SGN2008-00181 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2008 -00181
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/17/2008
PARCEL: 2S 102 B D - 01700
BUSINESS NAME: JIFFY LUBE ZONE: C -
SIGN LOCATION: 12860 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: JIFFY LUBE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 8'
TOTAL SIGN AREA: 16 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 2 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign (Banner) 2' X 8' Valid 9/18/08 - 10/18/08
Sign #2 Must be placed on private property, not in public right of way. Must meet
visual clearance area requirements
MATERIALS: VINYL
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 19.00
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: / -i . _ 4
PERMITTEE SIGNATURE:
DATE: 9/17/2008
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Ily! SIGN PERMIT APPLICATION
City of Tiganl Penn Center 13125 SW Hall Blul, Tigan;4 OR 97223
Phone. 503.639.4171 Fax: 503.598.1960 . ,' ,
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GENERAL INFORMATION 1 , t
Name of Development/Project ' ;/:--- ; t , ••-,
FOR STAFF USE ONLY
Site j L LA. _ 3(lv f r 57) f �l
Address / Street Add Permit No.: Sao
Location / 244-CI ,S ( PA • /
Expiration Date:
Suite/Bldg. # City /State Zip a gQ
`T,..., `7 7 2 J 2. Receipt # : . - Or 1 J
Name ,,� Approved By. C -
Property
5 a !✓' -k [ Date: '
Owner Mailing Address Suite Map /TL#/ :
� ( Zoning:
City/ [ ��p . � --• Phone
Tenant or Narne Electrical Permit Required? ❑ Yes ❑ No
Business ` LL, L____. Building Permit Required? ❑Yes ❑ No
Name Rev. 7/1/07
is \curpin \ masters \land use applications \sign permit app.doc
Sign .
Contractor Mailin ' • • as su
(Prior to permit
issuance, a
copy of all City/State .. Phone REQUIRED SUBMITTAL ELEMENTS
licenses are _ (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Or. • .nst. Cont. Board License # Exp. Date
City of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Freestanding ❑ Freeway El Copies of Site /Plot Plan, Drawn to Scale
Sign emporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required) .
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 8 x 11 ", or 11" x 17"
apply) q
w sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 2 rx 3 r ? (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
c..t Z `r ❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): must include dimensions of wall face and sign
Co py placement.
Materials: • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ o permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant space? of the permit, THE PERMIT WILL BECOME
❑ Yes G`'� NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted. •
(OVER FOR SIGNATURES)
q / ( g_ r6(,
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.
.L O
DA' I E D this / ? day of ___i_7. , 20
gnature of Owner /Agent
"it/
`Ck 50 57 L O `f3.�
Contact Person Name Phone No.
CITY OF TIGARD 9. 2U11S
13125 S\' (tall Bled. 3:25: 3til'\I
h ard,
OR 97223 503.639.4171
TIGARD
Receipt #: 27200800000000003280
Date: 09 /17/2008
Line Items:
('ase No 'Iran Code Description Revenue Account No Amount Paid
-
SGN2008-00151 [SIGN1 Temp Sign Perm 100 - 0000 - 437000 17.00
SGN 2005 -00I S 1 \I ISC I M isc Fee 100- 0000 - 451000 2.00
Line Item Total: $19.110
Payments:
Method Payer User 1D Acct./Check No. .approval No. Ilom Received .Amount Paid
C'redit('ard TIM MUELLER ST 763329 In Person 19.011
Payment 'Total: $19.00
4