SGN2004-00096 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00096
R 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/10/2004
PARCEL: 2S 102CB -00300
BUSINESS NAME: SCHUCKS AUTO ZONE: C -G
SIGN LOCATION: 13145 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: MULTILIGHT SIGN CO.
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' 4" X 30' 1"
TOTAL SIGN AREA: 100 sq. ft.
WALL AREA: 1,816 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Install one permanent, wall sign on south facade. (3' 4" x 30' 1")
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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: or b / ���
PERMITTEE SIGNATURE:
DATE: 5/10/2004
tz
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A wa 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
FOR STAFF USE ONLY
Site L C k,.S AUrT0 I
Address/ Street Address Permit No.: ,SCE N coo -000 Co
Location ? S.1)0.�o.C.l, - }.� .(1, , �• II
� � f Expiration Date:
Suite /Bldg. # City /State Zip
T -.� ��� &Q. c.‘ #: c OO ci 33
Name } Approved By: C • Ca-v T
/ � Y
Property Date: 5 — 0 f O
Owner Mailing Address Suite Map/TL #: a S /od C — 003.6
Zoning: C _ G
City /State Zip Phone
Tenant or SOU C.K 1 V1 Electrical Permit Required? V4 Yes ID No
Name
Business f Building Permit Required? ❑ Yes rz No
Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc
Sign mlk0'1 . kkAkv\T ‘ v3 Co
Contractor Mailing Address • 4 Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a $O� N %� . �ow■
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ( PO Mt. 0 9 9 1 503 a-$I 30aS ❑ Completed Application Form,
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 1�4 I0 i ❑ 2 Copies of Site /Plot Plan, Drawn to Scale .
database) (3 copies, if a building permit is required)
Proposed size requirement: 81/2 "x 11 ", or 11 "x 17"
Pro
p Permanent ❑ Fre tanding ❑ Freeway
Sign ❑ Temporary all ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) si requirement: 81/2" x 11 ", to 24" x 36"
E F lew sign? ❑ Alter to existing sign? $50.00 Fee (Permanent sign, any size)
j�
Sign Dimensions: I 3 7 /0 T
(pi) x \ 3 4 ,3 j3 /s ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
) 00 NOTES:
Sign Data Total Wall Area (sq. ft.) • • Wall signs do not need to be drawn to scale,
Si
9 17'X Li$ = 1$110 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) NOS E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit. • .
Projection From Wall (inches): pi • If work authorized under a sign permit has not
Copy: �ChUCX - been completed within ninety (90) days after
Materials: A Lu vvi / PLe l+ gKS the issuance of the permit, THE PERMIT WILL
Will sign have illumination? es ❑ No
BECOME NULL AND VOID.
�
Type: 1 nternal ❑ External
Are there any existing reestanding r wall signs at this No all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall sign verlap a tenant space? visa ❑ MasterCard
�
Credit card number 1 1
IP' , T @S ❑ NO Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
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F;Al 100 SQ. FT. Schucksillluminated Wall Sign Priority
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- RETAINER
1/2" fastners into bldg framing
or thru -bolt as req'd. Typ.
Every 5'.
ff_m) FACE-
H.O. FLOR.
TUBE
ANGLE AS REQ'D.
N
O BALLAST AS REQ'D.
SINGLE FACE SIGN DETAIL
CITY OF TIGARD 5/10/2004
13125 SW Hall Blvd. 11:35:17AM
i :�.;;' ,\ Tigard, Oregon 9 72 23
�U, -,e. (503) 63 9-4 17 1
Receipt #: 27200400000000001933
Date: 05/10/2004
Line Items: .
Case No "Tan Code Description Revenue Account No Amount Paid
SGN2004 -00095 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00096 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00097 [SIGN] Sign Permit 100- 0000 - 437000 31.00
ELC2004 -00243 [ELPRMT] ELC Permit 220 - 0000 - 431510 160.20
ELC2004 -00243 [TAX] 8% State Surcharge 100- 0000 - 207020 12.81
Line Item Total: $266.01
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check MULTI -LIGHT SIGN CO CAC 37174 In Person 266.01
Payment Total: $266.01