SGN2001-00234 •
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CITY OF TIGARD SIGN PERMIT
r;t DEVELOPMENT SERVICES PERMIT #: SGN2001 =00234
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
DATE ISSUED: 12/12/2001
EXPIRATION DATE:
BUSINESS NAME: TIGARD AUTO CENTER ,
SIGN LOCATION: 12530 SW HALL BLVD PARCEL: 2S101 BC -0230
APPLICANT /AGENT: TIGARD AUTO CENTER • ZONE: I -P
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: • BALLOON:
SIGN DIMENSIONS: 2 X 10
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
.PROJECTION FROM WALL: in:
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of one temporary banner. Valid 12 -12 -01 thru 01- 11 -02.
MATERIALS: VINYL
EXISTING SIGNS: •
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED: •
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
•
•
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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 I expire 30 days from approval date. A balloon sign shall expire 10
riays from annrnval data
APPROVED BY:
' I I
PERMITTEE SIGNATURE: 67
DATE: 12/12/2001 .
4""rt :A SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site Tt tlnt. i'4 O Ceti_4'e J C OR STAFF USE ONLY
Address/ Street Address Permit No.: 5 A 7.60 1- 6 0 2 3
Location 1.5 30 S W i- I 3 I vot
Expiration Date:
Suite /Bldg. # City/State Zip t4�
1 i Mod o it q 223 Receipt #: -- — l � /
Name Approved By: `C,
Property , B
Pro c e v� Date: " "� i7- J or'I
P Y 13 l� e
Owner Mailing Address Suite Map/TL #: 2 , $) n / 6 C - O 2 3o c'
Zoning: I /
City/State Zip Phone
Electrical Permit Required? ❑ Yes E r1 o
Tenant or Name
Business gFyf.e �'r i , it , N c : Building Permit Required? ❑ Yes 13–No
Name Rev. 30 -Jul -01 is \curpin \masters\revised\sipn permit app.doc
Sign
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if ❑ 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) (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", or 11" x 17"
Proposed
❑ Permanent El F reestanding ❑ 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: 81/2" x 11", to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
. ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): / x / 0
NOTES:
Sign Data Total Wall Area (sq. ft.) ♦ Wall signs do not need to be drawn to scale,
Si
9 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S E OW NE NW SE SW • Wall signs do not require site /plot plans.
I
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: Afau P,Y SOce, ( ,Soo o,rf a,. cG2. been completed within ninety (90) days after
Materials: Vm the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
�
Will sign have illumination? ❑ Yes ' No — '
Type: ❑ Internal external
Are there any existing freestanding or wall signs at this N ot 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
El Yes ❑ No Expires
If "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. IN
DATED this J 2 � day of 1eceMAc� , 20 o
/ 0
Signature of Ow er /Agent
86i a rt /2 513 -5 - 9 - lc`fS
Contact Person Name Phone No.
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Receipt #: 27200100000000004849 , . r�
Date: 12/12/2001
TID-EMARK
COMPUTER SYSTEMS, INC. •
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00234 [SIGN] Temp Sign Perm 100 - 0000- 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check BEYER ENTERPRISES INC 0 4169 $15.00
TOTAL AMOUNT PAID: $15.00