SGN2001-00063 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00063
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04/06/2001
EXPIRATION DATE:
BUSINESS NAME: TEXACO PARCEL: 2S110AC-0110
SIGN LOCATION: 11290 SW BULL MOUNTAIN RD
APPLICANT/AGENT: TEXACO ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X 6'
TOTAL SIGN AREA: 18 sq. ft.
WALL AREA: 492 sq.ft.
WALL FACE(DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 8 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Permanent placement of(1) illuminated wall 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 subject to the regulations contained in the Tigard Municipal Code State of OR. Specialty Codes
and all other applicable laws. All k will be done in cordance with approved plans. A sign permit shall expire 90
days from approval date. A to ora sign shall expire 30 days from approval date. A balloon sign shall expire 10
riavc from gnnmvgl rintP
lJ�-- �
APPROVED BY. k
PERMITTEE SIGNATURE:
DATE: 04/06/2001
Recd By
Al Sign Permit Application Date Rc:'d
Y uF TIGARD permanent or Temporary Permit No. I- 3
126 SW HALL BLVD. Commercial or Residential. Permit Fee _ LIA
'G
�aRo,
OR 97223 Receipt No. `I
"J ot
)3) 639-4171Call`s
Please Print or Type• W i 111 0a 00 Lk-
y. tiu
Incomplete or illegible applications will not be accepted.
F
any existing freestanding or wall signs at this
Name of pevelopment/Projed including wall signs that overiap a tenant space?® Yes ❑ NoSiteAddress/ Street Address a list or diagram of all sign dimensions andLocation pootage must also be submitted.
Suite/Bldg.#
City/state Zip
97 d a 3g permit has not
NOTE: If work authorized under a sign p
Name been completed within ninety days after the
�-- issuance of the permit,THE PERMIT WILL
Property Suite BECOME NULL AND VOID.
Owner Mailing Address
q6 U.) 2 I hereby acknowledge that I have read this application,that the
Phone ed ard.
city/State
Zip information given is correct that t am the ow.``an ce authorized
theriz City of Tig the
owner,and that plans submitted are in comp
Na o+� Date
Tenant or signature of Owner/Agent
Business -�c'�'�'r'o 'g-�— ---�--'t
Name Phone
Contact Person Name dam'•"' La.y y S��
Sign `J Suite
Contractor Mad'ng Address
Prior to permit pDI�So�- `tet 3 5!d77
/State p
Zi
tssuanoe,a Phone }
oopr c'h' Sa3Re ulreddSubmlttaliElements
dad ioenses
are mq*ed if I _
expked
Oregon Const.cont Board Exp.Date
Q�Gttplt~t +
C.o T. License 4 3 `5 �'� Z w o tale
. ies f t eJ of p ani:
$ equ.l ed)
database -
❑ Freeway
Proposed __ _
® Permanent ❑ . Izerequtremen r cans
Sign Freestanding J ❑ Electronic s a utt=etp�o p
❑ Temporary ..�]
Check ah that ❑ Other wall �] Balloon O e f
�; ;� ptes3o �exa ons lawn a
aPPIY ❑ Billboard a cft It�IS ��
�Jpizereutremen
0 4 r6" r
New sign? �N a IN i1 �s._ b � $. `awn to
❑ Alteration to existing sign?
s tmenstons
e- u�usf�nclude�+d_"
Sign Dimensions:
Total Sign Area(sq.ft.): 1$S ❑ 1b '
Sign
Data Total Wall Area4sq.ft.) 9.2-
Mase Please
complete Direction Wall Faces(circle one): FOR OFFICE USE ONLY: zo" g:
each itemNla O
in this N S E W NE - NW SE SW
section "Notes -
Height to top of sign (feet): N
N0
Projection From Wall(inches): Electrical Permit Required? Yes ❑
Copy: Building Pemfd Required? Q
Materials: '
Will sign have illumination? No Yes Approv
T Intern F1 External F.zptcat^rt a ei n a
Receipt #: 27200100000000001414
.,IA ._.. Date: 04/06/2001
Tc 1 0r E SM A .RcK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00063Sign Permit 100-0000-437000 $50.00
SGN2001-00064Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check BLAZE SIGNS OF AMERICA,INC. 0 1644 $100.00
TOTAL AMOUNT PAID: $100.00
I