SGN2001-00109 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00109
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 639-4171 DATE ISSUED: 6/19/2001
EXPIRATION DATE:
BUSINESS NAME: CARLO'S PASTRY& DELI PARCEL: 2S102AC-0070'
O
SIGN LOCATION: 12540 SW MAIN ST 150
APPLICANT/AGENT: ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: TX 2'
TOTAL SIGN AREA: 6 sq.ft.
WALL AREA: sq.ft.
WALL FACE(DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of(1)one temporary 3 ft X 2ft A-frame sign. Sign to be placed on
private property. Sign shall not be placed on sidewalk.Valid 6/19/01 thru 7/19/01.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 hall expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 6/19/2001
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SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (503) 684-729 7
GENERAL INFORMATION
Name of Development//,roject
/�
Site G �)
Address/ street Address FOR STAFF USE ONLY
Location I Mo SLO S-F Permit No.: 5'G 1) I' y / - O U /O�
Suite/Bld .# City/State Zip
I so cyj Expiration Date:
Name Receipt#:
Property DO Approved By:
Owner Mailing Address Suite Date: Io
tv
Map/TL#:
City/State Zip Phone
Zoning:
T ' L q72-09 503 -D,5-90 G
Tenant or Name
Business �2 f Electrical Permit Required? ❑ Yes ❑ No
Name Building Permit Required? ❑ Yes ❑ No
Sign Rev.12/1/2000 i:\curpin\masters\revised\sign permit app.doc
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State. Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (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
Proposed ❑ Permanent ❑ Freestanding Freeway E] Completed Application Form
❑
Sign [a Temporary ❑ wall ❑ Electronic ❑ 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: 81/2"x 11",or 11"x 17"
New sign? ❑ Alter to existing sign?
❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 'N3611 (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.) $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials: j.,.30OD Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ff"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 ove0.6p a tenant space? the issuance of the permit, THE PERMIT WILL
EI Yes Ef No BECOME NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and DOVER 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 thisday of_ , 20
Signature of Owner/Agent
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Contact Person Name Phone No.
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Example of Sign Elevation
A Better Office
Products Copy duplicated
on reverse face
Company
4, v
3'
Temporary Freestanding A-Board Sign
12 square feet
Scale: I" = V
Site Address: 13524 SW Business Lane
Tenant/Business Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200
503-555-4321
i;WstsWbmtslsignexmpl.ptt 01/13/99
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Example of Site Plan
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Parking 3
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Driveway
r
Retail
Building �
Parking
3
x
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Cd
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Freestanding
h
Tempora Sign
5'Concrete Walkway
35'
SW Commercial Avenue
Site Address: 13524 SW Business Lane
Tenant/Businest Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503-555-4321
*Visual clearance area dimensions are drawn for this example only.
i.\&u\foamAsignexmpl.ptt 01/13/99 For correct dimensions,consult the community Development code.
Receipt #: 27200100000000002504
_..� Date: 06/19/2001
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00109Temp Sign Perm 100-0000-437000
$15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Cash CARLO'S PASTRY&DELI $15.00
TOTAL AMOUNT PAID: $15.00