SGN2013-00128 j,-m.';r,;'� CITY OF TIGARD SIGN PERMIT
I
li, Permit#: SGN2013-00128
COMMUNITY DEVELOPMENT Date Issued: 10/21/2013
;TICA.F D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Parcel: 2S102AB04100
Jurisdiction: TIGARD
Name of Business: Cafe Allegro
Business Address: 12386 SW MAIN ST
Applicant/Agent: Bettinelli, Jeff
Work Description: Replacing an existing wall sign, approximately 6'x 1.5', located at 12386 SW Main
Street for Café Allegro.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 6'x 1.5'
Total Sign Area: 9
Wall Area: 750
Wall Face(Direction): North
Sign Height: 9.25 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Plastic, wood frame
Electrical Permit Required: No
Building Permit Required: Yes
Total Permit Fee: $178.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By:
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Permittee Signature: n sent
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ECEVED
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City of Tigard OCT' 21 Z013
Sign Permit Application CITY OF TIGARD
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GENERAL INFORMATION
Name iii I)ccek>f,nient/Pf>icct FOR STAFF USE ONLY
Site ��"Jw�'^"`�' `-` (,?..,0212% / Q
Address/
titt'ect l.ci lr.:::; Permit No,: _.S 3 �po123
Location ( Z-'. (0 S L cAl s--r- Approved By: 1\11"
S■it:'NNldg.:d City/Static lii, I 2-I I l
11640 itl`" ri— �1j Date:, -
bliiAc irtt, '0 ivies LcL Receipt#: IG! .7 'I9
. Property i
Owner /
Mailing:\ii.tri,is Suite Map/Mt: 291 D2Tl e?041 Po ___
t 3?`(G 6-akikta, RJ. Zoning: 144 G RD .
city/start zip to a Phr,nt,
Allowable Total Area: 151'0
zi.6OS 9 l Ofd 1 53 itoC.-557(3
Tenant or Name Electrical Permit Required? El] Y . o
Business ti/ E A' Wk0
Name Building Permit Required? VYes ❑ No
c1,,{'�[,Nx b1"t•'W 'O - 1 in t, Itcv.G/P4M113
Si�'rl �� I:yCURPI N'..Mamets\Lam]l;,applicatirms',Sign 1'ermor 1<x
Contractor Mailing:leldress Simi i,,,
t;itr/State. lip.. Pip he I
T2CA2.4 ,..001:2. 3 a 1453011 REQUIRED SUBMITTAL ELEMENTS
C hvg,n e:t>nst.Cont.Board license& P,i'.Date (Note: applications will not be accepted
/09,51/lcq Z 1 0 jL tt,/13 without the required submittal elements)
Proposed ►tee( Permanent. ❑ i rtar,raslint, ❑ I=reww,ty VCompleted Application Form
Sign ❑ 'ren or:11 ❑ Pont- ❑ Electronic
(Check all that Wall ❑ C7th
❑ 2 copies of site/plot plan,drawn to scale
Other
PPI.v) o•l)p. (3 copies,if a building permit is required)
size requirement: 81/2"x 11",or 11"x 17"
❑ New sign? 1531.,Alter to existing sic,,,? 2 copies of elevations,drawn to scale
Sign Dimensions: ,tx 1�ii (3 copies,if a building permit is required)
ta size requirement: 81/2"x 11",to 24"x 36"
`.total Sign Area(sq.ft.): 0 :1t,,•
Application Fee coo t'ri4f
Sign Data Total Wall rea(sq.ft.) _ 14,41 i
(ct,nrplete all "Direction��n Wall Face (circle one): NOTES:
I11nts in this //��!F�'�� i,%4 :
section) (N S 1 , N1'. NW SI SW '
L�/ t, a • Wall signs do not need to be drawn to scale, but
Height to Itip t>t sign (feet): 9 ,3 t ..i. 1 U must include dimensions of wall face and sign
e � Projection 1 rtxn Wall(inches): l
Materials: p(, lC, LA t. t JI;bP (1At d placement.
