SGN2009-00017 1 CITY O F TIGARD SIGN PERMIT
1111 = DEVELOPMENT SERVICES PERMIT #: SGN2009 -00017
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/23/2009
PARCEL: 2S 102AA -00101
BUSINESS NAME: 99W TIGARD AUTO CENTER ZONE: CBD
SIGN LOCATION: 11900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X8'
TOTAL SIGN AREA: 32 sq. ft.
WALL AREA: 293 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 14 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 32 s.f wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 40.00
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: al 9-AL
PERMITTEE SIGNATURE: f ,n
DATE: 1/23/2009
w ° . . SIGN PERMIT APPLICATION
CITY TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of De ---. -- ent/Project / FOR STAFF USE ONLY
Site f e,,,' 6,9, 8 71 v C ert;T fit
Address/
Street Address Permit No.: $ ( 9 is �� " `-.): 1 7
Location //960 S 0 M c rf!` WWI Expiration Date:
Suite /Bldg. # City /State Zip 1-6:3" ,
1 76 , �4i�'7^, Die
'1722 3 Receipt #:
Name f Approved By:
�3.f11P7/7 Z f� Date: i �L"� v
Property �
Owner Mailing Address Suite Map /TL #:,
//lea - 51dJ ,4 4/ � Zoning: C 6 7
City /State Zip Phone
7/6,4, .z2? COI - Slur =z.iay
�� �¢ Electrical Permit Required? ❑ Yes IQ-1\10
Tenant or Name
Building Permit Required? ❑ Yes ErNo
Business
Name Rev. 01- Jul-02 is \curpin\ masters \revised \sign permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed Permanent ❑ F eestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary all ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
2 sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
�
Sign Dimensions: �'
x g . .fee (Permanent sign, any size)
Total Sign Area (sq. ft.): ,• sg ft. ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) . z (12. ,— sq f,.
(Complete all Direction Wall Faces (circle one): NOTES:
items in this .
section) a S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): fi/ but must include dimensions of wall face and
Projection From Wall (inches): (5 sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes 2/No • 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 2 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 Z3 day of �a.") et e')" , 20 or,
Signature of Owner /Agent
Contact erson N6me Phone No.
,
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Approved r
:or or' the wc.q.k as described
PPRMIT NO.. p9
See Letter 'co; Follow
Attiach - '
7.-3/c4
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CITY OF TIGARD
,-, 13125 S\y Ilan Iticd. 9:5 : ;; \ \ I
Tigard, OR 97223 5113.619.4171
4TtAaR
Receipt #: 27200900000000000173
Date: 01/23/2009
Line Items:
Case No "I Code Description ReN cnuc Account No Amount Paid
SGN2009- 00017 [SIGN] Si Permit 100-0000-437000
35.00
SGN2009 - 00017 [LRPFI LR Mallon Surchar 100 5.00
Line Item Total: $40.00
Payments:
Method Payer User ID Acct. /Check No. Approval O. I Received amount Paid
Cash SAMMY LEE KIP In Person 40.00
Payment Total: $40.00
•
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