SGN2002-00048 •
CITY OF TIGARD SIGN PERMIT
f4 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00048
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 4/2/02
EXPIRATION DATE:
BUSINESS NAME: PAPA JOHNS
SIGN LOCATION: 12950 SW PACIFIC HWY 3B PARCEL: 2S102CB - 0310
APPLICANT /AGENT: ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 7'
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: 414 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 3 ft x 7 ft permanent wall sign.
MATERIALS: VINYL/WOOD
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. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign I expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval tuft
O BY: �
APPROVED
PERMITTEE SIGNATURE: a l"-
DATE: 4/2/02
t
A "41..' SIGN SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION 1I S b
Name of Development/Project
FOR STAFF USE ONLY
Site Vcc �b�vt,S - Z -c'3") 4�
Address/ Street A ress Permit No.: S G� L ��
Location 1256 Sw Pact'
Expiration Date:
Suite /Bldg. # City/State i Zip
3- 6 - r; . Ca 4-12-2 Receipt #: 20()',,,- /! F/
Name Approved By: if-- a /
Property Date: //� /01_
Owner Mailing Address Suite Map/TL #: 2 S / C Z '- / Ci 3 i
Zoning: C9
City/State Zip Phone
Tenant or Name Electrical Permit Required? El Yes ❑ No
Business IN Fri, 4 ,\ 1/ I Building Permit Required? ❑Yes ❑ 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
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)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
P 0 Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary p- Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
[/New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: d.. t
3 X 7 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 21
NOTES:
Sign Data Total Wall Area (sq. ft `IN • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this • Wall signs do not require site/ lot plans.
section) N S E� NE NW SE SW g q p p
Height to top of sign (feet): • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): n • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes 0'No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External \
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI location, including wall signs that overlap a tenant space? visa MasterCard
Credit card number / /
❑ Yes [r No 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 22 \AI day of / , 2002
1 1
Signatur: • Owner /Agent
- So - v\ C--,(4,./ X03- �8-�GB
Contact Person Name Phone No.
Receipt #: 27200200000000001191
... Date: 04/02/2002
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00048 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash PAPA JOHNS PIZZA 0 0 $50.00
TOTAL AMOUNT PAID: $50.00
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