SGN2002-00082 4 CITY OF TIGARD SIGN PERMIT
u I 'DEVELOPMENT SERVICES PERMIT #: SGN2002 -00082
wc�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/2002
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: 7' X 4'
TOTAL SIGN AREA: 28 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) framed sign hung from awning.
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 from ar nrnval rlatP
APPROVED BY: �"' ��
�`) `� `t h + '
PERMITTEE SIGNATURE:
DATE: 5/21/2002
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smokehouse express
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CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00082
' `c,l " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/21/2002
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: 3' X 5'
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) framed sign hung from awning.
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 tem rary sign shall expire 30,.a s fro) approval date. A balloon sign shall expire 10
days fmm annmval data
APPROVED BY: am "' C
PERMITTEE SIGNATURE: --/ YA %''' wi O' �ge
DATE: 5/21/2002
f 4 .
wA. q �,�� ' SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
1 'S Srr - o i FOR STAFF USE ONLY
Site -
Address/ Street Address Permit No.: ` s ,e1 —
Location Q,� n, . \ �-7�
1� S 11� N �-I Expiration Date: =�,
Suite /Bldg. # City/State Zip Receipt #: i��+ � `J 0
�V fG� i � �3 Approved y: ;ir
Name
Property ltd kRzilk k i T
Date: 4 -• I
Owner Mailing Address Suite Map/TL #: p� T��
o,r4t s. Slio fl\Pnt Sr Zoning: CL ,
City/State Zip Phone
G t'r•t--p 4)p_ 91343 9 b3i 16 S Electrical Permit Required? ❑ Yes �N
Tenant or Name
Business 1'1 ` S sC �� Building Permit Required? El Yes o
Name Rev. 30 -Jul -01 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 0 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 size requirement: 8' " x 11 ", or 11" x 17"
Pro
p IN Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
❑ New sign? ® Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
I y S 1 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
i..5 5 a Pr NOTES:
Sign 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
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: - been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? El Yes g No
Type: ❑ Internal External //
Are there any existing freestanding or wall sins at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? Visa MasterCard
❑ Yes ❑ No Credit card number /
Expires
ires
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. t
Cardholder signature Amount
(OVER FOR SIGNATURES) - • /
Y g
ti
•
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 t day of / / // , 20
Signa ure of Own r / t
( 4-7 p( J(' - Of
Contact Person Name Phone No.
Receipt #: 27200200000000001850
_..�•�� Date: 05/21/2002
T I D E M A R K
COMPUTER SYSTEMS, INC
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 - 00082 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer `bank kb Acct Check No Confirm No. Amount Paid
Check CATHERIN VIOLANTE DCP 1586 0 $50.00
TOTAL AMOUNT PAID: $50.00
•
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