SGN2005-00239 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00239
. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/11/2005
PARCEL: 2S112DD -00300
BUSINESS NAME: SHELL GAS & FOOD MART ZONE: I -L
SIGN LOCATION: 15900 SW 72ND AVE JURISDICTION: TIG
APPLICANT /AGENT: MEYER SIGN CO OF OREGON, INC
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of a temporary sign with gas prices /logo. Sign #1. Valid from
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: �'
7 _ PERMITTEE SIGNATURE: �
DATE: 8/11/2005 1 4
' p °� S IGN PERMIT APPLICATION
Ai :V.
Ill ll
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site 54L£CL-
Address/ Street Address Permit No.:
Location I 0U Z- w -ta , cl
Expiration Date:
Suite /Bldg. # City /State Zip
1iCI 1 Receipt #:
Name Approved By:
Property it /M
O(C/ Date:
Owner Mailing Address Suite Map/TL #:
7 73 7 W , aYni7o J4) Zoning:
City /State ' Zip P �6
r{ II $ . g8/? Y 2- 1S — Z c
/ Electrical Permit Required?
Tenant or Name q ❑Yes 'Flo
Business ,Ilea_- Building Permit Required? ❑ Yes ❑ No
Name Rev. 7/1/05 is \curpin \masters\revised\sign permit app.doc
Sign ^ij2 Si &A) � _A kJ_ LSQ
Contractor Mailing Address Suit REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a /52/PS Sc.) 7�� ( pp � p
copy of all City /State Zip Phone (5 without the required submittal elements) •
licenses are
required if 7 -12 91 72(I 6 Zo ?Zap ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of database) ard's License # LiDl q ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 11", 11" size requirement: 81/2" x 11 , or 11 x 17 "
• Sign .,a Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ ❑ 2 copies of elevations, drawn to scale
apply) ❑ ❑ Bi llboard Balloon ,
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: 3 i x g
❑ $38.00 Fee .(Permanent sign, any size)
Total Sign Area (sq. ft.): it zS�� III $18.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City I=1 Urb
(Complete all Direction Wall Faces (circle one): ��` ¢
items in this ----- NOTES:
section) N S E W W SE
Height to top of sign (feet): ♦ Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
•n have illumination? ❑ Yes 13-- building permit.
If work authorized under a sign permit has not
, Type: ❑ Internal ❑ External 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 wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes 0-No ____
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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.
DATED this f1 — day of , 20 OS
Signature of Owner /Age
Sri 01/4- -RT Z k� --3' 20
Contact Person Name one No.
t ,
r d II ill
. \-#:, a
NI '4 'irk , . .e.
v.
l .
' ,•1
a
ti
\ 7."'''."...'"..'"'
remium
0
4/ . JI11111110111111111 Os
111 ( 1 , .
t
•r
• .
CITY OF TIGARD l � Lk-
Approved ........... ...... ...... .................. .... ........• X1 la 6-75 Conditionally Approved
For only the work as described es pb in: �O a 3 G1_
PERMIT NO. [ ;
See Letter to: Follow ............................................
.............................. ......... 1. J ob
Attach -
Adress 5 Jam_
Date: _..a --
6y:
It t 4 ..
• r
•
4
�1 *`
# x #_ 0
4
:
f ,MP 1
1r as
\ 0 ..._ r � � iiii, 1
r al
prif ,,..„ 1
" 4 Gooyle Earth - New Placemark
144 4
ftli ilt 40, Alifeilot
:
AM 111 41 / 1 • 1
! 1 �
„K . it' % ! v ,
re 'N
41 .` 2005 TvlcAilas i
. F e _
C
1w •a i
Pointer 45 °24'18.58' °N 122' 44 55.2 Streaming llllllllll 100% Lye alt 3(I
1
1