SGN2001-00226 r ' CITY OF TIGARD . . SIGN PERMIT
,. Ira DEVELOPMENT SERVICES PERMIT #: SGN2001 -00226
- .��� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/29/01
EXPIRATION DATE:
BUSINESS NAME: TIGARD SUB SHOP PARCEL: 2S102AB -0240:
SIGN LOCATION: 12501 SW MAIN ST
APPLICANT /AGENT: TIGARD SUB SHOP
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ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN -
PERMANENT: X FREEST ANDING: Y FREEWAY:
TEMPORARY: • WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
. TOTAL SIGN AREA: 24 sq. ft. •
WALL AREA: 4,240 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of (1) illuminated wall sign. (plug in illumination only, no
electrical permit required).
MATE RIALS: ALUM /PLSTC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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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 tempo - T sign shall expire - ∎ days from approval date. A balloon sign shall expire 10
days fmm annmval riatP /
APPROVED BY: !� � � _ ., .•
PERMITTEE SIGNATURE:
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DATE: 11/29/01 •
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44,'` SIGN PERMIT APPLICATION
„Ai CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL IN RMATION
Name of Development/Project FOR STAFF USE ONLY
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Site i Address/ Street dre Permit No.: S 3 I — el03a(e)
Location /Z 507 S - #U14 /A) Expiration Date: f -A
Suite /Bldg. # City/State ,J G Zip 2
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V /0 Rc l 72 23 Receipt #: !� ti — • •w
Name Approved By: (,!r
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Property Mid J 1111/I<£LE Date: 1 L • I 0 . r r
Owner Mailing Address Suite Map/TL #: rr fit/ �� C;
/2 5// S() MdA.S. Zoning: C.A.D
City/State Zip Phone I �
74/44 _ Oh 5°3 63, 7d/2 Electrical Permit Required? 111 Ye [p o If
Tenant or Name
, a 4,.a • s C Building Permit Required? 1:1 Yes No
Business V /
Name Rev. 30 -Jul -01 iAcurpinumastersUevised ■sipn permit app.doc
Sign
Contractor Mailing Address • Sui REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City/State Phone
licenses are
required if 11 ompleted Application Form
expired in the Oregon st. Cont. Board Exp. Date
City of Tigard's Lice # 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary 121.Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
ap ize requirement: 81/2" x 11', to 24" x 36"
❑ New sign? ' Alter to existing sign? '$50.00 Fee (Permanent sign, any size)
Sign Dimensions: _ 3 X a ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 2 V
NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data � / • p�tl� but must include dimensions of wall face and
(complete all Direction Wall Faces (circle one): sign placement.
items in this • Wall signs do not require site /plot plans.
section) N S . O W NE NW SE SW • 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: ALiA.0 g- R ?ice the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? 0-Yes ❑ No
Type: M Internal ❑ External
Are there any existing freestanding or wall signs at this /Not all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space? 1 1
Credit card number
❑ Yes [l No 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)
it
O'7
RIP
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 day of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
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Receipt #: 27200100000000004683 �,
_��_... Date: 11/29/2001 * 111 , nu
TIDEMARK -
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00226 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2001 -00228 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check J. CRICKET ENTERPRISES INC. 0 1039 0 $100.00
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TOTAL AMOUNT PAID: $100.00
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