SGN2005-00060 CITY TIGARD SIGN PERMIT
, le i DEVELOPMENT SERVICES PERMIT #: SGN2005 -00060
c � , i l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/15/2005
PARCEL: 2S 102AA -00490
BUSINESS NAME: ROUND TABLE ZONE: CBD
SIGN LOCATION: 12085 SW HALL BLVD 120 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 14' -3" X 24"
TOTAL SIGN AREA: 28 sq. ft.
WALL AREA: 720 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: IND
DESCRIPTION OF SIGN: Installation of (1) one 28.5 sq. ft. permanent wall sign.
MATERIALS: METAL /ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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 tem orary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days
from validity date.
APPROVED BY: `
PERMITTEE SIGNATURE: /\ ���l^« EGG` �'�
DATE: 3/15/2005
'.'i1... SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 1L..Ou1--l ---- V - 41...- 0--
Address/ Street Address Permit No.: 59 Ai 11 S— 0, i �-) Co fp
Location \.7 1,L_ - L_l.i �
Suite /Bldg. # City /State Zip Expiration Date:
t lc-Aa 0 ( Ore— Receipt #:
Name Approved By:
Property Date:
' Owner Mailing Address Suite Map /TL #:
Zoning:
City /State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ❑ No
Building Permit Required? El Yes 1=I No
Business 6�-C 0 ' L�
Name T �✓ Rev. 7/1/04 is \curpin\ masters \revised \sign permit app.doc
Sign U2l 5I.L_ / -4
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit • (Note: applications will not be accepted
issuance, a LB (., SF 1
without the required submittal elements)
copy of all City /State . Zip Phone
licenses are
required if -- Pcxcci..44...vo c .X 53 Z32. L41 72. ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # �l ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) l 7.....z.. 8
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary M Wall
(Check all that I=1 Electronic
❑ Other Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: ❑ $32.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,, n $15.00 Fee (Temporary sign, any type)
,1$ -5
Si n Data Total Wall Area (sq. ft.) 7�o Jurisdiction: ❑ City ❑ Urb
g
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S Cr) W NE NW SE SW
e Wall signs do not need to be drawn to scale,
Height to top of sign (feet): /4 `--O" but must include dimensions of wall face and
Projection From Wall (inches): '"" sign placement.
Copy: a Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ,fYes ❑ No building permit.
Type: Q Internal Cl External • If work authorized under a sign permit has not
Are there any existing freestanding 'or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes 111) No BECOME 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 0�
Signature of Owner /Agent
Contact Person Name Phone No.
.,
1
Round P17.12:
1ZZA Ta Table Store #345 Tigard,
R O
Building Identification Replacement
6Q
12085 Hall Blvd.
Tigard, OR k..,ii Y C. T1= :A D
r- ri + - +' ' ' yc' k idcj:cr cd ;n:
r`• =l F I P r :i fL
' SU' L ai S-- 6 kr7 F-e.bo 6/ _ ju,) /
' SIGrTS & Services
1 - -- U �' C O M P A N Y
__ -----..r -.
- 10980 BOATMAN AVENUE
STANTON, CA. 90680 I
PHONE 714/761 -8200
FAX 714/761 -2451
W W W.SIGNSANDSERVICESCO.COM
J
CLIENT
ROUND TABLE PIZZA #345
12085 HALL BLVD.
TIGARD, OR
Scope of Work:
Replace (2) Two sets of Channel -Lum letters Design No 04 -155
and raceway with (2) Two new sets
of RTP channel letters and raceways
Date: 2/10/04
Signtype O
Scale: NOTED
Designer: AMG
Sales Rep: D. Terrack
R EVISIONS
/ I - -
-
Round Table -
Other Tenants
m `{
Parking Lot
Signtype Q sIGnsl EY services
c O M 'P A N y
10980 BOATMAN AVENUE
STANTON, CA. 90680
PHONE 714/761-8200
FAX 714/761-2451
W W W.SIGNSANDSERVICESCO.COM
99W
woad
.1a�oaa+ea
CONTRACTORS LICENSE # 624675
11f15 15 AN ORIGINAL UNPUBLISHED DESIGN CREATED BY SIGNS
NORTH AND SERVICES COMPANY. IT IS NOT IO BE SHOWN OR
(H1811E010 80081 OUTSIDE YOUR ORGANIZATION.
REPR0080108 OR CONSTRUCTION OE DISPLAYS BASED ON
THIS DESIGN IS SUMO TO COPYRIGHT SAWS AND SUMO
TO LEGAL ACTIONS.
Site Man
24' - 0" CLIENT
6' -0" 24' -0" ROUND TABLE PIZZA #345
12085 HALL BLVD.
TIGARD, OR
+ _it . ', , • _ t
i I
a AAE: _, .. y 1 Design No. 04 -155
N
Date: 2/10/04
.� ifi "' Be till tiYik4Aleia'k Scale: NOTED
• I. '- W Designer: AMG
` Sales Rep: D. Terrack
1— tom_ I 3 a REVISIONS
\- REV
' g. _ � Z. - /2\ -
_
East Elevation (Existing) North Elevation (Existing)
45' -0" frontage 50' -0` frontage
14' -3' sir-vs c, ser N Eces
14' -3" o
10980 BOATMAN AVENUE
i STANTON, CA. 90680
a ", P ' - PHONE 714/761-8200
" r FAx 714/761.2451
?v t W.
