SGN2004-00110 C ITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00110
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13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/17/04
PARCEL: 2S 102CC -00600
BUSINESS NAME: FAST LANE OIL CHANGE ZONE: C -G
SIGN LOCATION: 13545 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: LUMINITE SIGNS
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: 140 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of one freestanding sign. (33" x 74 ") (44" x 97 ") & (37" x 96 ").
MATERIALS: PLAS /METAL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 0.00
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: j � e.
APPROVED
PERMITTEE SIGNATURE:r
DATE: 5/17/04
la
_ _i'li 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 74 /V A, � A., �C/ /(44 9.,- FOR STAFF USE ONLY
Address/ Street Address , ,/ Permit No.: ,5 6 a00 4 - 00 1 1 0
Location /�S'h�'i �i ��/ l /7
Suite /Bldg. # , City/Sate Zip
C
Expiration Date:
/9/#02 0 9,4A'3 Receipt #: abO'f — c20e. &
Name Approved By: e • Cc
Property - ra1'114, Date: -5 - /7 `f
Owner Mailing Address Suite Map/TL #: ,7S / 6:k C C -- (. o (A 06
Zoning: C - G
City/State Zip Phone
Tenant or
Name Electrical Permit Required? g Yes 1:1 No
Business Building Permit Required? Yes ❑ No
Na a Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign lu/ 9
Contractor Mailing Address A Suite REQUIRED SUBMITTAL ELEMENTS
?
(Prior to permit 7/ (,() /Gi
issuance, a
(Note: applications will not be accepted
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if yUl/ktoo/1l0 is)n y 2 0-3 f 4,49 Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of database) ard s License # /�; 7 1/3 3' ►I 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed P ermanent F reestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ \ Wall Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 0 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
J New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimr�ensions: ' (
No f� l Hi h y < $� ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
7� 46 76 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(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): (2 • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
� ell sign placement.
Copy :, 4 k Ja e / A g4 Wall signs do not require site /plot plans.
Materials: gys L //1. 1,04 6-4 • Freestanding signs over 6 ft. required a
Will sign have ill mination? Yes ❑ No building permit.
Type: Internal ❑External • If work authorized under a sign permit has not
Are there any existing free an ing 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
' es ❑ No (- ,41. 4 -// 619,E BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
� 1
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 5 day of /7 - , 20 4' 7
...Gad, Aar J /.
Signatur- •f 0 ner /' gent
c /Art A-24/74
ontact Person Name Phone No.
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Cc; ;ciitionaily Approved 921 NMLSO'MLLE,OR97070
,; , % desc�n6O to uo J O_
` TEL 503.570.6137 FAX 503.570.6138
rc:Or �n�ET�l y rthe .o. S Nork as AN 1
See Letter to: Follow JOB LOCATION:
Attach 1 13545 SW PACIFIC HWY
�a c , / ` y TIGARD, OR 97223
SOU �',ddrOSS: � S t'r-
Date: $ ` 17'0``
SPECIFICATIONS:
MANUFACTURE AND INSTALL SIGN
,
AS PER DESIGN SPECIFICATIONS.
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- 7D /
SALES APPROVAL DATE
DRAWN BY: VAN OSTRAN 02/25/04
REVISION:
DESIGN # FASTtANEBLDG2
e
CLIENTAPPROVAL DATE
LANDLORD APPROVAL DATE
TRIO DEIGN AND ENGINEERING 13 TO REW N THE EXCLUSIVE PROPERTY OP WNUOTE MILS UM. AGM/MEANS APPROVED BY PURCHASE. THE USE OP MS 01500. FOR ANY PURPOSE WHATSOEVER. WITHOUT WRITTEN APPROVAL OF AN OPFK ER OF LUIONRE OGRE 11 PROHIBITED BY LAW.
CITY OF TIGARD 5/17/2004
13125 SW Hall Blvd. 3:58:01P1 .
� „k�� Tigard, Oregon 97223
- 3 (503) 639 -4171
Receipt #: 27200400000000002088
Date: 05/17/2004
Line Items:
Case No "Tan Code Description Revenue Account No Amount 'Paid
SGN2004 -00109 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
SGN2004 -00110 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check LUMINITE SIGNS CAC 2020 In Person 62.00
Payment Total: $62.00