SGN2003-00081 CITY SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00081
'III': ISSUED: 4/15/03
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102AA -00101
BUSINESS NAME: 99 AUTO CENTER ZONE: CBD
SIGN LOCATION: 11900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 36" X 42"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON `` /.2g /o3 5j / o3
DESCRIPTION OF SIGN: Temporary sign permit for a- frame. (Sign #3) Valid . Sign must
be placed outside of right of way on private property.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 date.
APPROVED BY —‘4:-'-"A" C-1 a e
PERMITTEE SIGNATURE:
DATE: 4/15/03
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Developm FOR STAFF USE ONLY
Site l?ai 11Ye 7 - [1 r
Address/ Street Address Permit No.: S a 003 -- 0008 I
Location U O S w fpgvif . {(}�kk Expiration Date: -) 5 03
Suite /Bldg. # City /State Zip
Tilara OR 4722 Receipt #: oZ O 63 `- /
Name ' Approved By: C ; CPU G �'J �_
Date: '�'"/ 5 .
Property (,j WttM (,-ems i -o v o /
Owner Mai ing Address Suite Map/TL#: c i S ��, A
No S . • . ,.,,, Zoning:. ... C 80
City /State Zip ' Phone
TI( ('I�. nn g7223 .5 599 830'0 Electrical Permit Required? - ❑ Yes No
Tenant or Na e Building Permit Required? El Yes czi No
Business qq T Bard Qc) eeNtei
Name Rev. 01 -Jul -02 is \curpIMmasters \revised \sign permit app.doc
Sign
C REQUIRED SUBMITTAL ELEMENTS
Contractor Mailing Address Suite
(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 _ U - Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # :. r 2 Copies of Site /Plot Plan, Drawn to Scale •
database) (3 copies, if a building permit is required)
Proposed ❑ Permanent IZI Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign gi Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon p 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 2. y 3 G Er $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
•
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E- W NE NW SE SW
e 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: o Wall signs do not require site /plot plans.
Materials: VIN b i o Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes ® No a If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes E4 No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
CITY OF TIGARD 4/15/2003
13125 SW Ha11 Blvd. 12:15:20PM
AvnA i, Tigard, Oregon 97223
.-aL �'L (503) 63 9-4 17 1
Receipt #: 27200300000000001482
Date: 04/15/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 - 00081 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2003 -00082 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
SGN2003 -00083 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $75.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash RAMIREZ TIRES In Person 75.00
Payment Total: $75.00
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