SGN2002-00098 CITY TIGARD SIGN PERMIT
A kr DEVELOPMENT SERVICES PERMIT #: SGN2002 -00098
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/10/02
EXPIRATION DATE:
BUSINESS NAME: GODFATHER'S PIZZA PARCEL: 2S102CB 0180;
SIGN LOCATION: 13405 SW PACIFIC HWY
APPLICANT /AGENT: GODFATHER'S PIZZA ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 168 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated framed banner sign.
MATERIALS: BANNER W /FRM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the - : ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. A work ill be done in accord. nce with approved plans. A sign permit shall expire 90
days from approval date. A t= porary -ign shall expire 31 da s fro approval date. A balloon sign shall expire 10
mays from annmvai rtatP
APPROVED B
a
PERMITTEE SIGNATURE:
DATE: 6/10/02
a
• 41111'-'4 �� 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
7) // 7 FOR STAFF USE ONLY
Site L7 c.) d v c• it.,r-' je-2 2- c. ��
Address/ Street Address Permit No.:� �a �'-��" 0()l 0
Location / 3 �'o S" 5w ►�c. , a . /1,7 n ( �-
Suite /Bldg. # City /State Zip Expiration Date: `
. • �� � "7b�,z 3 Receipt #: o :f 6 1
i
Name J Approved By:
Property TS < X c 0s r- 0 c. 6. Date: (D, 1 O 0 ---
Owner Mailing Address Suite Map/TL #: a r .r _Ai - . V.'
/ `// (' 3 ``4cA-k Zoning: — rA
■
City /State Zip Phone
-/ f l.�/� ' k/� / Z�t 42 4 c S Electrical Permit Required? ❑ Yes [ 'NO
Tenant or Name
Business 6,0.1.-A. H-4, 's / , 2 z Building Permit Required? ❑Yes [�J No
Name Rev. 30- Jul-01 is \curpin\masters \revised \sign 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 ®. 6ompleted Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # E 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Pro Proposed size requirement: 8 /i" x 11 ", or 11" x 17"
p ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 °, to 24" x 36"
❑ New sign? ❑ Alter to existing sign? Er $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
3 )(? ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): Z l
NOTES:
Si n Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
g �� but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: 001.2._ p((, been completed within ninety (90) days after
Materials: r the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes K° - No
BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this i Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? Visa MasterCard
Credit card number / /
❑Yes ENO Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
__Cardholder signature Amount
(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 C� Jl t day of , 20o
Signature of ner /Agent
<SN 11 C5- °3) 6_ 53/- 72 o 0
Contact Person Ntime Phone No.
•
Receipt #: 27200200000000002130
Date: 06 /10/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00098 [SIGN) Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash GODFATHER'S PIZZA DCP 0 0 $60.00
Change GODFATHER'S PIZZA DCP 0 0 ($10.00)
TOTAL AMOUNT PAID: $50.00