SGN2001-00161 4 '
CITY OF TIGARD SIGN PERMIT
1A DEVELOPMENT SERVICES PERMIT #: SGN2001 -00161
��� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/18/2001
EXPIRATION DATE:
BUSINESS NAME: STARBUCKS COFFEE PARCEL: 2S102CC -0050
SIGN LOCATION: 13560 SW PACIFIC HWY STARBUCKS
APPLICANT /AGENT: STARBUCKS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 14 "X18'9.5"
TOTAL SIGN AREA: 21 sq. ft.
WALL AREA: 1,148 sq. ft. E COP
WALL FACE (DIRECTION): N
lig R
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 12 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign.
MATERIALS: ALUM /LATEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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 be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A tempbra -ign shall expire •; ys from approval date. A balloon sign shall expire 10
days from annrnval rlata // /
APPROVED BY: - O r , "- ! /
PERMITTEE SIGNATURE:
.1/1 /�L
DATE: 09/18/2001
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A , ' � 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 A4
Site ./1//4&-PiadE FOR STAFF USE ONLY
Address/ Street Add Adddd ess
Location 1` 6 W Cl126 7 Permit No.: QJ oot —
Suite /Bldg. # City/State Zip
/Ii Zo Qe Expiration Date: n •
Na /� I 14(14& ! Receipt #: t` ,a — 7 5
Property /i f .67€ Approved By: 'I '.
Owner / M a iling Address Suite Date: 9 0 t LA 1
1 �2 J� v Map/Ta5 L #: I CA . — O&50 0
CiMState Zip ho e Zoning: C
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Tenant or Name
Business egueKS Electrical Permit Required? B/Yes ❑ No
Name /non Building Permit Required? ❑ Yes 112/110 Sign � f� ' / Rev. 12/1 /2000 i:lcurpin4nastersVevisedlsign permit app.doc
Contractor y a i( Address Suite
(Prior to permit 7 T , " /,�!
issuance, a 56 z�T�2 J Alf
copy of all /State Zip Pho X03 )
licenses are �(� CS C � j '?1 z? rill " 33 �� ! REQUIRED SUBMITTAL ELEMENTS
required if qi
. (Note: applications will not be accepted
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # � without the required submittal elements)
database) lo q5(0 5 l 2 t� 0
Pro osed Q1 Completed Application Form
p Permanent ❑ F r estanding ❑ Freeway �
Sign 0 Temporary wall ❑ Electronic lJ 2 Copies of Site /Plot Plan, Drawn to Scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11", or 11" x 17"
gr New sign? ❑ Alter to existing sign?
2 copies of elevations, drawn to scale
Sign Dimensions: / , /G 1 may/ t,/ (3 copies, if a building permit is required)
r 7` z. size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
'- / C $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) Wei ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) e S E W NE NW SE SW NOTES:
Height to top of sign (feet): / /7 / " • Wall signs do. not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): /Z 4 sign placement.
Copy: = j �f • Wall signs do not require site /plot plans.
Materials: /,�,. ,, • Freestanding signs over 6 ft. required a
Will sign have i umination? E. Yes ❑ No building permit.
Type: Internal • ■ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
❑ Yes No
If "yes ", a list or diagram of all sign dimensions and {OVER FOR SIGNATURES)
square footage must also be submitted.
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 (
Si natu e of Owner gent
Conta, • Phone No.
erson Name ' f3
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Receipt #: 27200100000000003785
Date: 09/18 /2001
T I D E M A R K •
COMPUTER SYSTEMS, INC.
Line Items: -
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00161 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00162 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00163 [SIGN] Sign Permit 100 - 0000437000 $50.00
SGN2001 -00164 [SIGN] Sign Permit 100 - 0000 -437000 $50.00
SGN2001 -00167 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00168 [SIGN] Sign Permit 100 - 0000 -437000 $50.00
SGN2001 -00169 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check TUBEART SIGNS & SPORTS DISPLAYS 0 1685 0 $350.00
TOTAL AMOUNT PAID: $350.00
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