SGN2009-00117 i r
CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00117
COMMUNITY DEVELOPMENT Date Issued: 05/08/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112DD00900
Jurisdiction: Tigard
Name of Business: Speakeasy Bar and Grill
Business Address: 15680 SW UPPER BOONES FERRY RD
Applicant/Agent: Speakeasy Bar and Grill,
Work Description: Installation of one (1) permanent wall sign 4' X 4'
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 4' X 4'
Total Sign Area: 16
Wall Area: 2160
Wall Face (Direction): North
Sign Height: 11 ft.
Projection From Wall: 5 in.
Illumination: Internal
Materials: Aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
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: ,A id
Permittee Signature: fl4 �'Lccl��
w
le III
SIGN PERMIT APPLICATION
Ci of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
T 1 G A R D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site ti 407) — CV (I 7
Address/ Street Address Permit No.:
Location /6433 sw re'R s ties ,t f" /?b Suite /Bldg. # /State zip Expiration Date:
KE 0s10E60 CO. 9%1135— Receipt #:
Name Approved By: 5 - T 'A"S
Property 34.6, 4-H T, ,/. d C.C.C. qv gl-4 (40kls Date: '5/g'/O5
Owner p Mailinng Address Suite Map /TL #: as t t .a-0 b 07) et)
i ` f a (x». ib 10 Zoning:
City/State Zip Phone
W 1 1SMV i iie C q 70 _ 3 =7K 3 SLU Electrical Permit Required? Q' Yes ❑ No
Tenant or Name
Business ,SPEAK EAS I t' 13A 1Z 1 GP. «C_ Building Permit Required? ❑ Yes Er No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign EbS ,96-Ai
Contractor Mailing Address Suite
(Prior to permit
1054,5 S W CCv n/n i QC'.
issuance, a G 2
copy of all City/State Zip QQ- Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if (,V /45 1 :.�2
014/ .1E 9707o 5 .W0.0 without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's r� S' C 7 '
database) / yC ❑ Completed Application Form
Permanent Freestanding Freeway Proposed ❑ g ❑ y El 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 t '
apply) size requirement: 8 /z ' x 11", or 11" x 17"
Ig New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: y / X y / (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): //
�l0 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq ft o( /100 ❑ $19.00 Fee (Temporary sign, any type) I
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 0 S E W NE NW SE SW 1
Height to top of sign (feet): f ,t' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): r' ' must include dimensions of wall face and sign
Copy: j3( C. p12. /iv r placement.
♦ Wall signs do not require site /plot plans.
Materials: L . 0 ,11 • • Freestanding signs over 6 ft. required a building
Will sign have illumination? 2 Yes ❑ No permit.
Type: g4 Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes [$ 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.
DATED this day of , 20
Signature of Owner /Agent
ontact Person Name Phone No.
Manufacture and install;
One (1) illuminated cabinet display with neon "OPEN" and border tube.
CITY OF TIGARD
Approved [ df
C:.i.dltionaily Approved _ [
For only the work as described in:
PERMIT NO. 3GO9 - " - 7
copy See Letter to: Follow _.- .- .._... [ )
A size: Attach r
3.75 not including 0/L .lob Address /51°— 'u� A IDS a S ZA
� `, L p KEgS i _. s- 1►� - D , _ rt1 /cr
i` ` Reading distance =1 75' y -- - -- --
/ lA GRILL 4" not including 0/L
a Reading distance =200'
o D - \
7" Reading distance = 350'
Proposed set to scale
`.,, OFF TRACK -r
,_WAGERING ( 7.7 3„ ,.. , • .
�� , / � 3 Reading distance = 150 '' ,: ' .
y . 1 4 04), -irit-
L . -,-, .,
Specifications:
Cabinet - Alum. fabricated. Paint Duranodic. dk.Bronze.
Fluor. ilium. behind face graphics. Neon "OPEN" w /arrow - . • , , ,
inside showing through face. Clr. red tube,15mm, 30ma. !IIIPMIliw° --I—
solid state transformer in cabinet. ili ,
Face - Clear Acrylic PC with digital print overlay, trim out to shape
over clr. red "OPEN" w /arrow as shown. ..- , —„ `'- z- ,
Border tube -15mm, 30ma clr.gold 2 (Bright yellow) `" _ `'—
-*
g�MM s,twert reeled 18809 4 -15 -09 1.0 t i Approved Business Name,
i � ender federal e M qws. DESIGN NUMBER DATE DRAWN B Y i 1 Approved with changes noted
FED Make e � d Mack Ganji Rob Breazile Keystone Kafe
REVISIONS CUSTOMER 516RATURT
ELECTRONIC DISPLAY SYSTEMS permission. CUSTOMER NAME SALESPERSON 4-23-09 LEI
Colors an print may vary Keystone Kate Redesign u A 1 E 15700 Upper Boones Ferry Rd.
www.edsnw.com sligh
slightly PILE NAME fi specified Lake Oswego, OR 97035
503 - 582 -8400 503-582-8411 fax l A U U l 1 A U s 1 6 N A T U R C 9
10965 SW COMMERCE CIRCLE POB 2376 WILSONVILLE, OR. 97070 -2376 CCB 178522 DAN
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173490 - 05/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00117 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00117 Sign Permit - LRP 100- 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1816 LSELLERS 05/08/2009 $40.00
Payor: Eds Signs
Total Payments: $40.00
Balance Due: $0.00
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