SGN2006-00028 CITY TIGARD SIGN PERMIT
a DEVELOPMENT SERVICES PERMIT #: SGN2006 -00028
���II DATE ISSUED: 2/10/2006
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 25111 DD -00201
BUSINESS NAME: PRIMO ESPRESSO ZONE: C -
SIGN LOCATION: 15981 SW HALL BLVD JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3 X 4
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: One (1) temporary a - frame sign 3 X 4. Valid 2/10/06 - 3/10/06 Sign #1
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 10 days
from validity date. ^^ --
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APPROVED BY:
PERMITTEE SIGNATURE: GlL�
DATE: 2/10 006
eli 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
Site
FOR STAFF USE ONLY
Address/ Street Address Permit 2 No.: UIJ 4
�"D"0
Location IS9 81 5V•1 HALL. LVO• K �
Suite /Bldg. # City /State Zip Expiration Date: h// 0/0(0 — 3 4 0 / 62
T1 cuA R0, OQ fl24 Receipt #: giro (D( ( P(o
Name Approved By: . eCA
Property 6 R.A.4 - 0,09-t'lFS Date: 3 /!) 10 (,)
Owner Mailing Address Suite Map/TL #: cS / / I All Q 0
20.vt 0 ire 2 do Zoning: CO
City /State ' Zip Phone
Name
I WA Electrical Permit Required? ❑ Yes 12( No
Tenant or
Business cYbrob ..60e6550 Building Permit Required? ❑ Yes "No
Name Rev. 7 /1/05 is \curpin \masters \revised \sign permit app.doc
Sign Si 6 N5 NOv..)
I
Contractor Mailing Address Suite
(Prior to permit 11 �� S UZ t�p REQUIRED SUBMITTAL ELEMENTS
issuance, a (Note: applications will not be accepted
copy of all City /State Zip Phone without the required submittal elements)
licenses are G 111
required if 1 O V Q Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # g 2 Copies of Site /Plot Plan, Drawn to Scale
database) p
Co
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that
apply) ❑ Other El Billboard El Balloon [j 2 copies of elevations, drawn to scale
❑ New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 X 4- X 2St
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): Zg 562"r
LI' $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: E 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): g' • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): • but must include dimensions of wall face and
Co sign placement.
py • Wall signs do not require site /plot plans.
Materials: t,t.)t9U,b • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes i g 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 1 0 day of FEB2 , 20 0C9
N
Sig i re of Ow e /Agent
1
Aikk LE W LiitA A wIS Sa3.639.77+
Contact Person Name Phone No.
Sign Elevation
P rimo
spresso Copy duplicated on
reverse face
OPEN
4' 5:30 AM
WEEKDAYS
6 AM
WEEKENDS
1 3'
Temporary Freestanding A -Board Sign
12 Square feet per side
Scale 1 " =1'
Site Address: 15981 SW Hall Blvd.
Tenant/Business Name: Primo Espresso
Sign Company: Signs Now
11520 SE 82nd Ave
Portland, Oregon
503- 652 -2072
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