• Wall signs do not require site/plot plans.
Will sign have illumination? ❑ 1cs 7.l No • Freestanding signs over 6 ft. and walls signs of
Type: ❑ Internal ❑ External which any element weighs 20 lbs. or more require a
Are then:any existing freestanding or wall signs at this location, building permit. 4 7 4 44..t5
including wall signs that overlap a tenant space? � �" -':.i( `J
Yes X No
�y ti
If"yes",a list or diagram of all sign dimensions an square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd.,Tigard,OR 97223 j 503-718-2421 I www.tigard-or.gov I Page I of 2
P APPLICANTS:
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the"Required Submittal Elements"box.
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on die back
of this form or submit a written authorization with this application
BY SIGNING BELOW,THE APPLICANT(S) SHALL CERTIFY THAT:
• I(the application is granted, the applicant will exercise the rights grantee! in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application,and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application. -
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.
SIGNATURES of each owner of the subject property are required.
t7/71 l''i :tit .
i 0'157-1 3 .
Applicant Signature Date
Signature of f)wncrjAgcnt Date
,76c--- 66-1-rwaA45.- 3 .`mil t - 6.30 k-(
Contact.Person Name Phone No.
City of l i4ard I 13125 SW Hall Blvd.. Tigard,OR 97223 I 503-639-4171 I www.tigard-or.gov I Page 2 of., �,-
03/03/2008 18:18 5035793990 BETTINELLI PAGE 02/05
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•
APPLICANTS: •
To consider an apps st oa comp etit you wrlll anal to atsbapit AX,L of the as desesibnd aoa the
" twat of this application in the"gequiird&lba Ravi Eleiiwata"box;.
NOTE;'Feraon spec ed as"Applicant',sbafl bee desiigrnated"Pemxittec"and shall prnv de tai racial aueennnee fax wank
s When the ow nee,and the apidicaux are 41if peopic,the applicant mutt be dee pustI:aet o•spionL ar a lessee>a,paasession'with ,
wxixoea awtaeoeandee ft .Zile**nee oc,in amt 0 i$te OsraQF 'Thus oar (i)Owat sigatt is qpil�atibn'ra'r'e space pravaie&oti the ba is
'. of taws foton or submit a't'veitlen anti teeta with t'boib app •
BY:SIGNING BELOW,THE APPLICANT(S).SHALL 1 .CE>:tTIFY Tom': •
•
' • If the application is ranted, the applicant will exercise the rights.granted in. with the.terms and
• subject to all the conditions and 1ivaiuitions of the approval.
• All of the abgve Statenter3C5 and the statements in the plot plan, a-etati il1e is, and e I late transmitted
here ith..axe tole,•risid the alipl 1 ncs so a oW1430 that any perinitiewe4 based oo this applicativni and,
may be revoked if it is found that any.such statements nit false,
r• _'Fbe appl►cant has read the entire contents of the applinatinny includtug the policies and critena, and
:.. • . : underatauds the tvgniltecaeats for,a£'proving and denying the application. . ' , • -
I hcrtby acknowledge that 1 have read dais.applicatton,that the ifDuaon gren is,cat>eqt,that I aux the ,
owner'or mut nelaed agent of she twner,and that pia suhmitted are tw cotiOaarkce with the City of T.igaiti.
SIGNATtiRES•of ogli owacr of the eub(tct propetcy"3Frt teg d- : ,.:.
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": Contact Person Name. pluses No. • - '
•
City' r .. ' t3 25 Sw K �Blvd.,r Bard,
QR 91213 I 50.439-4171 1 v*.;;-rig tirgair. 1 .gip 3 of 2 '',•
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
T!10ARD1
Receipt Number: 193599 - 10/21/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013-00128 Sign Permit-LRP 100-0000-43117 $23.00
SGN2013-00128 Sign Permit 100-0000-43115 $155.00
Total: $178.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 08055C AKOWACZ 10/21/2013 $178.00
Payor: Jeffrey Bettinelli
Total Payments: $178.00
Balance Due: $0.00
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