SGN2002-00130 CITY OF TIGARD •
Aotive DEVELOPMENT SERVICES PERMIT N SGN2002 -00130
1,1 SIGN PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/02
EXPIRATION DATE:
BUSINESS NAME: SHELL OIL PRODUCTS US
SIGN LOCATION: 11465 SW PACIFIC HWY PARCEL: 1S136AD 05801
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 10" X 7' -
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: 262 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 10 ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 6 sq ft 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 11 expire 30 days from approval date. A balloon sign shall expire 10
days frnm annrnval data / < APPROVED BY:
PERMITTEE SIGNATURE: GK■
DATE: 7/29/02
1
wet SIGN PERMIT APPLICATION
OITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (50 3) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION .
Name of DevelopmenUProject - .
- FOR STAFF USE ONLY
Site 5 k I l P-e,h nd
Address/ Street Address Permit No.: _ A1 _ Z - .sO 2 . . _ - b 0 1 3
Location III Sw P aci c.
r — Expiration Date:
Suite /Bldg- # City/State Zip
Receipt #: 2 --° ° 2 - - 2 - _
?9 2 ' Approved B K .-
Name PI Y Property E &ILON e ?R)S -e5 Li- c DSA Date:
Owner Mailing Address Suite Map /TL #: I S 13 6 A D— 0 5,?0 -
/OW Ne" 3a -4-1 "PL Joo Zoning: ( 9 -
City /State Zip Phone
klkland /w 98033 20-8 Electrical Permit Required? ❑ Yes []
Tenant or Name
Business 5 h i I U 1 Tat DUG7s as Building Permit Required? El Yes [-No
Name Rev. 30 - Jul - 01 curpin \masters \revised \sign permit app.doc
Sign - _- -_--_ -
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a /Q) Cohan btR 6)uc1
copy of all City/State Zip Phone wi thout the required submittal elements)
•uses are
red if 1-0109vlf;,J 0w 9e(a32 ' 3 -- x/23 - ❑ Completed Application Form
e„ Aired in' the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ...0 /LID ❑ 2 Copies' of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed Permanent ❑ Freestanding ❑ Freeway
Sign U Temporary g 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: 81/2" x 11", to 24" x 36"
❑ New sign? E' Alter to existing sign?
❑ $50.00 Fee (Permanent sign, •any size)
Sign Dimensions: .,- 0 71-'--i �
k ( ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): t
NOTES:
Total Wall Area (sq. ft.) o Wall signs do not need to be drawn to scale, •
Sign Data 10 2 •3,F but must include dimensions of wall face and I
(Complete all . Direction Wall Faces (circle one): • sign placement.
items in this Wall signs do not require site/plot plans. •
section) N E W NE NW SE SW -
o Freestanding signs over 6 ft. required a
• Height to top of sign (feet): / 0.-- 1 building permit.
Projection From Wall (inches): -P - o If work authorized under a sign permit has not
Copy: SC? R-VI Car.AcAL - 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 r1 No
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this No all jurisdictions accept credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space?
Credit card number 1 1
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.
DATED this 9 day of , 20 oa
V a'vut 4-
Signature of Owne Agent
Vane sa frl ,es 4 5 i3/8- Co 30 /
Contact Person Name Phone No.
•
Receipt #: 27200200000000002782
Date: 07/29/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items: •
Case No Tran Code Description Revenue Account No. Amount Due
MISC Miscellaneous Fees & Charges - 50.0000 @ $1.00 100- 0000 - 451000 $50.00
SGN2002 -00127 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2002 -00129 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2002 -00130 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check RHL DESIGN GROUP INC KJP 500413 $200.00
• TOTAL AMOUNT PAID: $200.00