SGN2006-00027 f -
C ITY OF TIGARD SIGN PERMIT
���� DEVELOPMENT SERVICES PERMIT #: SGN2006 -00027
I��lll DATE ISSUED: 2/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 103 D D -00800
BUSINESS NAME: TIGARD DONUT ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 80 JURISDICTION: TIG
APPLICANT /AGENT: TIGARD DONUT
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2.5 X 3.5
TOTAL SIGN AREA: 0 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): 4:
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign 2.5 X 3.5 Valid 2/7/06 through 3/7/06 Sign #2
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
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 , 110,ddays from validity date.
APPROVED BY: '` f A ' Jte
PERMITTEE SIGNATU
DATE: 2/7/2006
. t
1 .`:�Ifl S IGN 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
vi ti f FOR STAFF USE ONLY
Site 7 Address! Stre ess n Permit No.: S(L 4) - ' 3- 7
Location _ f /385 i , ) t'c2ffiC b L(17'
Expiration Date: 1/0) p ` 7 /Ub
Suite /Bldg. # City /State Zip
g 0 TI6cU'c 72. -
73 Receipt #: S
f OQ
Name Approved By: C , •T
Property Al 'ie S/ Ve- Date: .47/0(o
Owner Mailing Address Suite Map/TL #: ,.9._*103 LO `07))
Zoning: Co
City /State ' Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes ErNo
Business Building Permit Required? ❑ Yes E 1 o
Name Rev. 7/1/05 i:lcurpin \masters \revised\sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall
❑ Electronic
(Check all that
apply) ❑ ❑ 2 copies of elevations, drawn to scale
Other ❑ Billboard ❑ Balloon
sign? (3 copies, if a building permit is required)
ID New si
g El Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions:
i x 3 ± t` ❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall, signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑ No
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 Fe b 20 -(
7 77
Sib .ture of Owner /Agent
Pete 563 — -- RRs
Contact Person Name Phone No.
-- )7 4 j-CA
DN U
•
CITY OF TIGARD 2/17/2006
13125 SW Hall Blvd. 8:57:33AM
Tigard, Oregon 97223
All Tigard,
63 9-4 17 1
Receipt #: 27200600000000000598
Date: 02/07/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00027 [SIGN] Temp Sign Perm 100- 0000 - 437000 16.00
SGN2006 -00027 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Cash PETER KIM ST In Person 18.00
Payment Total: $18.00
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