SGN2001-00130 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00130
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/02/2001
EXPIRATION DATE:
BUSINESS NAME: CARMICHAEL'S PUB &GRILL �' ���
PARCEL: 2S10213D-0150
SIGN LOCATION: 12740 SW PACIFIC HWY
APPLICANT/AGENT: CARMICHAEL'S ZONE: C-G
' BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: IRREGULAR
TOTAL SIGN AREA: 20 sq.ft.
WALL AREA: 79,935 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1)non-illuminated wall sign. No project more than 6"
above the roof of building.
MATERIALS: WOOD
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 k will be done in rdance with approved plans. A sign permit shall expire 90
days from approval date. Ate pora sign shall exp' e 0 days from approval date. A balloon sign shall expire 10
clave fmm annmval data
APPROVED B
PERMITTEE SIGNATURE:
DATE: 08/02/2001
S
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
Site ie�/ �C' ,Q ..< S" /vB91
Address/ Street Address FOR STAFF USE ONLY
Location 1107410 /ee/r/G' 116,1Permit No.: 560,300( ^Wt30
Suite/Bldg.# City/State Zip f
8-
T/6,02/ a2 /FM Expiration Date:
Name Receipt#:
Property IdSC C4;00-a P1AJ.0 c//C Approved By:
Owner Mailing Address Suite Date: yl I!a>
/Z 7Sa z�w /!&, e- Map/TL#: '0 16 0-2)
City/State Zip Phone Zoning:
r6,t727J a� 97223
Tenant or Name
Business Electrical Permit Required? ❑ Yes
Name Building Permit Required? ❑ Yes No
Sign Rev.12/1/2000 i:\curpfn\masters\revised\sign permita .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 JX Permanent ❑ Freestanding ❑ Freeway 0 Completed Application Form
Sign ❑ 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? [:1 Alter to existing sign? drawn to scale d 2 copies of elevations,
Sign Dimensions: (3 copies,if a building permit is required)
S�/QvLA� size requirement: 81h"x 11",to 24"x 36"
$au TW Total Sign Area (sq.ft.):
$50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq.ft.) 799 ❑ $15.00 Fee (Temporary sign, any type)
(Complete all
items in this Direction Wall Faces (circle one):
section) N So 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: TO a (a Z -4 Y 3 • Wall signs do not require site/plot plans.
Materials: L Y60 • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ YesNo building permit.
Type: D Internal El 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
[:] Yes tSf 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.
t
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.
r
DATED this—.*aq4 31 day of y 206 1
Signature of Owner/Agent
Contact Person Name Phone No.