SGN2001-00128 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00128
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/31/2001
EXPIRATION DATE:
BUSINESS NAME: CARLO'S PASTRY& DELI PARCEL: 2S102AC-0070(
SIGN LOCATION: 12540 SW MAIN ST
APPLICANT/AGENT: CARLO'S PASTRY& DELI ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8'X 2.5'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: 750 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1) non-illuminated framed sign. Not to be placed in
visual clearance area or public right-of-way.
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 wor I be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temp ry s' n shall expire 3 ys from approval date. A balloon sign shall expire 10
rtavc from annrnval rintP
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 7/31/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-4171 FAX.- (503) 684-7297
GENERAL INFORMATION
Name of Devielopment/Proj ct
Site C.-Al2 p 'S -Pis(/r- 1
Address/ Street Address �r FOR STAFF USE ONLY
Location 1 as 44 Lj ��I � � Permit No.: (:;,�j am I —0c lc-�-z
Suite/Bldg.# City/State Zip n
2' Expiration Date:
I ("1
Name l Receipt#:
Property -D�V Da L-k Approved By:
Owner Mailing Address Suite Date:
Map/TL#: ( Cc-:)AC- i('D-0-70
City/State Zip Phone Zoning: G
Tenantor Name
Business Electrical Permit Required? ❑ Yes UT�o
Name Building Permit Required? F-1Yes o
Sign Rev.12/1/2000 i:\curpin\masters\revised\sign permit app.doc
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State. Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (Note: applications will not be accepted
expired in the Oregon Const.Cont.Board Exp.Date
City of Tiigard's License# without the required submittal elements)
database
Completed Application Form
Proposed WPermanent ❑ reestanding ❑ Freeway
Sign ❑ Temporary LZ 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)
a size requirement: 81/2"x 11",or 11"x 17"
❑ New sign? ❑ Alter to existing sign?
❑ 2 copies of elevations, drawn to scale
Sign Dimensions: / (3 copies,if a building permit is required)
Z size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area (G�$50.00 Fee (Permanent sign, any size)
Sign Data Total rea ss O 5 rL El $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wal Faces (circle one): t�T
items in this
section) N S E W NE NW SE SW NOTES:
Height to top of sign (feet): • 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: El Internal External • I#.work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this I*en completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
._ BECOME NULL AND VOID.
ElYes '`-': No
If"yes", a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
square footage must also be submitted.
i
I hereby acknowledge that I have read this application, that the information given is 1
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.
a
,
Example of Site Plan
Parking 3
a
0
U
CC3
Driveway
N
Retail
Building
Parking
3
Cd
3
y M
L.
U
0
U
Freestanding
Tempora Sign
5'Concrete Walkway
35'
SW Commercial Avenue
Site Address: 13524 SW Business Lane
Tenant/Business Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200 Scale = 1" = 20'
503-555-4321
*Visual clearance area dimensions are drawn for this example only.
i_\dsts\fomu\sign=vI.ptt 01/13/99 For correct dimensions,consult the Community Development Code.
A
Example of Sign Elevation
AL
A Better Office
Products Copy duplicated
on reverse face
company
4'
3'
Temporary Freestanding A-Board Sign
12 square feet
Scale: I" = V
Site Address: 13524 SW Business Lane
Tenant/Business Name: A Better Office Products Company
Sign Company: ABC Sign Company
680 NE Letter Street
Portland, OR 97200
503-555-4321
i:Wsu\formsVipexmpl.ptt 01/13/99
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Receipt #: 27200100000000003124 r7
Date: 07/31/2001COPY
T I D E M A R K
El
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00128 NSign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CARLO'S PASTRY&DELI 0 1234 0 $50.00
TOTAL AMOUNT PAID: $50.00
CARLO'S PASTRY& DELI 1234
12540 S.W.MAIN ST.
TIGARD,OR 97223
PH.503-620-9520 /� 24-7038/3230 OR
Date t LJ 2857
Pay to the '
order of $ 00
Dollars 8
Ba o rica.
For RIP
II'00 1 2 31L.0 1: 3230703801: