrom si without written authorization From
QUALITY SINCE 1925 WASECURS1020CF ' TOM KE4.J0
___.....:>04) Security Signs. Inc. is forbidden.
i 1 DATE
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Receipt #: 27200200000000003206
Date: 08/28/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
T
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
ELC2002 -00426 [TAX] 8% State Tax 100 - 0000 - 207020 $4.27
ELC2002 -00426 [ELPRMT] ELC Permit 220 - 0000 - 431510 $53.40
SGN2002 -00143 [SIGN] Sign Permit 100 - 0000 - 437000 $30.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check SECURITY SIGNS INC DEB 008830 $87.67
TOTAL AMOUNT PAID: $87.67