SGN2002-00249 i
CITY OF TIGARD SIGN PERMIT
I4e DEVELOPMENT SERVICES PERMIT #: SGN2002 -00249
. - - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/15/2002
EXPIRATION DATE:
BUSINESS NAME: RICK HENSLEY AUTO PARCEL: 2S101 DD 01000
SIGN LOCATION: 13965 SW 72ND AVE
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 11" X 134"
TOTAL SIGN AREA: 11 sq. ft.
WALL AREA: 1,540 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 12 ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a permanent sign to advertise an auto business
MATERIALS: ACRYLIC
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 dat te.
APPROVED BY:
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PERMITTEE SIGNATURE: ON 40fi cc j an
DATE: 11/15/2002
RECEIVED PLANNING
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w -1 i'.lr� SIGN PERMIT APPLICATION Q 2002
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
CITY Ci TIGARD
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
Site lc t(- HEN,S[£Y
Address/ Street Address ' 39 S W '1 Permit No.: Gil "C?d2- 6a D1-1
° 1
Location 72.•O Expiration Date: — Suite /Bldg. # City/State o , Q Zip q` �' g R ecei t #: 00 -1 1
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.1.144E6-4C4apht -91'934-
Name Approve By: Q(V1k
Date: 1 t5(2o0 'D..
Property aA c k_ PcENSL -aY nn���t #: a5►ot4D - 6roo�
Maiiing Address Suite
Owner
I 1 0 ? tij `-- - I Zoning:._�...=N - -- _ _._.. —. _- ._._.� --
City/State Zip P -: hone
4- At.f. MAIPAJ 97b r .r®3/ 3Z -12`133 Electrical Permit Required? ❑ Yes LNo
Tenant or Name
Building Permit Required? ❑Yes dallo
Business 5Z-1 c,iC.. t,E J.1S LEy
Rev. 01 -Jul -02 i:\curpin \masters\revised\sign permit app.doc
Name
Sign AV-t stert4s
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a 2067 SEPow 6U- without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if ?ott -A 1D t W 97262- . _ Completed Application Form
expired in the Oregon Const. Con . Board Exp. Date
City of Tigard's License # ,J 2 Copies of Site /Plot Plan, Drawn to Scale
database) f3 <-11-(73 (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary a Wall ❑ Electronic
(Check all t hat Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
Li
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:
II" X t \r $30.00 Fee (Permanent sign, any size)
Total Sign Area (s ft. • , a T7. ❑ $15.00 Fee (Temporary sign, any type)
I Sign Data
Total Wall Area (sq. f . , S tint) frj
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height,to top of sign (feet): / 2." but must include dimensions of wall face and
Projection From Wall (inches): IC sign placement.
Copy: a Eel ( ,i t t: nt-1 -0 -b ACe:`t1 tc • Wall signs do not require sitelplot plans.
Materials: At fL -f t At_ • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes 0 No • 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 El--No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 day of , 2 0
/j ..
Sig 'ature of Owner / • ent
(G L. p . r(0 JT 4 S °3 — Z 3 Z- 6 4 303
Contact Person Name Phone No.
110'_0°
Cars, Trucks, SUV's
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139�5SW76th
CITY OF TIGARD 11/15/2002
illik 13125 SW Hall Blvd. 2:32:02PM
Tigard, Oregon 97223 ►
4.61∎ 11. (503) 63 9-4 17 1
Receipt #: 27200200000000004360
Date: 11/15/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00249 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
Line Item Total: $30.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check ABLE SIGN COMPANY BMK 4552 In Person 30.00
Payment Total: $30.00
i
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