SGN2010-00077 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00077
COMMUNITY DEVELOPMENT Date Issued: 05/14/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S111 DD00201
Jurisdiction: Tigard
Name of Business: Primo Espresso
Business Address: 15981 SW HALL BLVD
Applicant/Agent: Williams,Jamie
Work Description: Placement of one(1)temporary sign(A-Frame)4 X 3 Valid 5/14/10-6/14/10 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: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: Yes
Sign Dimensions: 4 X 3
Total Sign Area: 12
Wall Area:
Wall Face(Direction):
Sign Height: 4 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Wood/Plastic
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: A,&
Permittee Signature:
IN gli
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
Oft Phone: 503.639.4171 fax 503.598.1960
1a4C 4A145:1-:1
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site ORIVl ESp S6 /,,
Address/ Street Address Permit No.: � `� 10 . 1 O - 00 0 71
Location ( q r1 k Sw k-wit-Bcv0 Expiration Date:
Suite /Bldg. # City/State Zip 5 - 12Z 4-- 1
"11G olo a Receipt #:
Name t Approved B S -'t 12okr
2 Ch11„L (NU'eTGv Date: CIi �l'�10
Property '
Owner Mailing Address Suite Map /TL #: g5n D D ol).)0)
Su.1 6` 230 0 Zoning: (2.0
City/State \A� Zip Phone
4\f4l e `�" Electrical Permit Required? ❑ Yes
Tenant or N
Business ` ( it s Building Permit Required? ❑ Yes 5No
Name Rev. 7/1/09
is \curpin \ masters \land use applications \ sign permit app.doc
Sign
Contractor, Mailing Address Suite
(Prior to permit
issuance, a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
City of Tigard's
database) IS Completed Application Form
Proposed ❑ Permanent p Freestanding ❑ Freeway 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary El Wall 17:1 Electronic (3 copies, if a building permit is required)
a Check all that Other ❑ Billboard ❑ Balloon
pply) size requirement: 8' /a" x 11 ", or 11" x 17"
Cjii New sign? ❑ Alter to existing sign? 2 copies of elevations, drawn to scale
Sign Dimensions: (3 copies, if a building permit is required)
4 x 3 x2 SlP $ size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
24 set ❑ $40.00 Fee (Permanent sign, any size)
Total Wall Area (sq. ft.)
Sign Data [ $19.00 Fee (Temporary sign, any type)
(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): 4 r ♦ 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: ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes % 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 J No NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
C / ( _ 614 (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 0 day of -A sc , 20 (\
C�
kAd
S of O ne /Agent
W\ Lu 5 s o . -- mq .4-62- 7
Contact Person Name Phone No.
''''''''':'- CITY OF TIGARD RECEIPT
ill ii i 13125 SW Hall Blvd., Tigard OR 97223
_ 503.639.4171
4194-rw
,
Receipt Number: 177939 - 05/14/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00077 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00077 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 20443 STREAT 05/14/2010 $19.00
Payor: Northwest Gourmet Coffee Co., Inc
Total Payments: $19.00
Balance Due: $0.00
Page 1 of 1
Sign Elevation
Primo
Espl.es so Copy duplicated on
reverse face
OPEN
4' 5:30 AM
WEEKDAYS
6 AM CITY OF TIGARD
pproved
Conditionally Approved - -. [ 1
WEEKENDS For on th work as desc i n • - �-
PERMIT NO. )1 C ( d ' "c) -11
See Letter to: Follow
I Attach
Job Address: 16-(/°1 S `j t �z
Py — � ►! Date: 57 /Y
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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