SGN2001-00113 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00113
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
FREESTANDING:PERMANENT: FREES : Y FREEWAY:G
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 25'X 36
TOTAL SIGN AREA: 90 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 25 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Alteration to existing permanent freestanding sign (sign cabinets).
MATERIALS:
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 ' e Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All will be done in ac o ance with approved plans. A sign permit shall expire 90
days from approval date. A to pora sign shall expir da from approval date. A balloon sign shall expire 10
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APPROVED BY.
PERMITTEE SIGNATURE:
DATE: 7/5/2001
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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 A�
Site ( M " Er FOR STAFF USE ONLY
Address/ Street Add�re�s�sr�` ,,rr
Location t 3 iric� m Permit No.:
Suite/Bldg.# City/State Zip f�
-ut � ouE c 1v Expiration Date: Y
Name Receipt#: O8
Property Approved B
Owner Mailing Address Suite Date:
`=140� Map/TL#: C)
City/State Zip Phone Zoning:
Tenant or Name
Business Electrical Permit Required? es ❑ No
Name Building Permit Required? Wes ❑ No
Rev.12/1/2000 i:\curpin\masters\revised\sign permit app.doc
Sign
Contractor Mailing Ad ress Suite
(Prior topermit ?(,'1
issuance,a
copy of all City/State Zip Phone
licenses are r/�� { � �rn REQUIRED SUBMITTAL ELEMENTS
required if `A"" A 9�"`�`� 3(cD -6~Wj (Note: applications will not be accepted
fired in the Oregon Const.Cont.Board Exp..Date g P
City of Tigard's License# f,,;,,,r� without the required submittal elements)
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Proposed Completed Application Form
P ❑ Permanent Freestanding ❑ Freeway
Sign ❑ Temporary wall ❑ Electronic 2 Copies of Site/Plot Plan, Drawn to Scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies,if a building permit is required)
apply) size requirement: 81/2"x 11",or 11"x 17"
❑ New sign? Alter to existing sign? ❑ copies of elevations, drawn to scale
Sign Dimensions: 3 copies,if a building permit is required)
total Sign Area (sq. ft.): size requirement: 81/2"x 11",to 24"x 36"
Q� $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area(sq. ft.) ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): Zy • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches):— sign placement.
Copy: ♦ Wall signs do not require site/plot plans.
Materials:) ♦ Freestanding signs over 6 ft. required a
Will sign have illumination? &Yes ❑ No building permit.
Type: &Internal External ♦ If work authorized under a sign permit has not
Are there any existing freestanding 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-
0 Yes ,E]–No BECOME NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and COVER FOR SIGNATURES)
square footage must also be submitted.
v
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�_
Signat of Owner gent
Contact Person Name Phone No.
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DIF ILLUMINATED FREESTANDING TENANT SIGN.
REFURBISH ED TOP SECTION HOUSING TIGARD MARKET P
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!11 iiaitnEEr VANCOWER WAMN"lasso
(WO)M-Ml FAX(900)wv44m
Receipt #: 27200100000000002789
..r► Date: 07/05/2001
T I 0 E M A K K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
BUP2001-00245 L In Rv 245-0000-433020 $40.36
BUP2001-00245 In Rv 245-0000-433000 $65.59
ELC2001-00353 [ELPRIVIT]ELC Permit 220-0000-431510 $53.40
ELC2001-00353 8/o State Tax 100-0000-207020 $4.27
SGN2001-00112 ISign Permit 100-0000-437000 $50.00
SGN2001-00113 [SIGN]Sign 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