SGN2005-00146 A CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00146
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/23/2005
PARCEL: 2S102CB -00302
BUSINESS NAME: SALVADOR'S BAKERY ZONE: C -G
SIGN LOCATION: 13185 SW PACIFIC HWY B1 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10'X2'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 20 sq ft temporary banner. Valid 5/24/05 thru 6/24/05. Sign
#2.
MATERIALS:
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: ~ � ')CL
•
PERMITTEE SIGNATURE:
DATE: 5/23/2005
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,;;,; ::,,� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW /fall Btvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684 -7197
GENERAL INFORMATION
Name orDevelop ST ec� EtETC- FOR STAFF USE ONLY
• She c.---'1-\ i K ` —IL `— .)F-si ,-
Address/ Street Address Permit No.: 3GN-Z 005 — (23 O 1 x(
Location \ S ) S J = c :�k C l - Expiration Date:
Suite/Bldg. # City /State Zip
C -- t - k C,,\ i2- eCt L 1-`3 Receipt #:
Name • Approved By; _
•
Property k \ELF oS 2c71 'E S Date:
Owner Moiling Address suite MapITL #:
t,c < <aS SO ('e P ToL Zoning:
city /State Zlp Phone r
L . 0 • 0 \1 / \ / - k'z t ( Electrical Permit Required? ❑ Yes ❑ No
Tenant or A 7 reed? El Yes ❑ No
Business > .\�` PI ' 2-S 1-i t -k 1 Building Permit Requi
�
— Name Rev. 113/06 i:\curpkl4masters \revised\Slpn permit epp.doc
Sign
Contractor Malting Address suite ' REQUIRED SUBMITTAL ELEMENTS
(Prior to permd (Note: applications will not be accepted
issuance, a
copy of all Cry /state Zip Phone without the required submittal elements)
ticenses are -
required If lin Completed Application Form
expired in the Oregon Cont. s Cont Board Exp. Dale
City ofTgard's Ucense$ i ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
detabasa) (3 copies, if a building pertr4t is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement 81/2" x 11", or 11" x 17'
Sign Temporary El WaN ❑ Electronic
(Check all that other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apptr) (3 copies, if a building permit Is required)
❑ New sign? ❑ Alter to existing sign? . size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions:
von X 2 ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
2 c, i ❑ $ 17.00 Fee (Temporary sign, any type)
..�4
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ID City n Urb
(Complete alI Direction Wall Faces (circle one): NOTES:
Items in this
section) N q\ E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wait (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
I sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: __LI:] Intemal ❑ Extemal 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 ❑ No
if "yes ", a list or diagram of all sign dimensions and
1 square footage must also be submitted.
(OVER FOR SIGNATURES)
I
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 `0 , 20 C r _
ca,n Signature of Owner /Agent
CC U,\ CO3 - -367— `Zr6
Contact Person Name Phone No.
I ) C, 6J TOC D
_ AQU -RIA ,v /4JA
CITY OF TIGARD
13125 SW Hall Blvd.
Tigard, Oregon 97223
1.* II! (503) 639 -4171
Receipt #: 27200500000000002300
Date: 05/23/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00146 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00146 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. Row Received Amount Paid
Check KEY ROSE ENTERPRISES DBA CAC 2117 In Person 17.00
SALVADOR'S
Payment Total: $17.00
cReceipt.rpt Page 1 of 1