SGN2010-00110 r ' . . T `� CITY OF TIGARD SIGN PERMIT
7,1 0 Permit #: SGN2010 -00110
" R C OMMUNITY DEVELOPMENT Date Issued: 06/15/2010
.T 4m 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102CB00302
Jurisdiction: Tigard
Name of Business: Salvador's Bakery
Business Address: 13185 SW PACIFIC HWY B1
Applicant/Agent: Quiroz, Lela .
Work Description: Placement of one (1) temporary sign (Banner) 8' X 3' Valid 6/16/10 - 7/16/10 Sign #1
Must be placed on private property not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 8'
Total Sign Area: 24
Wall Area:
Wall Face (Direction): South
Sign Height: 4 ft.
Projection From Wall: in.
Illumination:
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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.
Approved By: ..1.1.2.01 A/al
("( r ) .
Permittee Signature: C- y -e.:,/.c�f
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SIY /Hall Blvd, Tigard OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
E TA G
GENERAL INFORMATION
Name of Development /Project Cp,i) S'iv t
51304-€ FOR STAFF USE ONLY
Site SPI -C.J fl`LO0_'j ��-- `1
Address/ Street Address Permit No.: ..6A)(3 0 - 00 (1 v
Location 434 WS gSs-Ct c, C 4 y
I
Expiration Date:
Suite /Bldg. # City/State Zip
�- 7 cIat Ri 3 Receipt #: 1 7 ff 30&
Name Approved B 3.1129A
Property BOO YY1 Date: CP / 1S
)
Owner Mailing Address Suite Map /TL #: 3 I D •e_ t CV 30 D--
Zoning: 6a.
City/State Zip Phone
Electrical Permit Required? ❑ Yes p
Tenant or Name
Business SFI �Jt,•�� \S ` � � Building Permit Required? ❑Yes o
Name Rev. 7/1/09
is \curpin \ masters \land use applications \sign permit app.doc
Sign -V--& U,_‘ A t- S\ Est
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone so 3 REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
t�
required if Gt :G 1- (,,,c C without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement 8 x 11", or 11" x 17"
aPPtY)
I A New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / (3 copies, if a building permit is required)
< >s 3 size requirement: 8 x 11 ", to 24" x 36"
Total Sign Aret (sq. ft.):
24 ' ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N () E W NE NW SE SW
Height to top of sign (feet): if / • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
placement.
Copy: • Wall signs do not require site /plot plans.
Materials: Vi i .,.ILA 1....., • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes NE No permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes VLNo NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square J
footage must also be submitted.
(OVER FOR SIGNATURES)
‘'rRtZ (- (=>-- 16-k C.
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 5v day of , 20 k O
Signature of Owner /Agent
C),c ?i l— 5c3— 3∎ 2Sa[i
Contact Person Name Phone No.
\ ■-\
3 - cz��+►a� -�5 DES , �
pri- ',- CITY OF TIGARD RECEIPT
II
IE; : 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
`TI GARD..
Receipt Number: 178308 - 06/15/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00110 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00110 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1003 STREAT 06/15/2010 $19.00
Payor: Lela Quiroz
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1