SGN2001-00050 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00050
MAILM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/20/2001
EXPIRATION DATE:
BUSINESS NAME: 7-11 INC. PARCEL: 1S13413C-00101
SIGN LOCATION: 12100 SW SCHOLLS FERRY RD
APPLICANT/AGENT: 7-11 INC. ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30"X 30"
TOTAL SIGN AREA: 6 sq.ft.
WALL AREA: 600 sq.ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of(1)one illuminated Oregon Lottery Sign.
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subjectto 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 tempo ign shall expire 30 s from approval date. A balloon sign shall expire 10
dw-, from annmvgl data
APPROVED BY:
PERMITTEE SIGNATURE: �D�J
DATE: 03/20/2001
02/06/2001 12:13 RU 5036847297 City of Tigard [it 002
SIGN PERMIT APPLICATION
CiTY Of TIOARD 13135 SW//all 3/„1, rigrrrr/.OR ;7j.!.;e503;j-39-41 7/F.4X. {503;634.7797 �
GENERAL INFORMATION G(i',,ri"'.;'`i!i'i
Noma Of Dovalopmenwroiect
Site i FOR STAFF USE ONLY
Address! lmclAddncc
Location `7�' �j(�iLo�k i Permit No.: —
suite/eldll �N lyl to Zip -
Expiration Dote:
name , ` Receipt#:
Property Approved wltt_
Owner Maling Acdreas Suite Data:
j YZ d c GY�Csa O MapfrL#:
I �Iy/Stale �P a Zoning'_
41 -7"7 t
Tenant or Name Electrical Permit Required? Yes ❑ No
j Business
! Suilding.Permit Required? No
Name
I Rev.1VV2W is InMvslarfvaviwC'ri npenniii :doc
Sign clwla, -Ety (i
Contractor Alading AAeress su to
(Prier to permit _
issuance,a iTprL 0 kuvyt
j copy of A City/Sete Zlp Phone REQUIRED SUBMITTAL
i>cenees ere t- Cr`l S-(6'6l
required it j. ) (Note: applications will rent be accepted
expired In ft Omagon C6n$L Cort Board EAV.Data without the required submittal dements)
city of Tigard's tJcense/ aZ �_
i delabase Completed Application Form
Proposed Permanent Freeslandinp 9 Fner"y 2 Copies of SiWPiot Plan,Drswr,to ScEle
sign Temporary Wal: l.J Etectrwie (3 copies,if a building permit is required)
(Check ai!shat Other SlUbosrd ❑ Bellow �r2lz*
requiremint: ft'x 11',or 11"x^.T'
New sign? ❑ Alter to existing sign? copies of elevations,drawn to scale
n Dimensions:, (3 copies,If a building permit Is required',
J9 p / size require mont: e'h'x 11•,to 24'x 36`
Total Sign Area(sq.ft.): S—' $50.00 Fee (Permanent sign,any size)
r ❑ 515,00 Fee (Temporary sign,any type)
Sign Data Total Wail Area(sq.ft.) (0 0 o
(Complete all Direction Wall Faces(circle one):
hemi in this NOTES:
j sstdon) N S E X9 NE NW SE SW . Wall signs do not need to be drawn to scale,
Heigillit to top of sign feet): ' but must Include-dimensions of well lace and
j Projection From WSN(inches): sign placement,
G _ . Wall signe do not require site/plot plans.
Materials: , L` c '
Freestanding signs over 6 ft. required a
Will sign have illumination? N,Yes ❑ No building permit.,If
IfT t)6: ' Internal External ' Work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freettl1i or wail signs at this the issuance of the permit, THE PERMIT WiLL
i location,including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes CNo
If"yes",a list or diagram of all#Igo dimensions and (OVER FOR SIGNATURES)
uare footage must also be submitted.
02/00/2001 12:14 FAX 5030647297 City of Tigard 0003
I hereby acknowledge that I have read this application, that the information given is
correct, that 1 am the owner or authorized agent of the owner, and that plans submitted are
In compllance with the fifty of Tigard.
DATED this �?7 day of . 2
Lc�CA-, o�
Signature of Owner/Agent
Contact Person Name Phone No.
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Oregon Lottery Sign
Sign box
O O
Drill(4)5/16"mounting holes
in back plate
Alternate support bracket
(4)ea.Required per sign
Attach to sign w/5/16"
self tapping screws
Drill(2)5/16"holes
s
Oregon Lottery Sign Attachment Methods
Sign dimensions
301/2"X 301/2"X 6"
Weight
48 Lbs w/o face or back plates
51 Lbs w/(2)face plates
52 Lbs w/(1)face plate (1) back plate
Sign construction
1/8"extruded aluminum, welded corners
with (2)two captive face plate channels.Aluminum
back plate(when required) 30"X 30"X 1/8"
is inserted in place of one face plate
Wall mount
Insert aluminum back plate into the appropriate channel.
Drill (4)four 5/16"holes in the comers of the back plate
Alternate attachment method: Attach (4) Simpson Strong-tie A-21 or equal, angle
brackets to the four corners of the sign with(4)5/16"X1"self tapping screws.
Locate the sign box at the desired wall location and attach with the appropriate
screws listed below.
Surface type
Wood (4) #10X2" Pan head screws W/1/4"X1"fender washers
Concrete or (4) #10X1 1/2" Pan head screws W/ 1/4"X1"fender washers
Concrete block
Stucco w/ (4) 3"X1/4"toggle bolts W/ 1/4"X1"fender washers
Mesh back
Sheet steel (4) 3"X1/4"toggle bolts w/ 1/4"X1"fender washers
Receipt #: 27200100000000001179
_.. Date: 03/20/2001
TIDEMARK
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00050Sign Permit 100-0000-437000 $50.00
SGN2001-00051Sign Permit 100-0000-437000 $50.00
SGN2001-00052Sign Permit 100-0000-437000 $50.00
SGN2001-00053Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check DS CARRICK ELECTRIC 0 1344 $200.00
TOTAL AMOUNT PAID: $200.00
I
BANK OF THE WEST 1344
TANASBOURNE BRANCH
DS CARRICK ELECTRIC 2495 NW TOWN CENTER DR.
15832 NW CLEARY COURT BEAVERTON,OR 97006
BEAVERTON,OR 97006 90-78/1211 3/14M1
(503)645-3761
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TO THE
ORDER of city of Tigard $ **200.00 8
Two Hundred and 00/100****ss*********s******s**s************************•**********ss*s************s********** �•
g
city of Tigard
8
MEMO RUTH IZED SIGNATURE M'
4 signs
1100013001' 1: L2LL007821: L5 500 2 9 2 611'