SGN2001-00132 r
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00132
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/02/2001
EXPIRATION DATE:
BUSINESS NAME: CARMICHAEL'S PUB & GRILL f 11E Copy 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: 4'X 8'
TOTAL SIGN AREA: 32 sq.ft.
WALL AREA: 799 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1) non-illuminated variable reader board sign.
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 vA11 be done in accord ce with approved plans. A sign permit shall expire 90
days from approval date..A temp rary 'gn shall expire 30 a s from 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 (.• ew"tewwe,S' A'd
Address/ Street Address FOR STAFF USE ONLY
Location /;7�?(!Q 6z,.) ,t C iFIC Permit No.: sG
Suite/Bldg.# City/State Zip
7-1,6,.veo. a2 Q1Z.93 Expiration Date: n
Name Receipt#: G�O
Property �aJE �asPc DrNdt//G Approved By:
Owner Mailing Address p Suite Date:
1718-161
/2 7So �„l Af elTfi Al Map/TL#:
City/State Zip fPhone
Zoning:
-/70/0 oR 9?Z93
Tenantor Name
Business Electrical Permit Required? ❑ YesVNo
o
Name Building Permit Required? ElYes
Sign Rev.12/1/2000 i:\curpin\masters\reviseftign 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 29 Permanent ❑ Freestanding ❑ Freeway [2rCompleted Application Form
Sign ❑ Temporary ❑ wall ❑ Electronic E3� 2 Copies of Site/Plot Plan, Drawn to Scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies,if a building permit is required)
apply) x 17"
1"
El
450016ANew sign? ❑ Alter to existing sign? Ksize requirement: 81/2"x 11",or 1 2 copies of elevations,drawn to scale
t�r� Sign Dimensions: o X / (3 copies,if a building permit is required)
size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (sq.ft.):
3 $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: Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes X No building permit.
Type: El 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 overlap a tenant space? the issuance of the permit, THE PERMIT WILL
El Yes X 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 day of , 20
Signature of Owner/Agent
Contact Person Name Phone No.