SGN2003-00083 111E i CITY OF TIGARD SIGN PERMIT
_ i DEVELOPMENT SERVICES PERMIT #: SGN2003 -00083
�•� iL. DATE ISSUED: 4/15/03
""'-- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 102AA - 00101
BUSINESS NAME: 99 AUTO CENTER ZONE: CBD
SIGN LOCATION: 11900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 5'
TOTAL SIGN AREA: 20 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Install new vinyl wall sign.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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: a c` li J 4
PERMITTEE SIGNATURE: /'��'�"
DATE: 4/15/03
_,,,_.
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,�.,� l ft SIGN PERMIT A L I C T
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project 34/— 770( FOR STAFF USE ONLY
Site WO Vvfl re z 4 eg
Address/ Street Address Permit No.:
Location II '/ Sl/ /Q7/FJ1 l/U) f Expiration Date:
Suite /Bldg. # City /State Zi
1-"k USG 0 Q r) 22 - Receipt #:
Name J l Approved By:
Property
99 az56 �pVo/ Adk eeN le'' Date:
Owner Mailing Address Suite Map /TL #:
//9a0 SW Plieifie MI 7C1 Zoning:
City /State Zip Fhone
1 a 4 ' d ail 97223 (Soil 598 -2300 Electrical Permit Required? ❑ Yes ❑ No
Tenant or wrne
Business SgyYl Zee Building Permit Required? ❑ Yes ❑ No
Name Rev. 01-Jul-02 is \curpin \masters \revised\sipn permit app.doc
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)
p size requirement: 8 x 11 ", or 11" x 17"
Proposed �� Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary JZI Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 111 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
►s/ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: , x S • ❑ $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) & S E- (W� NE a SE SW
• 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: 1 o Wall signs do not require site /plot plans.
Materials: Ut t o Freestanding signs over 6 ft. required a
y
Will sign have illumination? ❑ Yes D4 No building permit.
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 4 No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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CITY OF TIGARD 4/15/2003
13125 SW Ha11 Blvd. 12:15:20PM
wat 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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