SGN2013-00043 v
CITY OF TIGARD SIGN PERMIT
114 Permit #: SGN2013 -00043
COMMUNITY DEVELOPMENT Date Issued: 04/08/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Parcel: 1S133AD16200
Jurisdiction: Tigard
Name of Business: Sesame Donuts
Business Address: 12700 SW NORTH DAKOTA ST 100
Applicant/Agent: Scott, John
Work Description: Install new wall sign 12 ft x 20 1.66 feet (20 inches), aluminum channel letters.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 12 ft x 1.66 ft
Total Sign Area: 20
Wall Area: 650
Wall Face (Direction): North
Sign Height: ft.
Projection From Wall: in.
Illumination: Internal
Materials: aluminum
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $171.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: C- • C-oa o ••
Permittee Signature:
II City of Tigard
' Sign Permit App li cation
g
GENERAL INFORMATION
cos -ce cri mmercicti..
Name of Development/Project C a � 9 n'�v ' FOR STAFF USE ONLY
Site 3Pf�441 e f Do /W J Sr/' " /Ar A
Address/ Street Address
111 Permit No.: S 6314 c '1'a -.66644
Location jr97OO , cJ PA
Approved By C •
Suite/Bldg. # City /State Zip y et- t3
r . yo, • c kilo,. Date:
tikeg S 0/1 Receipt # : 1 3O g.33
Property . '_ 11LN '_t► 4 Map /TL#: IS 133AD 1oa0
Owner Mailing Address Suite Zoning: c -yW
143' &STS 97:13,1 ka✓ 1,., Allowable Total Area 1 0 l(
/State Zip Phone
Tenant or Name J 0 I . OC Electrical Permit Required? 0 Yes ❑ No
Business ,.<6* !y) b,7nvis S .A 1121 Building Permit Required? ail Yes ❑ No
Name Rev. 7/1/11
n n 1 is \curpin \ masters \land use applications \ sign permit app.doc
Sign J1I n tC'4-C . . Q rtc I f Ili , LL(..
Contractor M ai* Address Suite
6100 S. 0 CU CA, FPO C i
City /State Zip hone Sa3 REQUIRED SUBMITTAL ELEMENTS
-rig o xcl De- 63€7- J f (Note: applications will not be accepted
on Cvnst�Cont. Board License # Exp. Date `/ without the required submittal elements)
` re
1 � 54c 0 / - / 3 ❑ Completed Application Form
Proposed ( Permanent ❑ Freestanding ❑ Freeway ❑ 2 copies of site /plot plan, drawn to scale
Sign ❑ Temporary ❑ Roof ❑ Electronic (3 copies, if a building permit is required)
(Check all that IN
appl}) wall ❑ Och c size requirement: 8 /" x 11", or 11" x 17"
❑ 2 copies of elevations, drawn to scale
NI New sign? ❑ Alter to existing sign? (3 copies, if a building permit is required)
Sign Dimensions: / d size requirement: 82" x 11 ", to 24" x 36"
�o x /U, 7y
Total Sign Area (sq. ft.): ❑ $171.00 Fee (Permanent sign, any size)
1 7 l PL/ s anytype)
Wall Area (sq. ft.) L'44151 % ❑ $54.00 Fee (Temporary ig� an tyP y )
Sign Data
41MIW , OOb
(Comps all Direction Wall Ekes (circle one):
items in this NOTES:
section) N S EfeeNE NW SE N W S E S W
Height to top of sign (feet): Adt a • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): �� must include dimensions of wall face and sign
Materials: A lU in C n U /34 placement.
• Wall signs do not require site /plot plans.
Will sign hve illumination? [1 Yes ❑ No • Freestanding signs over 6 ft. required a building
Type:Leal ❑ Internal ❑ External permit.
Are there any existing freestanding or wall signs at this location,
including wall signs that overlap a tenant space?
❑ Yes El No
If "yes ", a list or diagram of all sign dimensions and square (OVER FOR SIGNATURES)
footage must also be submitted.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I www.tigard - or.gov 1 Page 1 of 2
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as described on the
front of this application in the "Required Submittal Elements" box.
NOTE: Person specified as "Applicant" shall be designated "Permittee" and shall provide financial assurance for work.
* When the owner and the applicant are different people, the applicant must be the purchaser of record or a lessee in possession with
written authorization from the owner or an agent of the owner. The owner(s) must sign this application in the space provided on the back
of this form or submit a written authorization with this application
BY SIGNING BELOW, THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and
subject to all the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted
herewith, are true, and the applicants so acknowledge that any permit issued, based on this application, and
may be revoked if it is found that any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and
understands the requirements for approving and denying the application.
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.
SIGNATURES of each owner of the subject property are required.
Applicant Signature Date
Signature of Owner /Agent Date
Contact Person Name Phone No.
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 639 -4171 I www.tigard - or.gov I Page 2 of 2
Uhl CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 190893 - 04/08/2013
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2013 - 00043 Sign Permit - LRP 100 - 0000 - 43117 $22.00
SGN2013 - 00043 Sign Permit 100 - 0000 -43115 $149.00
Total: $171.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Debit Card 422003 CCAINES 04/08/2013 $171.00
Payor: Tim Scott
Total Payments: $171.00
Balance Due: $0.00
Page 1 of 1
•
10.74_R_ _ _. Job Name:
L........ ' i ....._.......... ,__' A _..... Sesame Donuts
` M Date
3/14/2013
CITY OF TIGARD
Approved ........ . -- [X 1
Conditionally Approved. [ ]
For only the work a described in:
PERMITNO. - OO o u .v - poriland
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Attach 4101 com AL Job Address: t�700 S� �a — witerebelrly
By: _ Date: t i _ _ - ±3 8900 SW Burnham St. Tigard, OR 97223
ph: 503.639 -8459 f ax: 503- 345.0923
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t — C Returns 4' Deep-white
Faces -- (,177 ") White Acrylic
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Illumination-- --- ----- -- White LEO'S r
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( --1 :4 ` 1 S. t'^ lan. 89110 SW Burnham St. Tigard, OR 97223
ph: 503- 639 -4910 fax: 503.620 -9568
e mail: jdacatt Q/signurat (cicetricaLcom
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SYMBOL BOTANICAL / COMMON NAMES SRE COMMENTS SITE CALCULATIONS
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EC) Acer Sunset M Sunset' Cal. SMndard uniform appearance TOTAL SITE AREA 57,044 SF
Red RED. LANDSCAPE AREA 8,667 SF (I6%)
LANDSCAPE AREA 11 BOB SF (20.7 %) 10.704 SF (1383•1
• Carpal. Getulus'FastigaA' 2 1/r Cal. Standard uniform appearance
European Servo Hornbeam PARKING SPACES: 656PACES 73 PACES,
ACCESSES: 8 /
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Rwenlan Cneny LOWACT: Ax
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ED MURPHY & ASSOCIATES SCROLLS FERRY
Land Use Planning and Development Services IMPROVEMENTS PLAN COMMERCIAL CENTER
PAGE NO:
9875 SW Murdock Street, Tigard, Oregon 97224 NOT TO SCALE 12744 SW North Dakota Street 1 OF 1
phone: 503.624.4625 fax: 503.968.1674 Tigard, OR 97008
PROJECT NO:
SFC001
•
John Scott
From: Dan Boyden <dboyden @gorge.net>
Sent: Tuesday, April 02, 2013 9:29 AM
To: 'John Scott'
Cc: haidar.fakih @hotmail.com
Subject: Sign Approval
Attachments: Sesame Donut Sign.pdf