SGN2002-00215 CITY OF TIGARD SIGN PERMIT
�I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00215
�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/28/2002
EXPIRATION DATE:
BUSINESS NAME: 99 TIGARD AUTO CENTER PARCEL: 2S102AA 00101
SIGN LOCATION: 11900 SW PACIFIC HWY
APPLICANT /AGENT: SAMMY LEE ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 16' X 4'
TOTAL SIGN AREA: 64 sq. ft.
WALL AREA: 870 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent Placement of a 64 square foot sign to advertise the new building.
MATERIALS: ALUMINUM
EXISTING SIGNS: 3
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 e e 10 days from validity date.
APPROVED BY :
PERMITTEE SIGNATU - _ • —
DATE: 10/28/2002
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�,,, �,..,i„ SIGN PERMIT APPLICATION
CITY OF TIGARD \ \I31 25 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION O
Name of Development/Project FOR STAFF USE ONLY
Site 9 9 W. 7/ +-d - ,q ore Ce'' Ver S G 1\1 �00� , OC3 15
Address/ Street Address Permit No.: t� \
Location ! / 61 c S, v/. /�c�c j G Hvvy Expiration Date: 1v / R Suite! dg. # City /State Zip
Receipt #:
Name Approved By: gry \
Date: 1 0 / Q S Ita 0 6a
Property �5CL7i.y, -.y -L- aS
\Q-AP — 6°101
Owner Mailing Address r-wy Suite Map/TL #:
// 5 oL S_ -vi- /beg c;71",•4 Zoning: C 'n
City /State Zip Phone
'7.7 O,,. n,e ec 3 - "7i- 2 3 e C ' Electrical Permit Required? ❑ Yes [ No
Tenant or Name
Building Permit Required? ❑Yes V
Business
Rev. 01 -Jul -02 is \curpin \masters\revised \sign permit app.doc
Name
Sign D o S ; :1" '-kei.... .S. °C'h X Vi- 4,- -i4 j'fp,i
Contractor Mailing Addr s Su REQUIRED SUBMITTAL ELEMENTS
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(Prior to permit ' �' ( pp Note: applications will not be accepted
issuance, a /b99 SiA / . Beetve ' without the required submittal elements)
copy of all City /State Zip 9 vos,. Phone
licenses are 3 - �. Zd - 6 d
required if /3-a /7 vov onl D� y 9 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) PI staff S ' {7 ' (3 copies, if a building permit is required)
Proposed [Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ErWall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
0/New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: � X a` / 0$30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): d ❑ $15.00 Fee (Temporary sign, any type)
•
Total Wall Area (sq. ft.)
Sign Data 9, n
A. �
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N it E efr NE NW 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: g9v,/ • 7 15_ a- r,. Air) Ce7, �ey • Wall signs do not require site /plot plans.
Materia s: Q • Freestanding signs over 6 ft. required a
/ /'9 ;rr,l/y,- • i/� / •ej� �� building permit.
Will sign have illumination ? ❑I,Yes [1I' No • If work authorized under a sign permit has not
Type: ❑ Internal [y' 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 1 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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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 °et °b2r- , 20 - 3-
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Signature of Owner /Agent
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Contact Person Name Phone No.
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13125 SW Hall Blvd. 1:49:07PM
IN l Tigard, Oregon 97223
'L (503) 63 9-4 17 1
Receipt #: 27200200000000004117
Date: 10/28/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00214 [SIGN] Sign Permit 100- 0000 - 437000 30.00
SGN2002 -00215 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
SGN2002 -00216 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $90.00
Payments:
•
Method Payer User ID Check No. Approval No. How Received Amount Paid
Cash DESIGNER SIGNS MET In Person 100.00
Change CITY OF TIGARD In Person (10.00)
Payment Total: $90.00
Page 1 of 1 cReceipt.rpt