SGN2002-00114 /
C ITY OF TIGARD SIGN PERMIT
i, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00114
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: 10" X 10' -
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: 560 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) 10" x 10' - 6" permanent wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 II expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval Bata
—J21211/4
APPROVED BY:
PERMITTEE SIGNATURE: O' V C
DATE: 7/1/02
1
AU- Y � �I l '. SIGN PERMIT APPLICATION
aiY
CITY OF TIGARD 13125 Sit' hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
�\`0 `1 1 ►zt r �cl FOR STAFF USE ONLY
Site
Address/ Street Address —
Perniil No.: CC[J 2_450 Z -00 1
Location 1 \D'jt) &.,..■1 01tx4t{,=ttN l?c:I _ Expiration Date:
Suite /Bldg # City /Stale Zip
T teic,.,2ci of- C 3)tJ - : t3 Receipt #:
Name -- — — — - - -- Approved By:
_c;lki`C-�t<1 51v7e ~P21SOS t ac 66
-- 6 D ate:
Property �L��o —
Owner Mailing Address Suite Map /TL #: 'a 3i( 0 10-e_, - O(10
jerb0P 14E .3i3 PL. f �?I — Zoning:
C-9 —
City /Stale Zip Phone
t-k,Zklancl, .,ti 96P33 x' 61 Pc3o
Tenant or Name Electrical Permit Required? 111 Yes ❑ No
Business 5hQ.11 Vii PR_ocN,Aexs lk■S• Building Permit Required? ❑ Yes ❑ No
Name Rev. 30 -Jul -01 i \curpin \masters \revised \sign permit app -doc
Sign . b --
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 q elements)
- nses are
ired if ' ❑ Completed Application Form
t,.pired in the Oregon Consl. 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' /z" x 11 ", or 11" x 17"
p X Permanent ❑ F reestanding ❑ Freeway
Sign ❑ Temporary xj Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that 3 copies, if a building permit is required)
❑ Other El Billboard El Balloon
( p g p q )
apply) size requirement: 81/2" x 11 ", to 24" x 36"
IN New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: ID' X LI' ll"
f ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
7t S.,÷7 5 ∎7 NOTES:
Sign Data Total Wall Area (sq. ft.) 5loOs • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N0 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): 1 L - 0" building permit.
Projection From Wall (inches): . - DecAL. • If work authorized under a sign permit has not
Copy: c,q k,,, been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
• BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes 2C No -- — -
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information
0
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) \
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.
day this Y of , 20
Signature of Owner /Agent
"PS-- F/B u3O
�t7..1�e, 11l �i�'.�� - ; Phone No.
Contact Person Name