SGN2008-00043 pp ! CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: , SGN2008 -00043
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/26/2008
PARCEL: 2 S 102 B D - 01700
BUSINESS NAME: JIFFY LUBE ZONE: C -
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: JIFFY LUBE
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):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (A- Frame) 4' X 3' Must be placed on private
property, not in public right of way. Must meet visual clearance requirements.
Valid 3/13/08- 4/13/08 Sign #1
MATERIALS: PLASTIC
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: ditLack
PERMITTEE SIGNATURE:
DATE: /26/2008
i
II SIGN PERMIT APPLICATION
. Nit City of Tigard Penrat Center 13125 SW Hall Blzd, Tigarc4 OR 97223
Phone 503.639.4171 Fax: 503.598.1960 : ,
A
B
GENERAL INFORMATION <14 4/ ° � ,
/e , ),
Name of /Project FOR STAFF USE ONLY
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Site -`"-, LL
Address / Street Address Permit No.: c,I.) -6-0 -0-M)
Location ( 2 i(ac) <5 ' V LC-- 1�� .
E xpiration Date:
Suite /Bldg. # City/State Zip
/ + ti a.-**'? o� 7 u3 Receipt # :
Name c/
Approved By 3 - c /'i
S 4� 1r L. Date: �l C
Owner Mailing Address Suite
Property p / a,f0.31 1 Cl/ tro
Owner � 'I'I,# ;
S Zoning:
Gry/State Zip Phone
3 S72 46 $ Electrical Permit Required? ❑ Yes ErNo
Tenant or Name
Business Building Permit Required? ❑ Yes o
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign / ?
Contractor Mailing Address Suite 44 t r' l 3 � 4,,„,_ 4,,„,_ A-p.-, 1 ' l—
(Prior to permit
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
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent A Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary _y Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ size requirement: 8 x 11 ", or 11" x 17"
apply) Billboard Balloon
/ffriCiew sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: V �3X 1f
/ (3 copies, if a building permit is required)
7` l f size requirement: 8 x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
!a ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE 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.
&PY • Wall signs do not require site /plot plans.
Materials: cgargre PLASTIC—. • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes.-gNo 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 NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
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 o
ignature of Owner /Agent
/ /rl-t Mw €/ / S 3 72 0 Y3j
Contact Person Name Phone No.
M ill CITY OF TIGARD 2/26/2008
" 3:49:00PM
13125 SW Hall Blvd.
Tigard, OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000000625
Date: 02/26/2008
Line Items:
Case No "Tan Code Description Revenue Account No Amount Paid
SGN2008 -00043 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2008 -00043 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: 51 9.00
Payments:
Method Paver User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard TIM MUELLER st 446758 In Person 19.00
Payment Total: SI9.00
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