WWSBGNSANDSERVICESCO.COM
N . , ,, Round Table N , :, ' ound able •
L:C:SA
'I -
_ CONTRACTORS LICENSE # 624675
J
T
- -- ,_ a+ .:. THIS IS AN ORIGINAL UNPUBLISHED DESIGN CREATED BY SIGNS
';y ,. :7 � 4 ., • AND SERVICES COMPANY IT IS NOT 10 BE SHOWN OR
ERNIBITE010 ANYONE OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF DISPLAYS BASED ON
THIS DESIGN IS SUBJECT TO COPYRIGHT LAWS AND SUBJECT
10 CEGAS ACTIONS.
East Elevation (New) North Elevation (New)
(// Elevations
i ld
0\ °
Sign Specifications CLIENT
ROUND TABLE PIZZA #345
14'13" 1❑ New set of fabricated aluminum internally 1 2085 HALL BLVD.
illuminated channel letters (5" deep) with white TIGARD, OR
Q P-t acrylic faces and translucent film overlay
Q P -t
❑2 'SHIELD' fabricated aluminum internally illuminated
channel logo (5" deep) with white acrylic face
iriii._ color as per RTP standards) Design No. 04 -155
D '�1 /'� ❑3 1" thick Ga torboard painted white with
I 3 N � — 8 . / n Emerald Green #230 -126 graphics Date: 2/10/04
. �J ' Scale: NOTED
t I ® New exposed aluminum raceway
la
— \ �� -JI ® painted to match building Designer: AMG
Sales Rep: D. Terrack
Trim cap
Signtype 0 28.6 Sq.Ft. Scale: 1/2 " =1' -0" 3/4' Black (loge)
a® 3/4" Green (letters) REVISIONS
Illumination L -
Letters illuminated with 6500 White neon
(15MM glass) -
® 'Shield' illuminated with 6500 While neon -
® ® V-0 )r5MM glass)
A
A ' • D Electrical Requirements
30MA transformers
V1
METAL /ALUM. I 5 u PIZZA — v3 Key Notes
LETTER.
• PLEX FACE WITH TRIM Remove and discard existing RTP channel letters SI c oo M P A N ICES
• BUILDING CAP RETAINER. ® and logo prior to install of new channel letters
FACIA and raceway
�— 10980 BOATMAN AVENUE
INTERNAL NEON g O L /Lo Color Details STANTON, CA. 90680
U/L #2161 ILLUMINATION. PHONE 714/761 -8200
REMOTE U /LAPPROVED FAX 714/761 -2451
TRANSFORMER. 'ELECTRO BITS" Color Schedule W .SIGNSANDSERVICESCO.COM
� ' • INSULATORS w/ COLOR # COLOR
W W
PRIMARY 1 • GTO SLEEVE.
WIRING. v -1 Black vinyl z3o -zz
dl' V-2 Process Blue vinyl 230-337
I. 1/4" THRU BOLTS
V3 Poppy Red vinyl 230 -143 ` _ " u�
",Y I V4 Brilliant Green vinyl 230 -106 v " ` " ^ `//1 "w
OFF /ON NEON TUBE SUPPORTS. V-S Tangerine vinyl 3630 -84
SWITCH. 0-6 Emerald Green vinyl 230-126
1)4" WEEP HOLES
V -7 Copy reversed out White from t= =Id
(2) PER LETTER bkgd. A s° ales
®to be reversed out white
CONTRACTORS LICENSE # 624675
Paint Colors Installation Requirements ISIS IS AN ORIGINAL UNPUBLISHED DESIGN CREATED BY SIGNS
TYPICAL CHANNEL LETTER wl RACEWAY INSTALLATION COLOR # COLOR This sign is intended to be installed in accordance AND SERVICES COMPANY II IS NO1 TO Bf SHOWN OR
P -1 Emerald Green (PMS 3435) wAh the requirements of Article 600
EXHIBITED RCO R
CONSTRUCTION Of D ISYS BASE
gloss finish of National Electrical Code and /or Other applicable REPRODUCTION 01111 IS DR 101 IT COPYRIGHT Of DISPLAYS A BASED ON
P3 Black f th Ni l l
9 PP IRIS DESIGN IS SUBI[01O [DPYRIGHI LAWS AND SUBI[0
local codes. This includes proper grounding and to IEGAI ATOM.
bonding of the sign.
At I White acrylic I I
Channel Letters
w/ Raceway
CITY OF TIGARD 3/15/2005
13125 SW Hall Blvd. 11:44:11AM
x :,,.i Tigard, Oregon 97223
- I L (503) 63 9-4 17 1
Receipt #: 27200500000000001130
Date: 03/15/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00060 [SIGN] Sign Permit 100 - 0000 - 437000 32.00
SGN2005 -00060 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2005 -00061 [SIGN] Sign Permit 100- 0000 - 437000 32.00
SGN2005 -00061 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $74.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check SECURITY SIGNS KJP 013117 In Person 74.00
Payment Total: $74.00
cReceipt.rpt Page 1 of 1