SGN2007-00212 e
$bi ^al a l i CITY F 1 it SIGN PERMIT
Iv' "'7a_ �� DEVELOPMENT SERVICES PERMIT #: SGN2007 - 00212
DATE ISSUED: 11/19/2007
T IGARD' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AB -02000
BUSINESS NAME: A TASTE OF HEAVEN ZONE: CBD
SIGN LOCATION: 12535 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: A TASTE OF HEAVEN
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 8'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: EXT
DESCRIPTION OF SIGN: Placement of one (1) permanent wall sign 4' X 8'
MATERIALS: DIEBOND
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Speaalty 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: au-Ca1
PERMITTEE SIGNATURE:
DATE: 11/19/2007
1
MSIGN PERMIT APPLICATION
Cary of Tigard Permit Center 13125 SW Hall Blul, Tigard, OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION 9
Name of Development /Project
Site PI T} o 0. N op 1 FOR STAFF USE ONLY
Address/ Stree dress Permit No.: SG A L2tra ? CO '
Location 1aS 5 flr\ S t. Expiration Date:
Suite/Bldg. # Gty /State Zip
rd, 1 li 3 Receipt # : S Cv1 CD q40
Name Approved By S • RT
Property 30 7) � Date: i t l l c(f 07
Owner Man Address Suite M /�r : a-S i U o_ A P - oat.) O
•U 4 X ZS ID Zoning: e fa-D
ay/State Zip Phone
# r \ Cab ` Se ^QL114 .5 ' `"y Electrical Required? l Permit Re Yes No
Tenant or Name q ❑
Business 1k ftv� Building Permit Required? ❑ Yes ['STo
Name Rev. 7 /5/06
is \curpin \masters \land use applications \sign pemut app.doc
Sign h
Contractor �Nfailu� ] 6 SP
tes� � , t t1S
(Prior to permit
issuance, a , �" S WP iC N�� JJ
copy of all ty Zip Pho J REQUIRED SUBMITTAL ELEMENTS
licenses are i . � � s - � (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Or barel
Const. Cont. Board License # Exp. Date
City of Tigard's U
database) t h ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary ,l Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ her ❑ Billboard Balloon 1
apply)
❑ size requirement: 8 /z" x 11 ", or 11" x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 1 X 8 (3 copies, if a building permit is required)
size requirement: 8 /z" x 11 ", to 24" x 36"
Total Sign Area (sq. t.): ?
.�a
El $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E O NE NW SE SW
Height to top of sign (feet): c ad 1 • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): It)," must include dimensions of wall face and sign
apyA 11� C placement.
Materials: ;e, Qh • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? Z4 Yes ❑ No permit.
Type: ❑ Intemal ri 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)
J
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 I' ED this 'l day of ` l ,20 U 7
J\nrvAis,
Signature of Owner /Agen
Contact Person Name Phone No.
o f \-} E 6 V F.N
� a.5 3 $ 510 N ,
T16AIZD aF-1 ° t'1 &9
5 3 diP 81
CITY OF TIGARD
:unaily Approvea scribed in ; .......... [
r the work as described in:
See MIT e o: Follow— ......
_...w_..._.� ._ ._...
it 4 ..--- .. ...
...._ ......... ...
SSS l.(i41 �
'
Attach,
- --- .:. ... tll/qG422
1
E O F 1-4
cam, VF4i,
CITY OF TIGARD 11/19/2007
13125 SW Hall Rh (1. 8:12:37AM
Tigard, 012 97223 503.639.4171
TIGARD
Receipt #: 27200700000000005096
Date: 11/19/2007
Line Items:
Case No "Fran Code Description Revenue Account No Amount Paid
SGN2007 -00212 [SIGN] Sign Permit 100- 0000 - 437000 3.00
SGN2007 -00212 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: 540.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check RITA M GOLDSBOROUGH ST 1374 In Person 39.00
Cash RITA M GOLDSBOROUGH ST In Person I.00
Payment Total: S40.0(1
cRcccipt_ipt Page 1 of 1