SGN2001-00168 CITY OF TIGARD SIGN PERMIT
1 i; DEVELOPMENT SERVICES PERMIT #: SGN2001 -00168
r`" I I I 13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/18/2001
EXPIRATION DATE:
BUSINESS NAME: STARBUCKS COFFEE PARCEL: 2S102CC -0050
SIGN LOCATION: 13560 SW PACIFIC HVVY STARBUCKS
APPLICANT /AGENT: STARBUCKS { ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY:. WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1'6.5" X 6'
TOTAL SIGN AREA: 11 sq. ft.
WALL AREA: 1,148 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign.
MATERIALS: ALUM /LATEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y -
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 • r' will be done in ac' • • ance with approved plans. A sign permit shall expire 90
days from approval date. Ate • o - ry sign shall expir= 30 /Jay from approval date. .A balloon sign shall expire 10
days fmm annrnval rlatP
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APPROVED BY: - , ����
- PERMITTEE SIGNATURE: /�'` '
DATE: 09/18/2001
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A 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 .
Site ! 7A4 P/4ec7P�• -
Address/ Street Address //11 FOR STAFF
` STAFF USE ONLY
Location MOO C , (2 . /Ad Permit No.:SG UV • (— CO (dog
Suite /Bldg. # City /State Zip Y
"(r -1420 0 e Expiration Date: Name Receipt #: $ IS (�,— 3735
Property i 4 4/ gi&P Approved By: j v'.
Owner Mailing Address Suite n ' Date: 914 � • -
0�/2 o 1( ) O .L� Map/TL #: 66 (. — 0050Z
CiMState Zip / Pho e
Zoning: C
aCRAIJO 0�,Zys /V00
Tenant or Name
Business ��'� MU C Electrical Permit Required? Les ❑ o
Name Building Permit Required? ❑ Yes L7 No
Sign <j3 Rev. 12/1 /2000 i:\curpin\ masters\revised\signpermit
Contractor ► /l ai _ �jgq Address Suite
(Prior to permit �
issuance, a . 3 - 6- - Z ER ilelG 1J -
copy of all /Stale Zip Pho J.3
Licenses are I,1,,'. Q� REQUIRED SUBMITTAL ELEMENTS
required if q i
116 Urfa 1 1 6 — �
expired in the Oregon Const- Cont. Board Exp. Date J (Note: applications will not be accepted
City of ard's License # ! / /' - without the required submittal elements)
databasebase) ) 0 q 5 (Q 1- j 0
ri Proposed Permanent ❑ Fr estanding ❑ Freeway / Completed Application Form
Sign ❑ Temporary Wall
(Check all that ❑ Electronic 2 Copies of Site /Plot Plan, Drawn to Scale
apply) ❑ Other El Billboard El Balloon (3 copies, if a building permit is required)
/ size requirement: 81/2" x 11 ", or 11' x 17"
Er New sign? ❑ Alter to existing sign? I rc J Y /
copies of elevations, drawn to scale
Sign Dimensions: / i /X r/ / I 3 copies, if a building
(p (� p g permit is required)
size requirement: 81/2" x 11'. to 24" x 36"
i Total Sign Area (sq. ft.): // 7
'° $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) // / 1:1 $15.00 Fee (Temporary sign, any type)
i (Complete all Dir tion Wall Faces (circle one):
items in this section) fV ,ii E W NE NW SE SW NOTES:
eight to top of sign (feet): ./-7- F/.. u • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): ' u sign placement.
Copy: their Vii/ • Wall signs do not require site /plot plans.
Materials`,, / I 4(1 • Freestanding signs over 6 ft. required a
Will sign have ill ination? Yes ❑ No building permit.
Type: nternal External • If work authorized under a sign permit has not
Are there any existing freest ding 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
❑ Yes No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and {OVER FOR SIGNATURES)
square footage must also be submitted.
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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.
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DATED this / day of / /I / , 20 C/
Sig 'at of Owner /Agent
Con c
erson Name one No.
Receipt #: 27200100000000003785
Date: 09 /18/2001
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code `Description Revenue Account No. Amount Due
SGN2001 -00161 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2001 -00162 [SIGN] Sign Permit 100 - 0000137000 " $50.00
SGN2001 -00163 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2001 -00164 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2001 -00167 [SIGN] Sign Permit 100-0000-437000 . $50.00
SGN2001 -00168' - [SIGN] Sign. Permit 100- 0000 - 437000 - $50.00
SGN2001- 00169 - [SIGN] Sign Permit 100- 0000=437000 $50.00, '
Payments:
Method Payer Bank No " Acct Check No Confirm No. Amount Paid •
Check TUBEART SIGNS & SPORTS DISPLAYS 0 x 1685 0 , $350.00
TOTAL AMOUNT PAID: $350.00
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