SGN2007-00013 4 !'
Elp CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2007 -00013
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/22/2007
PARCEL: 1S136CD-00100
BUSINESS NAME: LITTLE CAESARS PIZZA ZONE: C - G
SIGN LOCATION: 11705 SW PACIFIC HWY X JURISDICTION: TIG
APPLICANT /AGENT: LITTLE CAESARS PIZZA
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18" X 24"
TOTAL SIGN AREA: 3 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of one (1) temporary sign 18" X 24 ". Must be placed on private
property, not in public right -of -way. Valid 1/22/07- 2/22/07 Sign #1
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: 4
DATE: 1/22/2007
•
IR SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tigara OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site L-' 4 le Caesars t , z_6
Address/ Street Address I Permit No.: . k 3 UX /3
Location li `]OS St,J t 1 Li''a4iC; l- I1q� a
Sui /Bldg. # Qty/State Zip J `7 Expiration Date:
X T' r 012 9 2- Z3
Receipt#: . -07 - ) -7 C)a5
Name Approved By .S - Ti i,71-7
Property 0 e L nVeS4- ✓vlen+ Date: [iaa -!07
Owner Mailing Address Suite M /TL# : / S/34 -07) la
Zoning: C(='
Qty/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes allo
Business L; } - e Ca. e$a /S of Ti rya r d Building Permit Required? ❑ Yes allo
Name 3 Rev. 7 /5/06
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 Const. Cont. Board License # Exp. Date
Qty of Tigard's
database) ❑ Completed Application Form
Permanent Freestanding Freeway Proposed ❑ ❑ ing ❑ y ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 0 Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that
apply] ❑ocher ❑ Billboard 111 Balloon size requirement: 8 „ x 11”, or 11" x 17"
0 New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: , , 1/ (3 copies, if a building permit is required)
/ iS x Z y size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
❑ $39.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 1
❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) NS E W NE NW SE SW
Height to top of sign (feet): 3' &" ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): /.J h must include dimensions of wall face and sign
placement.
SPY. ♦ Wall signs do not require site /plot plans.
Materials: P /eisii L ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes gr 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 El No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
// , z _ . ./ . -4 _ . _/() 7
(OVER FOR SIGNATURES)
r
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 1/4-Sct n U a r l./ ,20 7
Signa o Owne ent
•
fe r P a , ( i i i SD ; - 3 33-
Contact Person Name Phone No.
n
/JO tAi
! CITY OF TIGARD 1/22/2007
13125 SW' Hall Blvd. 2:54:28PM
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200700000000000257
Date: 01/22/2007
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2007 -00013 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2007 -00013 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $19.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard DEREK A PAYNE ST 145830 In Person 19.00
Payment Total: $19.00
cReceipt.rpt Page 1 of 1