SGN2004-00234 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00234
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/10/2004
PARCEL: 2S 103DD -00800
BUSINESS NAME: THAT COFFEE PLACE ZONE: C -G
SIGN LOCATION: 13815 SW PACIFIC HWY 80 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
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: Placement of (1) one temporary 3'x'4 A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
9/11/04 thru 10/11/04. Sign #2
MATERIALS: WOOD
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 d.ys from validity date.
APPROVED BY:
PERMITTEE SIGNATURE:,
DATE: 9/10/20 4
i
A*, rAi! SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION 1
Name of Development/Project ti acgf - cat, 'Z c /t ,'C
J FOR STAFF USE ONLY
Site / •5 / 5 S w l�4 4:c ./j n
V. Address/ Street Address Permit No.: . S a, 1 oo'-i - boa 3 Li
/ Location
Expiration Date: 1 0 - i I o
Suite /Bldg. # City /State Zip
-1, �1 U6. q 7 Z2,3 Receipt #: �o °N - cl oa 0
Nam Approved By: 0 - (ce-4y-i.L-,
v Property c, 1c.,(5 CO. Date: � - / 9 - -0`f
\ Owner Mailing Address Suite Map /TL #: 025/030D - Oc) 8 6,0
k 7 50 S,A) (,I\ \v\ Zoning: C. - C-
City/State Y Zip Phone
7 1 1 4 $ 15
1d oc. X7251 Electrical Permit Required? ❑ Yes p No
/ ( Tenant or Name A
Business �■4+ W \� -e-' Building Permit Required? ❑ Yes Er No
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign
Contractor ailing Address • - REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Phone
licenses are
required if \\ ❑ Completed Application Form
expired in the regon Const. Cont. Board Exp. to
City of Ti s License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (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 Q Other ❑ Billboard 11 Balloon
III 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"
x Sign Dimensions: 3 k L ❑ $32.00 Fee (Permanent sign, any size)
X Total Sign Area (sq. ft.): V ict 2/ ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Wall Area (sq. ft.) T Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: jl L., • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ No building permit.
Type: ❑ Internal ❑ 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.
/ QiL
DATED this day of � te "„ , 20 J
Signature Owner /Agent
ZS sc, 56Le■ 5 6 4 } 5 ) 7 0 - S - 0 7 5 S
Contact Person Name Phone No.
C - O - ce- --e_