SGN1998-00147 1
A CITY OF TIGARD
n►�i�i DEVELOPMENT SERVICES
PERMIT #: SGN98 -0147
DATE ISSUED • 11/17/98
PARCEL • 25112DD -00800
ZONE • C-0
JURISDICTION...: TIG
BUSINESS NAME..: CHEVRON
SIGN LOCATION..: 15670 SW UPPER BOONES FERRY RD
APPLICANT /AGENT: CHEVRON USA PRODUCTS CO
BUSINESS TAX NO:
SIGN:
PERMANENT (X) FREESTANDING ( ) FREEWAY ( )
TEMPORARY ( ) WALL (Y) ELECTRONIC (Y)
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS : 10' X 19°
TOTAL SIGN AREA • 15 sq.ft.
WALL AREA • 893 sq.ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT : 13 ft.
PROJECTION FROM WALL.: 6 in.
ILLUMINATION • INT
DESCRIPTION OF SIGN: Add permanent wall sign. (Food Mart)
MATERIALS • PLASTIC
EXISTING SIGNS : 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED..: N
ADMINISTRATIVE EXCEPTIONS.: N/A
PERMIT FEE: $ 50.00
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved
approved plans. A sign permit shall expire 90 days from approval date.
A temporary sign shall expire 30 days from approval date. A balloon sign
shall expire 10 days from approval date.
0 110 1 e_. Ade
APPROVED BY: I �
. PERMITTEE SIGNATURE: ■ �-�� kli‘ , i. Ok
DATE: 11/17/98 AO
A,
SIGN PERMIT APPLICATION- \_,
terlii:',., 13125 SW Hall Blvd., Tigard,. OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY OF TIGARD I s
GENERAL INFORMATION {PLEASE PRINT CLEARLY}
Sign Address /Location: /567051,0. (�PPNr- erk rs rY' /11Y
/ / FOR ST.AFFEUSE L
Name of Tenant/Business: 6602k- co o
Address: 45 70 L . ()fret �oov>�s fz> z� . Date Received: f/ /z /�
Applicant/Agent/Contact Person: Jo 11,4 1v1 `De via id
Received By L
Sign Company: M f Sit'i 6. of ®r; J (LPhone: �2C) `6200 Permit No (s) l (sf; ,Z
Address: 73 46 5c.� L vrd v (G L �7
Permit Feed
rd Rce
el �3
City: . rd State: GIZ - Zip: // 7z2
:Approved By:
Sign Company C.C.B. #: 616 (� Date of Approval .
Expiration Date: //30%' Expiration Dat
City of Tigard Business Tax #: q9) t /6 3 S j �.-
(or) Expiration Date: 17-/ 31 / 9 S Zoning.
Metro Business License #: I g f�f /
Expiration Date: ) o I / y$ Electncal Permit Required? Yes • ; No ❑
Proposed Sign: (check as many as applicable) Building P Required? ;Yes ❑ No
Permanent yi Freestanding ❑ Freeway ❑ Rev. 12/27/96 .1-k;urpinlmasterslspa.doc
Temporary ❑ Wall Electronic ❑
Other ❑ illboard ❑ Balloon ❑
Sign Dimensions( IC' x le ) •`'
Total Sign Areas (sq. ft.) IS g3 REQUIRED SUBMITTAL ELEMENTS
Total Wall Area (sq. ft.): 013 . 75V(' ` - ' -- -%—
Direction Wall Faces: (circle one) ) S W NE NW SE SW Lr Completed Application Form
Height (ft.): 12-' - 13' `' Er Site /Plot Plan Drawn to Scale
Projection from Wall: 6 �
/ " / Xcopies, 3 if a building permit is required)
,�,/
Illumination: Yes No ❑ Type: Internal Ig External ❑ L� Elevations Drawn to Scale
(2 copies, 3 if a building permit is required)
U.L. Label #:
$ Applicant's Statement
A. l 11 a. (:
Copy: rood Mc1.v-1- ❑ Fee (Permanent Sign, any size) 50.00
Materials: 9 F7C ❑ Fee (Temporary Sign) $15.00
Are there any Existing Signs at this Location? Yes I No ❑ I certify that I am the recorded owner of the
If yes, a Ilst of all sign dimensions must also be submitted.] property or an agent authorized by the owner.
A to x Ci-e_e Aaiti s e;c; t- s j � J
NOTE: Q If work authorized under a Sign permit as not been \' (1 �
completed within ninety days after the issuance of the 1
permit, THE PERMIT SHALL BECOME NULL AND VOID. ( Applicant's Signature
1
I .
List any VARIANCE OR OTHER LAND USE ACTIONS to be considered as part of this application:
APPLICANTS:
To consider an application complete, you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS as
described on the front of this application in the "Required Submittal Elements" box.
(Detailed Submittal Requirement Information sheets can be obtained, upon request, for all types of Land Use Applications.)
•
THE APPLICANT(S) SHALL CERTIFY THAT:
® The above request does not violate any deed restrictions that may be attached to or imposed upon the subject
property.
• If the application is granted, the applicant will exercise the rights granted in accordance with the terms and subject to all
the conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true;
and the applicants so acknowledge that any permit issued, based on this application, may be revoked if it is found that
any such statements are false.
• The applicant has read the entire contents of the application, including the policies and criteria, and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property.
DATED this A.-1k day of Gt , 19 q 6
04.94 C---inEJr.:1 `law hN l^
wne s, ignature Owner's Signature
Owner's Signature Owner's Signature
2
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