SGN2001-00228 CITY OF TIGARD SIGN PERMIT
If" DEVELOPMENT SERVICES PERMIT #: SGN2001 -00228
=` � . -- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/01
EXPIRATION DATE:
BUSINESS NAME: TIGARD SUB SHOP PARCEL: 2S102AB -0240:
SIGN LOCATION: 12501 SW MAIN ST
APPLICANT /AGENT: TIGARD SUB SHOP ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 4,240 sq. ft. •
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. Plug in illumination only, no
electrical permit required.
MATERIALS: ALUM /PLSTC
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 temp • . ign shall expir days from approval date. A balloon sign shall expire 10
days fmm annrnval data
APPROVED BY: '
PERMITTEE SIGNATURE: 'At
DATE: 11/29/01
ri l,. SIGN PERMIT APPLICATION_
CITY OF 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 q/16 s G S for 5C aeo[. — 00
Address/ Street Address Permit No..
Location - . / ZSQI SL. m /4 /4) S1 €.Q7 _ Expiration Date: 6 f'J
- Suite /Bldg. # City/State / Zip ( __ ' .
Y t ✓�A J x ' 1223 Recei #: o� 66 `'� V .
Name y Approved By:
� 6 �� £ G� Date: 11, a-q,�b
Property 44n /S I/g�
Owner . Mailing Address Suite • Map/TL #: -
/Z5Q 5C 444 4.., CI . : Zoning: C •
City/State Zip Phone ( (� f
l r 9 I 2Z Z.3 s ° 6 3` / 7of Z ? pl = N o
• t
Electrical Permit Required'. ❑ Yes'
Tenant or Na
Business Vi,,26 S i4. 6 S t - Building Permit Required? 1:1 Yes - ('No
Name - Rev: 30-1u1 -01 is \curpinUnastersUev permit app.doc . -
Con tr actor Mai REQUIRED SUBMITTAL ELEMENTS' •
Contractor Address Suite
(Prior to permit - (Note: applications will not be accepted
issuance. a without the required submittal elements)
copy of all City /State Zip Phone
licenses _
required if - gf Completed Application Form •
expired in the on Const. Cont. Board Exp. Date .
City of Tigard's icense # y 2 Copies of Site /Plot. Plan, Drawn _to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2"-x 1?, or 11" x 17" -
Proposed ' ❑ Permanent ❑ Freestanding ❑ Freeway . •
Sign ❑ Temporary 2r ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑Billboard I=1 Balloon (3 copies, if a building permit is required).
apply) - size requirement 8'k " .x 11 ", to 24" x 36"
❑ New sign'? ter to existing sign'? . - $50.00 Fee (Permanent sign, any-siz •
Sign Dimensions: • / ✓ Q
J /� C> ❑ $15.00 Fee (Temporary sign, any type)
. Total Sign Area (sq. ft.): 2 4 , ,r NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data . 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 /plot plans.
section) N :!,:ii ; � W NE NW SE SW • 4 Freestanding signs over 6 ft. required a
Height to top of sign (feet): /d' '/ / - building permit. -
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: 4L/,, Y144, -w . 4 izift,T • the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? Sr Yes ❑ No .
Type: ERI Internal ❑ External .
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'? _
Credit card number .
❑ Yes [3 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. Amount
Cardholder signature
(OVER FOR SIGNATURES)
, II r „ - -
y
//VX .
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
Contact Person Name Phone No.
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._ • APPROVED BY: __ - _ _ - -
NofE taroln -❑' ' LGNTRON;.I X - - -
. NO; Renee DOnot asst lc ❑ —• _ • ,- - _ •
- ` .
Receipt #: 27200100000000004683
� Dat 1 1 /29/2001
TIDEMARK
c ILE
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2001 -00226 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00228 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check J. CRICKET ENTERPRISES INC. 0 1039 0 $100.00
TOTAL AMOUNT PAID: $100.00