SGN2002-00144 SIGN PERMIT
CEO laY
4
. CITY OF TIGARD
P ERMIT #: SGN2002 -00144
` -• ' -
i -. DEVELOPMENT ����I��� DATE ISSUED: 8/28/2002
--'_° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: MELLA'S SMOKEHOUSE EXPRESS PARCEL: 2S102AA -05501
SIGN LOCATION: 12215 SW MAIN ST
APPLICANT /AGENT: MELLA'S SMOKEHOUSE EXPRESS ZONE: CBD
BUSINESS TAX NO: • JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 3'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) freestanding A -Board Sign. Not to be placed in visual
clearance area or public right of way. Valid 8/29/02- 9/29/02 (Sign #1)
MATERIALS: WOOD
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 temp - sign shall expire 30 day • approval date. A balloon sign shall expire 10
days from annrnval riata ( T ' i € J iI ,
APPROVED BY: ' �� _,4_,
41. o 5 1
PERMITTEE SIGNATURE:
DATE: 8/28/2002
A
1= SIGN 11® APPLICATION
c e' �_
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
N me of Development/Project
['NIS FOR STAFF USE ONLY
Site r�
Address/ Street Address 1-.- Expiration Permit No.: 6-(� .. b 0. — ,� 1 Location l 22LS ,5'(13 P v It) <��- O • `fit 0?-- Suite /Bldg. # City /Sta , Date: ..�,;y/
City/State Zip /
l `�` ' ^ 5
`= � ` (VII' ^ Receipt #: f ; 0
r
Name � � r" Approved By: 'Sy (,
Property EZ Date: - i Oa
Owner Mailing � Address e ` \ Suite Map /TL #: • ( . ..,,,,14 - 0., ••
C
1 C-LS J ' 6/3 Zoning: NE / 1 �
City /State Zip Phone
Electrical Permit Required? . ❑ Yes Ig o
Tena
Vizia e B usiness nt or ASo V id Building Permit Required? ❑Yes No
Name Rev. 01- Jul -02 is \curpin \masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard'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 ❑ Ot her El Billboard ❑ Balloon El 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"
Sign Dimensions: Pzo. ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area. fit. % j $15.00 Fee ( -mporary sign, any type)
• Sign Data Total Wall Area (sq. ft.) l - - . 5 0 (ACT X J+ f
(Complete all Direction Wall Faces (circle one): ' NOTES: 4 riji
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): n . sign placement.
Copy: — r ' • Wall signs do not require site /plot plans.
Materials: _,---- • Freestanding signs over 6 ft. required a
Will sign have illumination? El - Yes No 1 building permit.
• If work authorized under a sign permit has not
Type: ❑ Internal I=1 External
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this
the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? ;
BECOME NULL AND VOID.
❑ Yes \ No
•
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.
•
DATED this t6t day of aT:cr , 20 O7_
`
4 _ILA La 1. I Lie
Sign. ere o Owner /Age
f J I L' J S - . . • L. - v -
Con act Person Name / Phone No.
. 0.1TY OF ld3Ar-14.1
Approval [ l
Condi.i.1ly Approved [ !
.c‘C...) F01 only the work as descriked in:
i L-.FtM1T NO.._
Se:.; Lett 4r to Follow_ ( I
Z",
717-17
•-• . * a. .'., SIGI
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Example of Site Plan
,
x
74
Parking 3
Y
4.
U
K
o
V
a o-
cd
6 Driveway rn
Retai 1 — rn
Building
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116 2 t z . ,
. Parking 4 � �' Cl) . •
U C1
Freestanding
i„rdire rOV '' T e nt p o ra Sign N:.
. rn. P J 'n.
5' Concrete Walkway
4 ' 35'
•
SW Commercial Avenue
Site Address: 13524 SW Business Lane 4
Tenant/Businest Name: A Better Office Products Company N
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503 -555 -4321
*Visual clearance area dimensions are drawn for this example only.
ifdstslfotmedignexrnpl.pu 01/13/99 For correct dimensions, consult the Community Development Code.
Receipt #: 27200200000000003195
f --�-6 Date: 08 /28/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00144 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check MELLA'S SMOKEHOUSE EXPRESS DCP 582 0 $15.00
TOTAL AMOUNT PAID: $15.00