SGN2000-00055 •
CITY OF TIGARD SIGN PERMIT
it r DEVELOPMENT SERVICES PERMIT #: SGN2000 -00055
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/20/2000
2 ^P
EXPIRATION DATE:
BUSINESS NAME: JAVA JUICE
SIGN LOCATION: 13295 SW PACIFIC HWY PARCEL: 2S102CB 0190
APPLICANT /AGENT: MARK EBENSTEINER ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
• TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 3' DOUBLE
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SW
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON •
DESCRIPTION OF SIGN: Temporary sign permit
•
MATERIALS: METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days frnm annrnval data
APPROVED BY:
PERMITTEE SIGNATURE: 1711A-- ff I1LIJ11rvt. v`"""`49
DATE: 03/20/2000
•
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CITY OF TIGARD Sign Permit Application Recd By IF
, Date Rec'd 7 .& —200 b
' 125 SW HALL BLVD. Permanent or Temporary Permit No. 37
RD, OR 97223 Commercial or Residential Permit Fee t 5•" _
(503) 639 -4171 Receipt No. OM OS LS`
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site ,J ou erg location, including wall signs that overlap a tenant space?
Address/ Street Address C ❑ Yes ❑ No
Location / 3 � poc t x,fG- /717/ If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
Suite /Bldg. # City /State Zip
7 &-fD 9 59 23 -
W2 Cates NOTE: If work authorized under a sign permit has not
Property been completed within ninety days after the
P rtY i� �el�C � � SrG j� /s, issuance of the permit, THE PERMIT WILL
Owner Mailin Address gag' Suite
- BECOME NULL AND VOID.
u S e c'f-e-
City /State Zip Phone I hereby acknowledge that I have read this application, that the
1--9‘044e-(9.-721/40.- g , 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.
Tenant or Name yy��
Business 0. Yri;C - Si natu of Ow er /A • Date
Name f ? r 9 O V
Sign ontac Person Name _ ,/,'"
Phone 9 �,, 7
Q �i
Contractor Mailing Address Suite A 4 fL ��� ��P / t ?0_- J
Prior to permit L
issuance, a
copy City /State Zip Phone
of all licenses
are required if Required- Submittal 4 Elements
expired in Oregon Const. Cont. Board Exp. Date
C.O.T. License # D'eompleted'application form •
—
database
Proposed I2 copies of • /plot plan drawn to scale'
❑ Permanent 0' ❑ Freeway (3 copies if a building °permit fs required)
Sign
Check all that x ,,
r
Temporary Freestanding ❑ Electronic size requir
eent 8 1/2 11 " z 17
� .
apply ❑ Other ❑ Wall ❑ Balloon Note: `Watt signs do not require sitelplot plans
❑ Billboard copies of elevatigns drawn to scale •_
'" 3co les if abuildi ermlt Is, r ulred
❑ New sign? ( ; P c 9.3'p . q. )
size requirement' 8-1/2" x 11 , to 24' x 36"
❑ Alteration to existing sign? Note = Wall signs do not need lto be, drawn,
Sign Dimensions: n scale,, but must`inclu de dimensions -.
°' .
5 A FT' r ` aro Fee „ (Permanent sin any sie) Total Sign Area (sq. ft.): 0 Fee (Temporary sign any ,
Sign (Z i'
Data Total Wall Area (sq. ft.) .
Please �!
complete Direction Wall Faces (circle one): •
each item
FOR OFFICE USE ONLY
•
in this ap(T n Zoning: "
section
N S E W NE NW SE M
Notes 1 2-5 ? �l C- �
Height to top of sign (feet): l
- .,�
Projection From Wall (inches): :.._.... e it R _� ,
... Ye -; ?. _ .�No
Projection Elecfrical,FermdR ?;; - ` . "- _
Copy: .,; •_
Materials: M tT�/ • Bu ilding Permit Required ❑ Yeso
Will sign have illumination? No Yes ❑ ,„ _ :
Approved By Date of Approval f
Type: II) Internal g External � l G~ L `- : (/' then)
E xpiration ° Date _ ,, W_ -
_
is \dsts \forms \signapp.doc 11/17/99 .
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