SGN2005-00048 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00048
..��I DATE ISSUED: 3/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102CC 00500
BUSINESS NAME: HAGGEN FOOD ZONE: C -G
SIGN LOCATION: 13600 SW PACIFIC HWY HAGGEN FOODS JURISDICTION: TIG
APPLICANT /AGENT: HAGGEN FOOD
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 25' X 5'
TOTAL SIGN AREA: 125 sq. ft.
WALL AREA: 5,300 sq. ft.
WALL FACE (DIRECTION): NW
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one new, wall sign.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE:
',/
DATE: 3/3/2005
. a
-. ,, SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Nam of Development/Project
FOR STAFF USE ONLY
Site a,ci f<2) ct
Address/ treet dr s _ Permit No.: 5(a1Jaa05 - 0 DO 4 b
Location /3 600 5LL 1 (1 �'c114 -c3y/
/ Expiration Date:
Suite /Bldg. # City /State Zip
e_0Q-1. 97 -y-2-3 Receipt #: a 0O 5 - o
Name Approved By: C.- - C a..-v L�
Property 't Ito ft r 4_,1 c_, iP S Date: 3-3-05
Owner Mailing Address Suite Map/TL #: a5 t v , C e--
.?=.5 u- AZ R g t" �-a C Zoning: G - e
ty /State Zip Phone
A -vf av 57?-0y .'.3 ;4467
Electrical Permit Required? ❑ Yes [1 No
Tenant or Na e CO Business i � / / F-6 e Y Building Permit Required? ❑ Yes [ No
Nam Rev. 1/3/05 is \curpin \masters \revised \sign permit app.doc
Sign . . 1
Contractor Mailing Addre.s Suite r REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a i _
copy of all City /State Zip Phone without the required submittal elements)
licenses are 1
required if s X
expired in the Or n Const. Cont. Board Exp. Date ❑ Completed Application Form
City ofTigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
1 (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary WWall ❑ Electronic
(Check all that ❑ Other Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
4 ew sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimension /" f
j' 7 - g / ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): / J
� 2 5 - s� /�/ ❑ $17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) s3 o Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE 4 » E SW
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: Lii, l ( 0 v ✓ • Wall signs do not require site /plot plans.
Materials: Lc) a e 4 • Freestanding signs over 6 ft. required a
.sign have illumination? ❑ Yes ❑ 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.
‘;� es ❑ No s -
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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
RECEIVE
D
N E LIAR 0 3 ?005
Pt
CITY OF 'TIGARD
Approvel [X1
Conci Approved [ i
/W Fe+ or31v the work a described in:
N� RMIT NO..S6�a� ^ OUO ( 4- 0
e Letter to: Follow [
Attach
Job Address: J3 00 5 w &a-
C -. C cLC4 i — Date:___. = -05
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