SGN2004-00066 A S
CITY OF TIGARD SIGN PERMIT
PERMIT #: SGN2004 -00066
: �i EVE HO BM E Ng r S RR Z C ES) 639 -4171 DATE ISSUED: 4/8/04
13125 PARCEL: 1 S 135DA -01000
BUSINESS NAME: DALTON'S NORTHWEST CATERING ZONE: C -P
SIGN LOCATION: 08530 SW PFAFFLE ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 48" X 80"
TOTAL SIGN AREA: 26 sq. ft.
WALL AREA: 491 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of permanent wall sign. (46" x 80 ")
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 data
APPROVED BY: ` 0 / et_ ,
PERMITTEE SIGNATURE: e i / / i�
DATE: 4/8/04
,:I�'I SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site A-L"f D 0 u�Z _5fiC L� FOR STAFF USE ONLY
Address/ treet Address Permit No.: , S &)U o Da`(' ooD fo (o
Location $ '-3D 5. ar4 rr-e- f S1 -
Expiration Date:
Suite /Bldg. # City /State Zip
1?6-9 177A -3 Receipt #: a bo LI - I L N S
Nk4uk, Approved By: 0 . 0 GLAM.-2a
Property
A6 D ' Date: 4 T, - v y
Owner Mailing Address _ Map /TL #: 13) 3S A —
630 � � . e , cr Zoning: C - P
City /State Zip
y. hone ,
Tenant or Name / Electrical Permit Required? ❑ Yes ❑ No
Business " D -` /f ®'1a' &r 64021-m-- Building Permit Required? ❑ Yes ❑ No
Name /1 Rev. 8/7/2003 is \curpin \masters \revised \siqn permit app.doc
C
Sign ". /C $/g
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit 7o w / , 4 / c4am 4
issuance, a �� S 1 (Note: applications will not be accepted
copy of all City /State Zip hone without the required submittal elements)
licenses are _ , Qii 2, y � �3) b -s- �
required if � "7 ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # Cc r - 772 b 3 4-0E -0 6 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed Pj Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ,ai Wall
❑ Electronic
(Check all that ❑ 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: /' //
`��O )( ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 2 G
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft 9
/ Jurisdiction: ❑ City El Urb
(Complete all Direction Wall Faces (circle one
items in this NOTES:
section) GD S E W NE NW SE S SW
Height to top of sign (feet): IL/ • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes (x No building permit.
Type: ❑ Internal JR 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 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 1 day of , 20 ° 1
2
��ti.�kr
Signature of Owner /Agent
, b-- r G31 -7Z
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Contact Person Name Phone No.
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f'... w. > yvw i'.41495, ^w. } i,�ISt -- !11" � ar3 „$4 vy y: �9 1 , i -" !
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, Creating Maximum Impact
rlr t . pr For Business Identities
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L NORT� . ! ,,./ ' ! 11/25J03
".;a : VIE DDINt S BUSINESS EVENTS if PICNIC- y I �'
Client:
:.. �..... Qaiton's
Northwest
' '° Caterin
_ . Contact.
* \ . Dave Dalton
µ www .DaltonsNorthwestCatering.corn _ o , '
T ' , t
P
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fir,
Please initial &date
„ ' �T. irk
" i - Colors:
e.. ; � ,._ ..__ .. -.. . _. Spelling:
+' Graphics:
, ,� = � Dated:
'LASSIC SIGN
-•Y•S •T•E•M •S
7800 SW Durham Rd., Ste. 200
Portland, OR 97224-7577
Phone:503- 639 - 5656
These plans ore the exclusive prepe y of Classic Sign Systems and the result of the original work of its employees. The/ ae submitted to your company fa the sale purpose of Your consideraton of whether b purchase 4 k
th ee. plans or to purchase from Gamic Sign Systems a sign manufactured according to these plans. Dtstdbutan a ex l ibition of these plans b anym a other than employees of your company, a use of guess plans b Fax: 503424 -8706 email: classigns.com
canehuct a *nib sign Is expressly forbidden. h the event exhibition occurs, Classic Sign Systems w8 be reimbursed $500 for time and effort. Scale: 0" = 1'0"
CITY OF TIGARD 4/8/2004
1312.5 SW Hall Blvd. 9:53:37AM
A 0 Tigard, Oregon 97223
I - _ • .
�.� y (503) 639 -4171.
Receipt #: 27200400000000001445
Date: 04/08/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00066 [SIGN] Sign Permit 100 -0000- 437000 31.00
SGN2004 -00067 [SIGN] Sign Permit 100 - 0000 - 437000 31,00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check DALTON'S NW CATERING CAC 4711 In Person 62.00
Payment Total: $62.00
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