SGN2005-00025 CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00025
'�'I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/10/2005
PARCEL: 2S1 11 DD -00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -
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')
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: 2/10/2 05
,
4�iit 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
Address/ Street Address Permit No.: 6GNA 005 -O00a S
Location \ S8 \ S W klgLi B Lvo Expiration Date: 3 - I q -o 5
Suite /Bldg. # City /State Zip
1 - 1 aAeo Ocz_ q z Receipt #: Roo 5 - o55S
Name SSE A lu_ v• ueS(NKNTS Approved By: C . Ca-i-
Property -644125t Date: , - I c - 05
Owner Mailing Address Suite Map /TL #: a S f 1 f DD- OO o 1
(0 R -I,L"t 2400 Zoning: C- - iJ
City /State Zip Phone
s EN;rc..c erg WA
Tenant or
Name Electrical Permit Required? ❑ Yes 0 No
Business 921 MO E5 P2E SsO Building Permit Required? ❑ Yes 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 (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in the Oregon Const. Cont. Board Exp. Date �' Completed Application Form
City of
database Tigard's License # 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign RP Temporary ❑ Wall ❑ Electronic
(Check all that 1 I 2 copies of elevations, drawn to scale
apply) ❑ Other El Billboard El Balloon
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions:
3X4- — Sto£S ❑ $37.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 24 [$17.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ 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 ® 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 y, No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
I a
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.
Sign Elevation t.:. " ......
");:, v ed ............
as described n
MO.
Primo
Follow ......... ...... .......... ...........
„ W
Espresso Copy duplicated on
reverse face
OPEN
4' 5:30 AM
WEEKDAYS
6 AM
WEEKENDS
3'
Temporary Freestanding A-Board Sign
12 Square feet per side
Scale 1"=l'
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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