SGN2009-00116 CITY OF TIGARD SIGN PERMIT
. ; Permit #: SGN2009 -00116
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 5' X 5'
Permanent: Yes Freestanding: Freeway:
Temporary: Wall: Yes Electronic:
Billboard: Balloon:
Banner: A- Board:
Sign Dimensions: 5' X 5'
Total Sign Area: 25
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: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all
other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within 90
days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon sign
shall expire 10 days from validity date.
Approved By: idlit 1 dk_e_S
Permittee Signature: C�� 4;1A--
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• SIGN PERMIT APPLICATION
_ City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
T I CARD Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site 1 S _ 6e0 SW tiPP,Ek , QES , E '
Address/ Street Address Permit No.: %' ' t c t - Cr2i f I (ri
Location
Suite /Bldg. # City/State Zip Expiration Date:
LAge 05wE60 Oe. 9703; Receipt #:
S.Tn-('
Name Approved By: J
Property �b�iA 1 �t., Ll.0 civ 4//c7 tide-15- Date: 4i / ` %/ U`gy ,\
Owner Mailing Address Suite Map /TI. o #: 3 ((e- h 6 QZl (1 GT U
PD 60; 167o Zoning:
City/State Zip Phone
)Nf tisenvilla C -e- '11 Sc 3 71. Zzz Electrical Permit Required? Er Yes ❑ No
Tenant or Name
Business SPEr4h RSY 3A2 i &RILL. Building Permit Required? ❑ Yes Er No
Name Rev. 7/1/07
t: \curpin \masters \land use applications \ sign permit app.doc
Sign £ b5 .S &l J
Contractor Mailing Address Suite
(Prior to permit 1094 J CO/h/17G�CF—
issuance, a Ct . /9
copy of all City/State Zip N Phone REQUIRED SUBMITTAL ELEMENTS
licenses are O S V3 (Note: applications will not be accepted
required if (.0iL$pA/ 0LLE 97070 S U2 "8.4 /OC without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) /?e5 vZ a . ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 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
app size requirement: 81/2" x 11", or 11" x 17"
WwI, New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: S.- >< (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): /
❑ $40.00 Fee (Permanent sign, any size)
Data Total Wall Area (sq. ft)
Sign (-77, /( ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) O S E W NE NW SE SW
Height to top of sign (feet): a ' • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): s " must include dimensions of wall face and sign
Copy: 0i&i7;4 L Wm./r placement.
• Wall signs do not require site /plot plans.
Materials: f{Lon,
• Freestanding signs over 6 ft. required a building
Will sign have illumination? CZ Yes ❑ No permit.
Type: st 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.
R iw.Go ri (OVER FOR SIGNATURES)
503 330' -5 7f7
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'Z'ED this day of , 20
.� 1
Signature of Owner /Agent
POJT a v .5 -330 7
Contact Person Name Phone No.
Manufacture and install;
One (1) illuminated cabinet display with neon border tube.
CITY OF TIGARD
;- Appro -- _..._ . [
I CorIa ItIo {y Approved... [
Express For only the work as described in:
�-� copy PERMIT NO. SZ • C D i
• to
size: See Letter to: Follow
K , p��� Attach �_ [
�, 6.5" not including o/I by 0Qi �YUI� ! ob A ddress " 14 -` ) CcP�6c- daarJ4S F °I
Reading distance = 325' S. ee��f�i _
� 1 Holiday Inn Express logo for color comparison Do+ e " ` s� 0 7 11 111 )
in PI
° d �� Proposed set to scale
\ 140 A- C 6.5" not including 0/1 % °_T-
Reading distance = 325' ' . -
.
Sca. 1/2 —1 — — —
- A 9
Specifications: ^ — • . .
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Cabinet - Alum. fabricated. Paint Duranodic. dk.Bronze. pit► 6
Fluor. ilium. ■ ..
Face - Clear Acrylic PC with digital print overlay. .' 11101Vr _
Border tube - 15mm, 30ma cicgold 2 (Bright yellow) I i sip 4 -
18809 4 -15 -09 L0 1 1 Ap Business Name:
C `c Original artwork is protected (]A pp r oved with changes noted
under federal copyright laws. D E S I G N N U M I! E R DATE DRAWN B Y
Make no reproduction of design —
concepts byEDSwithout Mack Ganji Rob Breazile REVISIONS CUSTOMER SIBIIAIURE Keystone Kafe
ELECTRONIC DISPLAY SYSTEMS permission. CUSTOMER NAME SALESPERSON 4 -23 -09 LD —_
www.edsnw.com slightly trom p actual may wary Keystone Kafe Redesign DATE
15700 Upper Boones Ferry Rd.
503- 582 -8400 503 582 - 8411 fax callouts for finished sIgNs F I L E N A M E L A N D L O R D 1 I O R A T7 R E Lake Oswego, OR 97035
10965 SW COMMERCE CIRCLE POB 2376 WILSONVILLE, OR. 97070.2376 CCB 178522 DATE
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CITY OF TIGARD RECEIPT
II 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 173491 - 05/08/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00116 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00116 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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