SGN2001-00131 CITY OF TI GARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00131
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/02/2001
EXPIRATION DATE:
BUSINESS NAME: CARMICHAEL'S PUB & GRILL c PARCEL: 2S10213D-015G
SIGN LOCATION: 12740 SW PACIFIC HWY
FILEAPPLICANT/AGENT: CARMICHAEL'S '? COPY 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 'II be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temp rary ign shall expire 30id s fr m approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 08/02/2001
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 S �iQlGL
Address/ Street Address FOR STAFF USE ONLY
Location 1.27clG 6 0 �P'Aclr/C 104, Permit No.: .�L�Na� ^ ���
Suite/Bldg.# City/State Zip
00? Expiration Date:
me - - Receipt#:
C Q $ -
Property OSE �t"�iilaGYlr✓ a- Approved By:
Owner Mailing Address suite Date:
/Z 7,50- Map/TL#: 5 6&'BD Q k5 Q
City/State Zip Phone Zoning: G
7'7�1i2� ak P?2L3
Tenant or Name
Business Electrical Permit Required? ❑ Yes No
Name Building Permit Required? ❑ Yes No
Sign Rev.12/1/2000 i:\curpin\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 Tiigard's License# without the required submittal elements)
database
[� Completed Application Form
Proposed Permanent ❑ Freestanding ❑ Freeway
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"
10 New sign? El Alter to existing sign? -size
copies of elevations,drawn to scale
Sign Dimensions: (3 copies,if a building permit is required)
REGLcA size requirement: 81h"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.) 99 3S El $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,
but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: -no Ga ea Z oZl 3 Wall signs do not require site/plot plans.
Materials: L lu OVP Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X No building permit.
Type: El Internal 0 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
El Yes '0 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 this j day of , 20�_
Signature of Owner/Agent
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Contact Person Name Phone No.