SGN2002-00079 CITY TIGARD SIGN PERMIT
"I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00079
' c � Jll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/22/02
EXPIRATION DATE
BUSINESS NAME: PIZZA RUSH PARCEL: 2S110DC -0220
SIGN LOCATION: 15660 SW PACIFIC HWY A -5
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2X8
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Temporary Banner Sign Permit from 5/18 to 6/18
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
•
This permit is issued subject to the re• ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All , irk 'II be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. Ate sorary span shall expire 30 •. s from approval date. A balloon sign shall expire 10
days frnm annrnval riata
% /
9 , � _ / . J
APPROVED BY:
PERMITTEE SIGNATURE: � 1 ` ��� `'� '�
DATE: 5/22/02
Ai ;Yt y� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of DevelopmenUProject
!� FOR STAFF USE ONLY
Site Ii9�^ 1'►' ow, .,..„4e
Address/ Street Address Permit No.: 5 U -2taz 7q
Location /5 Sc) Pc- c•,c ; 4,,,,,
6 l�Q j ld�
Expiration Date:
Suite /Bldg. # City /State kip
TiS /15+ / o x `? ?2.zg Receipt #;� - v l 5 Name Approved By: 7
Property �56..1 pru ,jp per.- {r..uS Date: 5 /f7 /OZ
Owner Mailing Address Suite Map/TL #: SS IIO1X- — 6ZZc7
ci 771 IJ.1st,,.., /OC j Zoning: C.—
City /State Zip Phone
WO-Auk ( i 1 � I ( f 94212 3;2 -276 - 6Z° 77
Electrical Permit Required? ❑ Yes Ffplo
Tenant or Name
Building Permit Required? ❑ Yes V No
Business
1 2 ZZh R a 5 ( - .
Name Rev. 30- Jul-01 is \cu .In\ masters \revised \si.n .-rmit a..,doc
Sign — — = __I
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 # Er 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 81/2" x 11", or 11" x 17"
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ❑ Wall ❑ Electronic 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other ❑ Billboard ❑ Balloon
apply) size requirement: 8 x 11 ", to 24" x 36"
❑ New sign? ❑ Alter to existing sign?
_ ❑ $50.00 Fee (Permanent sign, any size)
Sign r}sions: 5 �� � ,
-a ��,� y $15.00 Fee (Temporary sign, any type)
Total S iig Area (sq. ft.): NOTES: 5/Pig f 6Z - 6/'03IeL,
6iF'
n Data
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Si
g but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this ,
N • Wall signs do not require site /plot plans.
section) �S E W NE NW SE SW
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): y ' building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: VIAL/ / 13,,.n,4.t,- the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes 0 No
Type: ❑ Internal a External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information
❑ Visa 0 MasterCard
location, including wall signs that overlap a tenant space?
❑ Yes ❑ No Credit card number / /
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. . - --
Cardholder signature Amount
(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.
L2
DATED this `/ ) 2' 0 ) day of /' ^ Y , I 20 t
Signature of wner /Agent
, A274,, vo C°3 qt r e \ - 0 4 (7
Contact Person Name Phone No.
P R &
p 1Zz
Sk rc-c
-
/t1 I 03-e0
L of(-c-si