SGN2009-00045 •
� 'µ U n h OF TOGARD SIGN PERMIT
Permit #: SGN2009 -00045
COMMUNITY DEVELOPMENT
Date Issued: 03/02/2009
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111DD00201
Jurisdiction: Tigard
Name of Business:
Business Address: 15981 SW HALL BLVD
Applicant /Agent: Primo Espresso,
Work Description: Placement of (1) one temporary A - frame sign. Valid 3/2/09 - 4/2/09. Sign must be placed
on private property and not in the public right of way.
Permanent: Freestanding: Freeway:
Temporary: s Wall: Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions:
Total Sign Area:
Wall Area:
Wall Face (Direction):
Sign Height: ft.
Projection From Wall: in
Illumination:
Materials:
Electrical Permit Required:
Building Permit Required:
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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:
Y ::.
SIGN PERMIT APPLICATION
,!
City of Tigard Penrat Center 13125 SW Hall Blul, Tigann:4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
0(reAS6 5 E 54:c Mot." 1` �
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: 5G A) LCR -03
i{S"
Location tSq $ l S N HALL BLVD
u A
Suite /Bld N Cary/State Zip co Expiration Date:
TICiMRO 02 J ` Receipt #: Z-430y'— n OoS'aZ'
Name Approved By /-- St'
Property • ?G 4MAR Ow. Date: 3 /2./o9
Owner Mailing Address AA Suite M /'IL# :
SW ( AV(3 23 Zoning:
City/State Zi Phone
S €A VWA
Tenant or Name Electrical Permit Required? ❑ Yes ['"
Business ( MO aP2 e-SS6 Building Permit Required? ❑ Yes al--No
Name Rev. 7 /1/07
is \curpin \ masters land use applications \sign permit app.doc
Sign
Contractor. Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Coast. Cont. Board License N Exp. Date
City of Tigard's
database) 5n Completed Application Form
Permane Freestanding Freeway Proposed ❑ g ❑ y 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply) ze re �l
❑ New sign? ❑ Alter to existing sign? [J' 2 copies of elevations, drawn to scale
Sign Dimensions: 37( 4X2Si0y5 (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): z4
❑ $40.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g [ $19.00 Fee (Temporary sign, any type)
(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): ¢. • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
SPY: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ® No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes rd No NULL AND VOID.
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.
DA" 1 this f \?— ?- day of � `� , 20 06
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Signa
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Contact Person Name Phone No.
Sign Elevation
Primo
spies so Copy duplicated on
reverse face
OPEN
Approved [ �1
Conditionally Approved...__- -
CITY OF TIGARD _
4 � 5:30 AM [ ]
For only the work as descrpOd in'
PERMIT NO. 65 A Z - jd
WEEKDAYS See Letter to: Follow [ ]
lea n
Attach � s�,i - . RA
� / —A4 Date: ...3/241
6 AM
WEEKENDS
Temporar 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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CITY OF TIGARD RECEIPT
kg:Te s 13125 SW Hall Blvd., Tigard OR 97223
' " 503.639.4171
Receipt Number: 2009 -00502 - 03/02/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00045 Temp Sign Perm 100 - 0000 - 438050 $17.00
SGN2009 -00045 Temp Sign Perm - LRP 100 - 0000 - 438050 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID • CASHIER ID RECEIPT DATE RECEIPT AMT
Check 19745 KPEERMAN 03/02/2009 $19 00
Payor: Northwest Gourmet Coffee Co. Inc.
Total Payments: $19.00
Balance Due: $0.00
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