SGN2007-00166 i
'`4 RI CITY OF TIGARD SIGN PERMIT
° '` DEVELOPMENT SERVICES PERMIT #: SGN2007 -00166
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/20/2007
PARCEL: 2S 110DB - 01200
BUSINESS NAME: MAY AUTO ZONE: C -
SIGN LOCATION: 15280 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 28" X 80"
TOTAL SIGN AREA: 19 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 6 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placment of (1) one 19 sq. ft. permanent freestanding sign. Sign must be placed
on private property and not in the public right -of -way or visual clearance area.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
'
APPROVED BY: j
PERMITTEE SIGNATURE: k
t _.- qtvi,
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..-Cr___....._--N_______ '
DATE: 9/20/2007
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site A / k 0 /
Address/ Street Address Permit No.:.S4 7- bed 1 (Ose
Location / �� Z S - S . � P AC. / r/ / & f '
Expiration Date:
Suite/ ldg. # City /State Zip
Ti 6 1 / , 'C 9722-'1 Receipt #: d-' ' 6 1
Name Approved By: KY
Property r✓!9 RAel / K, OS : 7f Le-/ Date: 1 (0 7
Owner Mailing Address Suite Map/11#:
1 5;22o ;ICl/ ,3A- L- //% /C. /J vi/ f' Zoning: C.V
City /State Zip Phone Q
/ 6 A'/t l� R 9 72z Sof) I tg /l// Electrical Permit Required? ❑ Yes 11/No
Tenant or Name
Business J . /hire) re) Building Permit Required? ❑ Ycs to
Name • " Rev. /1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign .
Contractor Mailing Address Suite
(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 IS Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign D Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Ball
apply) oar Balloon 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)
a A .X 9 0 X 7 2 size requirement: 81/2" x 11", to 24" x 36"
Total Sign Area (sq. ft.):
1 9 ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W N E N W S E G
Height to top of sign (feet): 6 / • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): 1\7,4-- must include dimensions of wall face and sign
placement.
Copy
• Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes N No permit. 1° l^ I
Type: ❑ Internal ❑ External 4 it',ilvN itlq ir3WW'i a sign perlhtt Has not been
Are there any existing freestanding of Wall ki'g}t'CS at this, location, cdl�iplcieti 1 hiiii:tiili'6 (90) days itft the issuance
including wall signs that overlap a tenant sj3'lice? tit. illp , t tilt, 'ti- PERMIT *i ..$COM
Q NtI I 17 ii. bib.
Yes s No
f' f7es , 'ltsi or diagram of � i ls igk iiiii is aiiki iiitititt
If '� 41st nis �. �e_ au bmit k�.
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•
I hereby acknowligakeittat 1 have read this application, that the information given is correct, that I am
the owner of authorized agent of the owner, and that plans submitted are in compliance with the City
of Tigard
DATED this 7
S / day of 0 20
7f,(2t0J
Signature of Owner /Agent
• /I
Phone No.
Contact Person Name
V_, �-; CITY OF TIGARD
.p 9/20/2007
a
:? �r 13125 SW Halt 1311d. 4:30 ;54PM
`' _ ° i, Tigard, OR 97223 503.639.4171
T
Receipt #: 27200700000000004295
Date: 09/20/2007
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
SGN2007 -00166 [SIGN] Sign Permit 100- 0000 - 437000 35.00
SGN2007 -00166 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
Line Item Total: $40.00
Payments:
Method Payer User II) Acct. /Check No. Approval No. How Received Amount Paid
Check EBRAHIM K DEZFULLI KJP 101 In Person 40.00
Payment Total: $40.00
-cReccipt.rpt Page 1 of 1
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