SGN2004-00141 CITY OF TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2004 -00141
cell 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/28/2004
PARCEL: 2S 102CC -00600
BUSINESS NAME: FAST LANE OIL CHANGE ZONE: C -G
SIGN LOCATION: 13545 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO: . .
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS:
TOTAL SIGN AREA: 17 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Temporary Sign (30 days)
MATERIALS :
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 sate.
APPROVED BY: ---2
/
PERMITTEE SIGNATURE: J
DATE: 6/ :/2004
r il SIGN PERMIT APPLICATION
.,l
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
Address/ Street Address �n /� n Permit No.: 5c '/2601-/ —// //
Location /3 54L . 49 . Pi,— 40y.
Expiration Date:
Suite /Bldg. # City /State Zip
ha/ 0.0e-- q �J(aA Receipt #:
Name ' IT - 1 ( Approved By: .
X'
Property � 7 K Z= -
V g p -6 Date:
Owner Mailing Address Suite . Map /TL #:
5,9-)q-- Zoning ''''-6,
City /State Zip Phone
Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
fi s- � i / 0 �� - Building Permit Required? ❑Yes ❑ No
Business A /
Rev. 7/1/04 is \curpin \masters \revised \sign permit app.doc
Name
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the • Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding ❑ Freeway q size requirement: 8 x 11 ", or 11" x 17"
p
Sign Temporary Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that Other ❑ Billboard ❑ Balloon
apply) (3 copies, if a building permit is required)
New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Ign Dim , ( ns: , � g ❑ $32.00 Fee (Permanent sign, any size)
Total Sign (soft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data
Total Walf Area (sq. ft.) Jurisdiction: El City El Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW
�� o Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 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: El 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
❑ Yes ❑ No BECOME NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
ct (OVER FOR SIGNATURES)
A N
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 o� day of 9 wfvz___, , 20
.'.nature o Owner/Agent
41 F
Co r. ct Perso Name P one No.
s,
j /(e-1 tej
H
if
CITY OF TIGARD 6/28/2004
13125 SW Hall Blvd. 3:31:48PM
■4 Tigard, Oregon 97223
a. 11. . (503) 63 9-4 17 1
Receipt #: 27200400000000002797
Date: 06/28/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00141 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check VINTAGE CORNER 1 129 In Person 15.00
Payment Total: $15.00
Page 1 of 1 cReceipt.rpt