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SGN2006-00101 t . CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2006 - 00101 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/20/2006 PARCEL: 2 S 102 B D - 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 50' TOTAL SIGN AREA: 150 sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): E SIGN HEIGHT: 18 ft. PROJECTION FROM WALL: in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 3' X 50' MATERIALS: FIBERGLASS EXISTING SIGNS: ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N 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 �' xwAy 91 - 4 L.1 4: PERMITTEE SIGNATUR - : ` ff41C, DAT ( : 6/20/2006 _ _ip 4A r. ,...• sl;�jt, SIGN PERMIT APPLICATIO ❑VE© CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -729! . N 2 0 2006 GENERAL INFORMATION CITY TIGARD Name of Development/Proj tt FOR STAFF U SE ONLY� ENGINEERING Site e 7 "— C – '¢ Iq"C-e) /11t- aO��'dvtvt Address/ Street Address Permit No.: Location iZ ffcersl 0 f f" / ""JC Expiration Date: Suite /Bldg. # City /St to Zip _ p li a ® Receipt #: Y f Approved By: --- Nam ��lD.�l �,(0 � Date: Property `7 4 ij (1A ,SlDo1.8 p d(r Owner Mailing Address Suite Map/TL #: ( d/ c ilcy� � Zoning: ea < _ • /Stale Zip Phone %Z I ©/ P7z2- j Sd.5 7' 1 5290 • Electr Permit Required? ❑ ❑ No Tenant or Name / Business Building Permit Required? ❑ Yes No Name Rev. 2/28/2003 is \curpin\masters \revised \sign permit app.doc Sign lie-yar /G „ -, 6 Contractor Mailin Address suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit iczer �. (Note: applications will not be accepted issuance, a without the required submittal elements) copy of all t City /State Zip Phone required euired a re /f414 Q � f oO (� p pP required if Com leted A lication Form expired in the regon Con t. ont. Board Exp. Date City ofTigard's License # / � 3o_ 0 2 Copies of Site /Plot Plan, Drawn to Scale database) `7� (7 (3 copies, if a building permit is required) Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary ❑ Wall ❑ Electronic (Check all that furl Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale apply) i1�'' (3 copies, if a building permit is required) ❑ New sign? lyr Alter to existing sign? size requirement: 8 x 11", to 24" x 36" Sign Dimensions: 1 X - o / ® $30.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): LSa) 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 S 0 W NE NW SE SW • Height to top of sign (feet): 1 2 /./ • 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? ixr Yes ❑ No building permit. Type: [I 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 location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL 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) 1 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 _ 67 _ day of U cl 6 , 20 0 fo IIWO • r • S • natur of Owner / • gent • �nr0 � ' / L d l 5 / to / �Z �7 ' Contact Persil] Name Phone No. • • • CITY OF '1'1GARD kJ/GU/LA/UV i iii '1 - 13125 SW Ha11 Blvd. 3:16:25PM 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 f cReceipt.rpt Page 1 of 1