SGN2005-00204 CITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00204
I DATE ISSUED: 7/15/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 DD -00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -N
SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT: PRIMO ESPRESSO
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one temporary sign. (3' x 4') Sign #2. Valid from 7/16/05 through
8/16/05.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: � it U
*
PERMITTEE SIGNATURE: 0■N` (A �'~�
DATE: 7/15/20
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,, iii 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
FOR STAFF USE ONLY
Site 00 a
Address/ Street Address Permit No.: sue& NA005 —
Location 1 g 1 SW NAu. �■.LD
Suite /Bldg. # City /State Zip
Expiration Date: 8 -fib -oS
TiCtAQD Oa- G'1224— Receipt #: a UoS — 3308
Name Approved By: C
Property IZt6£ 141U INV T(11OSTS Date: 7 - I S - o5
Owner Mailing Address Suite Map/TL #: aS ) I 1 DD— boot o
2ob► ('AVi 2300 Zoning: C — NJ
City /State Zip Phone
SExrt.E \NA 98121 20b 1449' 1 Cr75 Electrical Permit Required?
Tenant or Name it Rq ❑ Yes U] No
Business KIM° ES Paysso Building Permit Required? ❑ Yes [p No
Name Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License #
database) a 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ P ermanent ❑ F reestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign g Temporary ❑ Wall ❑ Electronic
(Check all that
El Other ❑ [/ 2 copies of elevations, drawn to scale
apply) ❑ Billboard Balloon ,
(3 copies, if a building permit is required)
[Nts New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: i2 X 2SI'DES
❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
24 X $17.00 Fee (Temporary sign, any type)
Sign Data Total Wail Area (sq. ft.) Jurisdiction: [I] City El Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): 4 ♦ 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 isi building permit.
No ♦ If work authorized under a sign permit has not
Type: ❑ Internal ❑ 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 54 No _ . _
If "yes ", a list or diagram of all sign dimensions and
_ square footage must also be submitted.
(OVER FOR SIGNATURES)
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 OuL day of , 20 0 5
UJ6-
Sig a re of O n ar /Agent
jAV\AC U I NA so3 70 4627
Contact Person Name Phone No.
Sign Elevation
Primo
Espresso Copy duplicated on
reverse face
OPEN
5:3OAM
WEEKDAYS
6 AM
WEEKENDS
I 3'
Temporary Freestanding A -Board Sign
12 Square feet per side
Scale 1"=1'
Site Address: 15981 SW Hall Blvd.
Tenant/Business Name: Primo Espresso
Sign Company: Signs Now
11520 SE 82nd Ave
Portland, Oregon
503- 652 -2072
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