SGN2001-00053 CITY OF T I G A R D SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00053
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 03/20/2001
EXPIRATION DATE:
BUSINESS NAME: 7-11 INC. PARCEL: 2S102CB-0030:
SIGN LOCATION: 13285 SW PACIFIC HWY 7-11
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: 1,200 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 9 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 'll be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A tem orary ign shall expire 3 d ys from approval date. A balloon sign shall expire 10
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APPROVED BY.
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PERMITTEE SIGNATURE:
DATE: 03/20f2001
02/00/2"001 12:19 F.0 5096647297 Cita' of Tigard Q002
SIGN PERMIT APPLICATION
OITY OF TIOARD /3/?S S'if,Nu!l 13hr1. 77garrl.OR 173.3(561.7)13 9-4f 71 F.4X:f503i 684-7297
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GENERAL INFORMATION
Plamoo►Oa-'aloprnw r0iect
site FOR§TAFF USE ONLY
Address.) 1lroct Ad
Location I ,?-b 0 S W ?C CA''6 C (-+W'l i Permit No.: GO too O -
suila/Bldg # atyr late Zip Expiration Date:
Name Receipt#: a001 I i
— (< < 0"1 t:. Approved By:
Property
Owner Maltng Acdrets -suite Date: e
ltry�0 So Map/TLN.
ily/Slate zip Phi Zoning'
Tenant or Name Electrical Permit Required? Yes No
Business 1
! $uilding.Permit Requireld? Ye's No
NamC
Rev 12''1/2000 i:Wa1,InlrrrataraVav-wSrign oemut appdoc
i
Sign L.E�✓ICC-
Contractor hta71ng address Su le
! tPecr to perrmt
lsaW1lCe,8
iY9 3,4, rL tt" kukryt
copy da! Crty/stala ZIP Prone RFAIIfREDSUBMITTAL ELEMENTS
required if d 9 [i ItS-4 51 (Nota. applications will not be accepted
ra •iZ"
arpyad in ire Oregon a� rt � p.Dau without the required submittal elements)
I City of Tgerd'a LJcsnse f n
I dauoaae Phi Completed Application Form
Proposed �Parmancnt §Fmaislariding Prer [/2 Copies of Site/Plot Plan,Drawn.to Scale
1 sign Temporarywag Q.
Electronic (3 copes.If a buildfng permit is required)
oo al!that
�'' Otlrr OillboarJ ❑ Balloonrsglilrernant.• 81h'x 11',or11`x .r
apply)
S
New sign? E] Alter to existing sign? �` Z topics of elevations,drawn to scale
S n (3 copies,If a building permit Is required)
19 Dimensions:. p / size requirement: aW x 11',to 24"x 36`
Total Sign Area(sq.ft.): 5--- $50.00 Fee (Permanent sign,any size)
r 515.00 Fee (Temporary sign,any type)
..�
Sign Data Total Wall Area(sq.ft.) ' O
tComp4le all Direction Wall Faces(circle one):
Iltmt in this NOTES:
j aecuon) N 5 E W NE NW SE SW . Wall signs do not need to be drawn to scale,
Haight to t2p of sign feet): ' but must Include-dimensions of wall face and
Projection From Wag (Inches): r r sign placement.
G _ • Wall signs do not require site/plot plans.
Materials: , c c
(10 Mail Freestanding signs over 6 ft. required a
Will sign have ipum;notion? Yes ❑ No building .
T pe: a:internal External • N work authorized under a sign permit has not
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 well signs that overlap a tenant space? BECOME NULL AND VOID.
C3 Yes /N NO
If"yes",a list or diagram of all sign dimensions and !OVER FOR SIGNATURES)
ware foots a must also be submitted.
02/06/2001 12:14 FAX 5036847297 City of Tigard Q 003
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 pians submitted are
In compliance with the C4 of Tigard.
DATED this ?7 day of 20 6 t
Signature of Owner/Agent
Contact Person Name None Na.
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ORIGINAL "
only the via►;a�s\cle3d i5
F r~t�MIT NO. s�.�ly
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Oregon Lottery Sign
30 1/2"X 30 1/2"X 6"Sign box
0 0
Drill(4)5/16"mounting holes
O 0 in back elate
=signw/
support bracket
per sign
/5/16"ws
Drill(2)5/16"holes
Oregon Lottery Sign Attachment Methods
Sign dimensions
30 1/2"X 30 1/2"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 comers 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
AO�O ---.■► 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 ermlt 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 3/1V01
(503)645-3761
o
TO THEm
ORDER OF city of Tigard $ **200.00
Two Hundred and 00/100***s*********s*****************************s*****************************************s** •• -��
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city of Tigard
MEMO AUTHORIZED SIGNATURE
• 4 signs
11100 L 34411' I: l 2 L L00 78 21: L 5 500 29 2611'