SGN2001-00133 R
CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00133
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/02/2001
EXPIRATION DATE:
BUSINESS NAME: CARMICHAEL'S PUB &GRILL rM PARCEL: 2S102BD-0150;
SIGN LOCATION: 12740 SW PACIFIC HWY
APPLICANT/AGENT: CARMICHAEL'S ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 2.66'
TOTAL SIGN AREA: 11 sq.ft.
WALL AREA: 799 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 0 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1)non-illuminated wall sign sign "SORRY WE'RE
OPEN".
MATERIALS: WOOD
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 wo ill be done in accor ance with approved plans. A sign permit shall expire 90
days from approval date. A temp ry ign shall expire d ys f om approval date. A balloon sign shall expire 10
dnvc from nnnmval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 08/02/2001
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 FAX.- (503) 684-7297
GENERAL INFORMATION
Name
of Development/Project
Site (�",O.e/1���(/,C�G�' /d,8 ll�,�/GG
Address/ Street Address FOR STAFF USE ONLY
Location /z 7516 &,J �, a(,&fC Aw Permit No.: t
Suite/Bldg.# City/State Zip /L
T6A,e� a2 ?Z0 Expiration Date: �j
Name Receipt#: I
Property d.S'F 6asPO DiwcsV/C Approved By: I HIP
Owner Mailing Address Suite Date:
1077 d si-i /pri-ttC Ay Map/TL#: ED I rpo��)
City/State Zip Phone
7�e�S,O�j QiP QZoning:
722.7
Tenant or Name
Business Electrical Permit Required? ❑ Yes [No
Name Building Permit Required? ❑ Yes [)/No
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 Tigard's License# without the required submittal elements)
database
ProposedCompleted Application Form
DI 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"
0 New sign? ❑ Alter to existing sign? 2 copies of elevations,drawn to scale
Sign Dimensions: r!� Z L (3 copies,if a building permit is required)
7 size requirement: 81/2"x 11",to 24"x 36"
Total Sign Area(sq.ft.):
JQ,6 7 $50.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) 9, -9r ❑ $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this
section) NO E W NE NW SE SW NOTES:
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
t,�,4/LE G � sign placement.
Copy:$rsRR • Wall signs do not require site/plot plans.
Materials: jPZLuIdzslp • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes bd No building permit.
Type: El Internal El 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
El Yes ba No BECOME NULL AND VOID.
If"yes",a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
square footage must also be submitted.
t
I hereby acknowledge that 1 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 #: 27200100000000003163
_.r, Date: 08/02/2001 ty
•
May
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TCOMP�UT F SI�TEA R CK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00130Sign Permit 100-0000-437000 $50.00
SGN2001-00131Sign Permit 100-0000-437000 $50.00
SGN2001-00132Sign Permit 100-0000-437000 $50.00
SGN2001-00133Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CARM CORP/DBA CARMICHAEL'S PUB&GRILL 0 3593 0 $200.00
TOTAL AMOUNT PAID: $200.00
CARM CORP. 3593
DBA CARMICHAEL'S PUB & GRILL
12740 SW PACIFIC HWY. 503-624-0243 24-7038/3230 OR ,
TIGARD,OR 97223 DATE ���//6I 2665
PAY T n
TO THE / /C�/�
ORDER OF .� _J $ G'p0• C?O
DOLLARS
®
Bankof America.
Tigard 2665
Oregon
FOR si6<u P�.ry�rrro
11'00359311' 1: 3 2 30 70 3801: 2 6 6 5 7881 1011.1 L ill'
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