SGN2006-00100 CITY TIGARD _ SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2006 -00100
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/20/2006
PARCEL: 2S102BD - 02000
BUSINESS NAME: TEXACO ZONE: C -
SIGN LOCATION: 12885 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TEXACO
BUSINESS TAX NO
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 38'
TOTAL SIGN AREA: 114 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 3' X 38'
MATERIALS: FIBERGLASS
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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: 0 1
PERMITTEE SIGNATURE: _ V
DATE: 6 , 6/20/2006
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684- 2•
JUN 2 2 0
GENERAL INFORMATION
Name of Development/Proje t FOR STAFF
Site 11 �UgN TI ,g 06
✓4 4/1-0 ENGINEERING
Address/ Street Address Permit No.: ,/ �rp _ /O�
Location l2 /PC S0 7"jFjf V Expiration Date:
Suite /Bldg. # City /St to z. .- Zip /
,---' / � Receipt #:
Nam // y W' Vie Approved By: `T e T
•
Property e 7 l�� % (1/a (—do 4O S-77z Date: Col O»
Owner Mailing Address Suite Map/TL #: a.- at 6
a &L va-
( i)/ j /cry,4 Zoning: e.-a'
_C /State Zip ! Phone
Ofailk Q' 722-2- 569 76 / ,CZgf> Electrical Permit Required? 0 Yes ❑ No
Tenant or Name
Building Permit Required? ❑ Yes o
Business
Name
Rev. 2/28/2003 i:\curpin \masters\revised\sign permit app.doc
i '
Sign ,lec-rt J / /Lrhi / b r
Contractor Malin Address ,f/ Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /Son,- JJ (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all , City /State ip Phone
licenses are /f4/e a � / 20 fea required if ( F' Completed Application Form
expired in the regon Con t. ont. Board Exp. Date
City of Tigard's License #C9 0 / 9 / 0-7 $ 2 Copies of Site /Plot Plan, Drawn to Scale
database) 7 9 (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard ❑ Bal loon [4 2 copies of elevations, drawn to scale
apply) YY (3 copies, if a building permit is required)
❑ New sign? V Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: o / k $ / ® $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /'� SF ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N'( E W NE NW SE SW •
Height to top of sign (feet): / • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): ,
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ® Yes ❑ No building permit.
Type: X Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
issuance of the permit THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID
❑ Yes [-No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
P
• 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 _(7 _ day of JL) d ,20 010
r
III.= . i
• natureOf Owner/. gent
411/W;ri la itii /6_ 0/ Phone No.
Contact Pers•n Name
CITY OF 'TIGARD U /LU /
' 13125 SW Ha11 Blvd. 3:16:25PM
' ' .z Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000003040
Date: 06/20/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00099 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2006 -00099 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00100 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2006 -00100 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00101 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2006 -00101 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00102 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00102 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
ELC2006 -00343 [ELPRMT] ELC Permit 220- 0000 - 431510 213.60
ELC2006 -00343 [TAX] 8% State Surcharge 100- 0000 - 207020 17.08
Line Item Total: $382.68
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MEYER SIGN CO. OF OREGON, ST 15359 In Person 382.68
INC
Payment Total: $382.68
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