SGN2001-00112 I
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00112
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/5/2001
EXPIRATION DATE:
BUSINESS NAME: HAGGEN FOODS PARCEL: 2S102CC-0050
SIGN LOCATION: 13500 SW PACIFIC HWY
APPLICANT/AGENT: HAGGEN FOODS ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'6"X 10'
TOTAL SIGN AREA: 45 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of(1)freestanding monument sign.
MATERIALS: ACRYL
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained inRe Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All vwill be done in acc ce with approved plans. A sign permit shall expire 90
days from approval date. A to orary ign shall expire 0 cpy from approval date. A balloon sign shall expire 10
rlavc from gnnrnvg1 rinta
APPROVED BY
PERMITTEE SIGNATURE:
DATE: 7/5/2001
04/13/2001 13:18 FAX 5036847297 City of Tigard 002
SIGN PERMIT APPLICATiON
CITY OF TIOARD 13125 SW Hall Blvd. Tigara! OR 97223(S03) 639-4171 FXX(503)684-7297
o�r•-
GENERAL INFORMATION
Name of DavelopmenflProject
Site t L `
Address/ Street Address
LocationlL
5uitel0lttg.# Ciry State Zip
t�P u.r, s 4
Name
Property
Owner Mailing Address Suite
Citylsute p Phone
Tenant or Name
Business
Name
Sign G*0ZC_,7T � •
Contractor Mainng Address surte
(Prior to permit � n.
i5suanca.a ' oqt
�
Copy or all Citylstate Zip Phone gEQU_I.RED SUBMITTALNTS
licenses areq.�
requiredu C3k� r-�� (Note: applications will not. be accepted
expired in the Oregon Const_ConL Board Exp.Date without the required submittal elements)
City of Ttgard's License# ►�i
dowitlowe �'
Completed Application Form
Proposed ❑ Pernonant Freestanding ❑ Freeway E3/"2 Copies of Site/Plot Plan, Drawn to Scale
Sign ❑ Temponuy wan Eieciromc (3 copies,if a budding permit is required)
(Check all that ❑ Other Binbaard Balloon size nequirernent a%"x 11",or 11'x 17"
ap
New sign? 5VAJter to existing sign? ❑ 2 copies of elevations, drawn to scale
(3 copies,ff a building parmit is reguked)
-Sign Dimensiong: ii 0 X �;�0 S , Ment3h
e 'x 11",t4 24"x 36"
Total Sign Area(sq. ft.): /1S[/
Sign Data $50.00 Fee P anent sign, any size)
Tota(Wall Area(sq.ft_) '-t'—" Nint A $'i5.06 Fee (Temporary sign, any type)
(Compwta all Direction Wall Faces(circle one): NAY
hems in anis NOT
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale.
Height to to of sign (feet): 17:!Z*' - O` but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require sttelplot plans.
Materiels: AP4 , S + Freestanding signs over 6 ft. required a
Will sign have,ilio ination? Yea No building permlL
g � ❑ .
7 Internal External if work authorized under a Sign: permit has not
e:
Are there any existing freestanding or wan signs at this been CUmpleted within ninety (90) days after
location,Including wall signs that overlap a tenant space? the Issuance e of the permit,THE PERMIT WILL
EME NULL AND VOID.
VYes ❑ No
ff"yes",a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
aggare footage must also be submitted.
04/13/2001 13:19 FAX 5036847297 City of Tigard 003
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.
DA TED thisday of_ � t 20
(Ztu
Signare f Owner/Agent
MA � � - �
Contact Person Name Rhone No.
i
QMcil Flipcopy -.
PIPE AND FOOTING
SIZES
snuARE
TUBE
w o• . .o
Q.
SCHEDIA.E 40
B-ImMAR'
STANDARD WALL PIPE
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1
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NO SCALE'
DIF ILLUMINATED FREESTANDING TENANT SIGN. 45 SU.FT.TOTAL.
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SCALE 318"=1'-0" DATE 0420I01 11180AI6NAi.ARtNORK1611EPRAPBITYOF6ARRETtiI111A:BYACCM
G O M PTigard�llarketplace OK 'tlldCt>MOUAMETOPAYALLCOM OFII'SDEYUWIF90FOR
M" ,,, TIGARD
8»HARNEYWRW*We1P,yVEA.W HINGTONge860 _ I G
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Receipt #: 27200100000000002789
_.. Date: 07/05/2001
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
BUP2001-00245 In Rv 245-0000-433020 $40.36
BUP2001-00245 n Rv 245-0000-433000 $65.59
ELC2001-00353Permit 220-0000-431510 $53.40
ELC2001-00353 o State Tax 100-0000-207020 $4.27
SGN2001-00112Sign Permit 100-0000-437000 $50.00
SGN2001-00113Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check GARRETT SIGN CO INC 0 007650 $263.62
TOTAL AMOUNT PAID: $263.62
JUL-16-2002(TUE) 11 :36 GARRETT SIGN CO P. 001/001
•
0
811 HARNEY STREET VANCOUVER, WA 9866
PHONE: 360.693-9081 A FAX 360-693-594$ '!j_ 2002
7-800-994-7797
. GaiTe ffs . com"�
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00,- DATE: #OF PAGES INCLUDING COVER:
COMMENTS:
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