SGN2001-00052 e
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CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00052
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/20/2001
EXPIRATION DATE:
BUSINESS NAME: 7-11 INC. PARCEL: 2S 11 OAA-00601
SIGN LOCATION: 10650 SW MCDONALD ST
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: 810 sq.ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 85 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of(1)one permanent illuminated wall sign for Oregon Lottery.
MATERIALS: ALUM
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
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 wo will be done in acc ance with approved plans. A sign permit shall expire 90
days from approval date. A temp ry ign shall expire 0 ays from approval date. A balloon sign shall expire 10
rlavc from annmval data
APPROVED BY:
PERMITTEE SIGNATURE: /
DATE: 03/20/2001
0200/2001 12:19 FAX 5030647297 Cita' of Tisard R002
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SIGN PERMIT APPLICATION
CITY Of TIOARD 13135 sfn Iler!l Bthw.. rlgeurl.OR 971;3(50;)h;9-4171 FAX:(503;43/"7797
GENERAL INFORMATION
Nar)O Or a�arapmwvproiact
Site FOR,5TAFF USE ONLY
Address! Shrel Addncs
Location s UL) I"`LDPermit No.:
suitaeido tyr tete Zi; Expiration Date:
Receipt#: _
Name i
Property —( ( n G Approved By,
Owner MalengAcdress ode Data: 3
S 40(?seen 4-70 Map1 TL#•
,iyiswe tp one Zoning.
Port_ 97z2-3 f'D3 177 7 f1
Tenant or Nannie Electrical Permit Requi.90? . Yes ❑ No
Business "
Building.Permlt Requlretd?
Name
Ray.1Z11 is nhvslaraVav'wdei npartnfta :doc
Sign bV I(la- Y l✓
Contractor Mailing AOMesa 3u le
tPecr to peradi
MOMS.a l 0110 C W
copy of a! cilyrstate Zia Pnono pcnf uaFn#LISMITTAL ELEMENTS
(Nota' applications will gent be accepted
required if
expin i In ft pngon Cdn6L COM 009M Dee without the required submittal elements)
City of Tiyard's Ucenae M n }_
t drueeae - v' Completed Application Form
Proposed Pennanen, Freeslardng rMe+ar �2 Copies of Site/Plot Plan,Drawn.to Scale
sign Temporary wag ENctronie (3 copies,if a building pennit to required)
I
(Chadt al:ft( 9 Other C] Balloon Qeite ra Wrernent:
BYa'x 11',or 11"x 17'
New sign? Alter to existing sign? 12 copies of elevations,drawn to scale
(3 copies,if a building permit Is reciAred)
Sign Dimensions:, M r size requirement: aw x i 1',fo 24"x 36'
Total Sign Arca(sq.R.): �S-� $50.00 Fee (Permanent sign,any size)
Sign Data
Total Wall Area(sq.ft.) (� ❑ $15.00 Fee (Temporary sign,any type)
wxffw ate all Direction Wal!Faces(Circle one):
I;tma m this SEs:
j as um) N 5 W NE NW SE SW . Wall signs do not need to be drawn to scale,
Haight to top of sign feet): ,'7 ' but must Include_-dimensions of well face and
jProjection From wag Inches sign placement.
c2.. • Wall signs do not require site/plot pians.
Materials: , c- c • Freestanding signs over 6 ft. required a
Will sign have illumination? X Yes ❑ No building permit.
T pe: a:Internal Erctemal • If tNOrlc authorized under a sign permit has not
bean completed within ninety (90) days after
Are there any existing frees nt]ing or wait 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 a NO
If"yes",a list or diagram of all sign dimensions and lOVPR FOR SIGNATURES)
ware footage must also be submitted.
02/06/2001 12;14 FAX $08647297 MY of Tigard Z003
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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 compllance with the City of Tigard.
DATED this -2, —day of o 20 0 1
Signature of Owner/Agent
Com-
C ntact Person Name Phone No.
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Condi{:,,;*ly Approved..._-............-.......
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ORIGINAL ro i Lely++ Follow_..r---_.._......---»----•••• �
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Oregon Lottery Sign
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O O
Drill(4)5/16"mounting holes
O O in back elate
Alternate support bracket
(4)ea Required per sign
Attach to sign w/5/16"
self tapping screws
Drill(2)5/16"holes
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 comers
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 wail 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) TV W'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
T I D E M A R K
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
v
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 3/14/'01
(503)645-3761
C
TO THE
ORDER OF city of Tigard $ **200.00
s
Two Hundred and00/100*******s**s******s************s*******************************s•******************ss**** .• d
a
city of Tigard
8
MEMO - AUTHORIZED SIGNATURE M'
4 signs
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