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SGN2008-00191 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2008 -00191 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/10/2008 PARCEL: 2S 102 B D - 01700 BUSINESS NAME: JIFFY LUBE ZONE: C - SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' X 3' TOTAL SIGN AREA: 12 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 4' X 3' Valid 10/19/08- 11/19/08 Sign #3 Must be placed on private property, not in public right of way. Must meet visual clearance area requirements. MATERIALS: WOOD EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 19.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. 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: 45/4-" PERMITTEE SIGNATURE:, DATE: 10/10/2008 III SIGN PERMIT APPLICATIO City of Tigard Permit Center 13125 SW Hall Blvd, Tiga Phoi • 503.639.4171 Fax: 503.598.196 CE V ED ONl T 1 0 2008 GENERAL INFORMATION , C ITy OF r ARD f " '^ T IG °INCCRING Name of Development/Project FOR STAFF USE ONLY Site ( � l c� -e— Address / Street Address � Permit No.: 5Co +v `c' - ° - C-1' /9 f Location / ) 4 J 6 0 5 (, f - j7f.C�f Suite /Bldg. # City /State Zip �J Expiration Date: / 7 7 Z 3 Receipt #: �6v if 35'5 S Name Approved By 3 Property 54 wt T Eti- ( Date: /0 hDiv&` Owner Mailing Address Suite Map /TL# : LS toa46 saga S — Zoning: C '� Gty /State Zip Phone Tenant or Name Electrical Permit Required? ❑ Yes Business 54 -- Building Permit Required? ❑ Yes I loo Name Rev. 7 /1/07 is \curpin \ masters \land use applications \sign permit app.doc Sign Contractor Mailing Address Suite (Prior to pemvt issuance, a copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are (Note: applications will not be accepted required if without the required submittal elements) expired in the Oregon Const. Cont. Board License # Exp. Date Qty of Tigard's database) ❑ Completed Application Form Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale Sign temporary ❑ wall ❑ Electronic (3 copies, if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 " x 11 ", or 11" x 17" appl)) �l ❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale Sign Dimensions: 2 r Q ( (3 copies, if a building permit is required) C� size requirement: 81/2" x 11 ", to 24" x 36" Total Sign Area (sq. ft.): ❑ $40.00 Fee (Permanent sign, any size) Si Sign D ata Total Wall Area (s ft g ❑ $19.00 Fee (Temporary sign, any type) (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E d■ NW SE SW Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale, but Projection From Wall (inches): must include dimensions of wall face and sign placement. CoPY: ♦ Wall signs do not require site /plot plans. Materials: • Freestanding signs over 6 ft. required a building Will sign have illumination? ❑ Yes ❑ No permit. Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME ❑ Yes o NULL AND VOID. If "yes ", a list or diagram o sign dimensions and square footage must also be sub itted. - (OVER FOR IGNATJRES) 1Di19 -itIll 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. DAIED this / day of ��_ ` _ , 20 D /� r Sig . e of Owner /Agent 5 3 C72 © `t c Contact Person Name Phone No. CITY 01; TIG -RD IO, 10 ,ow; " ;; \\ 11311 Mo. 4:34:171'iNI Tigard. UK 97223 503.639.4171 TIGARD Receipt #: 27200800000000003 35 Date: 10/10/2008 Line Reins: Case No I Code Description Re\ cum. Account No Amount Paid SGN20(IS- (10191 (SIGN Temp Siwn f'crm 100-0000-437000 17.(1(1 SGN2008-00191 I-RPF I LR Planning Surcliarl_lc I OO- (Kull) --1 ISO O 1.00 Line Item Total: SI9.1111 Payments: Method Payer User 1D Acct. /Cheek No. .approval No. Huss Received Amount Paid CreditCard TINT MUELLER ST 1- 16XS2 In I'crson 19.00 Payment Total: $19.00