SGN2002-00107 CITY TIGARD SIGN PERMIT
I, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00107
'i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/1/02
EXPIRATION DATE:
BUSINESS NAME: SHELL OIL PRODUCTS US PARCEL: 2S110AC -0110
SIGN LOCATION: 11290 SW BULL MOUNTAIN RD
APPLICANT /AGENT: ZONE: C -
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7' - X 1' -
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 417 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 7' - 2" x 1' - 6" permanant wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign sh pire 30 days from approval date. A balloon sign shall expire 10
days from annrnval Bata
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 7/1/02
0 1,
• c.1
lr :h _ SIGN PERMIT APPLICATION
CITY OF TIGARD /3/25 S[WW (Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684 -7297 .
GENERAL INFORMATION
Name of Development /Projecl
- FOR STAFF USE ONLY
Site . Atip.. ), •-E,b Par,d
Address / Street Address Permit No: _._.- . _ _ C-j _ A 2.0 ° Z - vc f a
Location k %mil ° i C..:, " ?Li \\ �� Cy \l‘1 ^= fl.el Expiration Date:
Suite /Bldg. (i City /Stale Zip
t / r12f j, �?i� any 4`71 3 Receipt N.: _ __
Name -- - -- Approved By: ). S t
Property
E G.k.k it_L-_)tL 'N'TeR:P2i.S La', b3A Date: L9/17/6?.... " I
Owner Mailing Address Suite Map /TL #: 2S/ j /4 01 ( 0/
i WO Ca iU '� .3S PL. i C>t Zoning: G
City /State Zip Phone •
Electrical Permit Required? Yes . ❑ No
Tenant or Name
Business an 11 Coil PtZc6C„c, 4 lk,S• . Building Permit Required? ❑ Yes i fX No
Name !! `` Rev. 30 -Jul -01 i:AcurpinA masters \revised \sign permit app.doc
�
� U
Sign
Contractor Mailing Address - Suite REQUIRED SUBMITTAL ELEMENTS li
(Prior to permit S (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
- nses are
ired if ❑ Completed Application Form
e Aired 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)
Pro Proposed size requirement: 8 x 11 ", or 11" x 17"
p Permanent ❑ Freestanding LI 'F reeway
Sign ❑ Temporary wall ❑ Electronic ' ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 x 11 ", to 24" x 36"
•
New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: �;�t X `,�''
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
t g 5, ►= • NOTES:
Total Wall Area (sq. ft.) • Wall ,signs do not need to be drawn to scale,
Sign Data 9 '1�" ,F�
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
• items in this
section) . N CS E W NE NW SE SW • Wall signs do not require site /plot plans.
. Freestanding signs over 6 ft. required a
Height to top of sign (feet): I Ej' :- ci' building permit.
Projection From Wall (inches): 5" . If work authorized under a sign - permit has not
Copy: S \\ been completed within ninety (90) days after
Materials:. • the issuance of the permit, THE PERMIT WILL
Will sign have illumination? 21 Yes ❑ No BECOME NULL AND VOID. ,
Type: . gi Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards. please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑ Mastercard
Credit card number / - /
Yes ❑ No Expires •
I.. yes", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $_
Cardholder signature Amount
(OVER FOR SIGNATURES)
•T s
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 day of , 20
Signature of Owner /Agent
tia5- EiR
V i�Q.,7� <:.m h.�� Phone No.
Contact Person Name
•