SGN2002-00084 CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00084
�fl ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/22/2002
EXPIRATION DATE:
BUSINESS NAME: JAVA JUICE PARCEL: 2S103DD -0080
SIGN LOCATION: 13815 SW PACIFIC HWY 80
APPLICANT /AGENT: JAVA JUICE ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: 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: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) temporary freestanding banner sign. Not to be placed
in visual clearance area or public right -of -way. Valid 5/23/02- 6/23/02 (Sign #1)
MATERIALS: BANNER
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 regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. AIyv6Yo k be done in acc. : nce with approved plans. A sign permit shall expire 90
days from approval date. A teniporary sign shall expire .0 drys rom approval date. A balloon sign shall expire 10
rtavc from annrnval riatA
/ ui ' i �'
APPROVED B ( /�
PERMITTEE SIGNATURE: I/17 4
DATE: 5/22/2002
r
.�, SIGN PERMIT APPLICATION
„Al 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 - 5A4 A - 3 - 4Ac. 4 . �
Address/ Street Address Permit No. 1 •$Sa "AL. t _
Location ° 'c' '' v� 02 – / . t/�
Suite /Bldg. # City /State Z Expirati Date: Zip
ISO 1∎ at9 OR `‘1a-43 Receipt #: 4.i; ,
Name (� Approved By: (, FY"
Property �J 14 tS \-- e-crpAN.t Date: U C i i
5
Owner Mailing Address Suite Map/TL #: - /' ?O 00 ria
4115c .
r fp a„wch P1.te. l0‘ Zoning: C,'
City /State Zip Phone
?c X 00. cl'1ao1 3 '3' $O Electrical Permit Required? ❑ Yes M No
Tenant or Name
Business .3-Pws∎ -54∎c.e. f 6.\ 4 # R v S Building Permit Required? ❑ Yes No •
Name \ Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app doc
Sign I --i
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 [" 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 � size requirement: 8 x 11 ", or 11" x 17"
Pro ❑ Permanent
p lg Freestanding ❑ Freeway
Sign lg Temporary ❑ Wall ❑ Electronic ftf 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) s ze requirement: 8 x 11 ", to 24" x 36"
®„ New sign? ❑ Alter to existing sign? $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 3
L i X
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.). /
l NOTES:
Sign Data Total Wall Area (sq. ft.) /
t.) . Wall signs do not need to be drawn to scale,
Si
9 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S E 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): A I 4 . If work authorized under a sign permit has not
Copy: 6,- been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes l F No — BECOME NULL AND VOID.
_ Type: ❑ Internal ❑ Exter al
Are there any existing freestanding or wall signs at this (-Not all jurisdictions accept credit cards, please call jurisdiction for more information
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
❑ Yes ❑ No Credit card number / 1
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. S_______--____—
, 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 _ day of , 20 (:)`"
Signature of Owner /Agent
Contact Person Name Phone No.
Receipt #: 27200200000000001866 cuc,ri
Date: 05/22/2002.!
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00084 [SIGN) Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check JAVA JUICE/WILLIAM YATES DCP 125 0 r $50.00
TOTAL AMOUNT PAID: $50.00
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