SGN2003-00193 •
CITY OF TIGARD SIGN PERMIT
1 DEVELOPMENT SERVICES PERMIT #: SGN2003 -00193
,,�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/14/03
PARCEL: 1S135DD-03301
BUSINESS NAME: BREWED AWAKENINGS ZONE: C -G
SIGN LOCATION: 11945 SW PACIFIC HWY 100 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8' -6" X VARIOUS
TOTAL SIGN AREA: 14 sq. ft.
WALL AREA: 100 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Installation of (1) one permanent 14.9 sq ft wall sign.
MATERIALS: SHEETMETAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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 sate or sign permit shall expire. A temporary sign shall expire 30 days from
validity date. A balloon sign shall ex ill!). from validi date.
APPROVED BY: /_
PERMITTEE SIGNATURE: ir1 .
DATE: 8/14/03
. ,.
s,,R,,,iI,,B . SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SP/ Hall Blvd., Tigard, OR 97j23 (503) 639 -4171 FA.: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site —779,444.) / 2,,g _ /� c
Address! Street Address Permit No.. `] N o 3 OQ I L3
Location //_, 5 S , Pe+ci iL //coy Expiration Date:
Suite/bldg. # 1 City/State Z y
�� � 1% %�.srt a Receipt # :__._._ 2 .. 7 3 (0 `-' Li
Name
Approved By:
Property Date: ei t4/ e-
Owner Mailing Address . Suite Ma lTL # :J5 / 35 00 -0 3 3
Zoning:
City /State Zip Phone
• Tenant or Name Electrical Permit Required? Yes lo
Business 431g E k.)E� Building Permit Required? Yes jNo
Name ,____ Rev V28/2003 i'lcurpinlmasterslrevlsedlsl n •ermlt an doe
Sign Abt/6/y t EGTktL S/44.1S. ""`""?
Contractor Mailing Address Suite , " REQUIRED SUBMITTAL ELEMENTS I
(Prior to permit /.•SO bowAI 2t ✓Eit. be, (Note: applications wilt not be accepted
issuance, a
copy of all City /State Zip Phone / — 36 0 without the required submittal elements)
licenses are tOoo 9Bm >4 2 Z � 4 B.,-.6'
required if 14.../.4 ,
expired in the Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
City of Tigard's License # A..9 S ¢to'S Copies of Site /Plot Plan, Drawn to Scale
database) hid moiz m 4o,t, _9 ` 1 / ' CD 3 ❑ 2 CO p
(3 copies, if a building permit is required)
Proposed /4 Permanent ❑ Freestanding ❑ Freeway . t „
Sign size r 8 /z x 11 , or 11" x 17"
Si
8 II T emporary ❑ Wall ❑ Electronic
(Check all that ❑ etlla ❑ B ❑ 2 copies of elevations, drawn to scale
apply) t.'1 Other
P...: New sign? (3 copies, if a building permit is required) j
g [] Alter to existing sign?' i size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: EAsr 36 x z9= .
ss-ot B `iV I JC✓ ass l _ ❑ $9 (Permanent sign, any size) ,
Total Sign Area (sq. ft.): ess r 7, /4 0 3 - ao
s,itm pit; g at I 0 $15.00 Fee (Temporary sign, any type)
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Sign Data Total Wall Area (sq. ft F.,43.7 4 q' 4 j cer Jurisdiction: City LJrb
so6tfca /no, -- D D
(Complete all Direction Wall Faces (circle one):.
Items In this NOTES:
section) N 6® W NE NW. SE.,_ Sl/a/, .. ,.
Height to top of sign (feet): ensT ii.'�fr;i`'` ' ! e Wall signs do not need to be drawn to scale,
Projection From Wall (inches):. . . ! / /.2, ,, - but must include dimensions of wall face and
sign placement.
Copy:_ Ca, 423-eir,; 4.3024 r . , Wall signs do not require site /plot plans.
Materials: �lf£p ��./ o Freestanding signs over 6 ft. required a
Will sign have illumination'? 'Yes ❑ No building permit.
_Ty e: Internal External e... 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
El Yes
X No ' BECOME NULL AND VOID. !i
,..
. .
i _
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted. • i
(OVER FOR SIGNATURES)
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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.
/ ilk ,20
DATED this / f day of -� �.
Si. nat 're of Owner /Agent
Alb A
c r(S
36D — 2-2 S —d
Contact Person Name Phone No.
CITY OF TIGARD 8/14/2003
13125 SW Hall Blvd. 12:26:52PM
ii�,�a�,�� „� Tigard, Oregon 97223
''L (503) 639 -4171
Receipt #: 27200300000000003644
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Date: 08/14/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00193 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2003 -00194 [SIGN] Sign Permit 100- 0000 - 437000 31.00
ELC2003 -00506 [ELPRMT] ELC Permit 220 - 0000 - 431510 106.80
ELC2003 -00506 [TAX] 8% State Tax 100- 0000 - 207020 8.54
Line Item Total: $177.34
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check ADVANCED ELECTRIC SIGNS KIP 1182 In Person 177.34
INC
Payment Total: $177.34
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