SGN2001-00035 0
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00035
DATE ISSUED: 02/08/2001
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 6394171
EXPIRATION DATE:
BUSINESS NAME: BAJA FRESH PARCEL: 1S134BC-0030
SIGN LOCATION: 12286 SW SCHOLLS FERRY RD
APPLICANT/AGENT: BAJA FRESH ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5"X 15'4"
TOTAL SIGN AREA: 38 sq. ft.
WALL AREA: 1,200 sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent illuminated wall sign
MATERIALS: PLEX/MTL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subjectto the re ulations contained in t igard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. Al rk I be done in accor anc with approved plans. A sign permit shall expire 90
days from approval date. A t porary s. n shall expire 3 day fr m approval date. A balloon sign shall expire 10
rlavc from gnnmvn1 rinta
APPROVED B
PERMITTEE SIGNATURE:
DATE: 02/08/2001
1
A
_ SIG N PERMIT APPLICATION
CITY OF TIGARD 13125 SIV Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
GENERAL INFORMATION
Name of Development/Project "
Site dti. `Gt_ -f'Y�' FOR STAFF USE ONLY
Address/ Street Addres
Location /a �rD �(� Permit No.:66 1 -OW3�5
Suite/Bldg.# City/State, Zip
Expiration Date:
Name Receipt#:
Property Approved By:
Owner Mailing Address Suite Date:
Map/TL#:
City/State Zip Phone Zoning:
Tenant or Name
Electrical Permit Required?= � Yes ❑ No
Business � ���`�
Building Permit Required? ❑ Yes . .%No
Name
Rev.12/1/2000 i:lcurpinkmasters\rev ised\sign permit a0p.doc
Sign ./) A
Contractor Mailing Address tuii(p
(Prior to permitA56(A.s
issuance,a �io 1✓
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are
t
V l ,j (Note: applications will netbe accepted it �'?V
expired in the Oregon Const.Cont.Board Exp.Date without the required submittal elements)
City of Tigard's License# (P
database) I � �I � �/'v
❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
Sin ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
9 ❑ Temporary all Electronic
(Check all that ❑ (3 copies,if a building permit is required)
apply) F] Other F] Billboard ❑ Balloon size requirement: 81/2"x 11",or 11"x 17"
A"Kew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: t I (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq.ft.): $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) O p E] $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE W • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 11H I but must include dimensions of wall face and
Projection From Wall (inches): It sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: f • Freestanding signs over 6 ft. required a
Will sign ha a lumination? K"1`es ❑ No building permit.
• If work authorized under a sign permit has not
Type: nternal ❑ External
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this
the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space?
BECOME NULL AND VOID.
❑. Yes No
If"yes",a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
s uare footage must also be submitted.
I hereby acknowledge that 1 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.
SUPERMARKET RITE AID
THERE IS OLD SIGN ON BACK SIDE WALL
BUT IT IS PRETTY BLOCKED BY TREES
�Jl
on
7�1 SCHOLLS FERRY RD.
Aq
cr:
0 Ci
c
Q.
dtt•\DESIGNS\LINDA\B\BAJA FRESH SCHOLLS.cdr
I turday, June 17, 2000 11:19:44 AM
Receipt #: 27200100000000000564
T I D E M R K Date: 02i08i2001
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2001-00035Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check LINDA PEPLINSKI 0 2639 $50.00
TOTAL AMOUNT PAID: $50.00
LINDA PEPLINSIQ 2639
MICHAEL E. PEPLINSKI
7204 N.MOHAWK AVE. / 24-201/1230
PORTLAND,OR 97203-3827 Date 23
Pay to the
Order of _ 1'
z
Dollars 8
KeylB k National Association
Portla d,Oregon 97214
For ------------------------- ar
1: 123002010: 3702320045Lil" 2639
ke an
16-4"
y
15216 Burbank Blvd.,5te.102 �—
Van Nuys,CA 91411-2708
A^II
818 787-0477
30" "1lJ
Fax:818 787-0415JeJAJ)4
Sign Type Standard Fail Channel Lettere —J—
Rear Elevation
Quantity 1 act
scale NT5 1.2 L
rrcJect Sala Fresh/
2 - 05 - 01
Date
Wign No. VG13F20521 _ STANDARD FAN CHANNEL LETTERS
40 UP TO W LTX HT
E 0w�a�oez n uLinNUHT,TicETu
(MY CTHEKS) VICE TO JUNG AND BACK PANTED SLACK�D
TION DG(
S"DEEP
Page 1 1
- WL DISCONNECT SWITCH NEON STANDOFF(1 3/41
_ -
U.L APPROVED 3/6' 0.L MPR,EIECTICODE ROOT
' MIN FLEX MTL.CONDUIT
Approved Data r VOLTAGE CFOK ALL ECOWARY OTO W1 INSULATWO SLEEVE
- WLTRAC SS00 MA.NHRE NEON TUBE.
J-DO(DY INSTALLERS. 30V THICK PLASTIC FACE
aoonN
-. - uPNea1
This drawing
is an original
iecc of art work and is
rDu
cKTRM
--
owned by Visible Graphics. It was designed for your -
1
personal use a8 part Of a project being designed for MOUNTING FASTNEKS WEEP HOLES(PER UL)
_ .. V4"e x a UP To 3S•LETTERs
you by Visible Graphics. This artwork is not tobe 3/B'cFOKOVER 36"
Viable
Graphics.ilnany way without the permission
of VU,L, APPROVED TYF. LETTER SECTION
of -
fRF— s
Sb`