SGN2009-00093 CITY OF TIGARD SIGN PERMIT
Permit #: SGN2009 -00093
COMMUNITY DEVELOPMENT Date Issued: 06/18/2009
?l 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112AC00100
Jurisdiction: Tigard
Name of Business:
Business Address: 14529 SW 72ND AVE
Applicant/Agent: Save on Tires & Wheels,
Work Description: Installation of (1) one permanent 12 s.f wall sign
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: Yes
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 18 "x 8'
Total Sign Area: 12
Wall Area: 1134
Wall Face (Direction): North
Sign Height: 16 ft.
Projection From Wall: 8 in.
Illumination: Internal
Materials: alum /lexan
Electrical Permit Required: Yes
Building Permit Required: No
Total Permit Fee: $40.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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: A
Permittee Signature: --
r
SIGN PERMIT APPLICATION
City f Ti;'niPemit Center 13125 SW Hag BIuL, Tigai OR 97223
Phone. 503.639.4171 Fax: 503.598.1960 I
GENERAL INFORMATION
Name of Development/Project
Site *UF 00 11 Ra5 u44W `S FOR STAFF USE ONLY
4
Address/ Street Address Permit No.: G3 6A) 2 a( -0009 3
Location it+r2.4 OLO. 7/Z
Suite /Bldg. # City/State Zip Expiration Date:
lip;x 0 eve . Receipt # :
Name 7 Approved By: r.,,f
Property Date: Si (ir e j
Owner Mailing Address Suite Map /n# : g J / Z 4- C - — OLD / e
Zoning: T. L •
Gty/State Zip Phone
Tenant or Name
Ele Permit Required? �s ❑ No
Business a• t•■ T1 12P0 -4' tu/4t Building Permit Required? ❑ Yes No
Name Rev. 7/1/07
Sign
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Contractor Mailing Address Suite
(Prior to permit tO f.70 9A, MAW / A-'
issuance, a
copy of all Qty /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are VANN 501040422 p,Q (Note: applications will not be accepted
required if • '�(/� o !/�w
expired in the Oregon Const. Cont. Board License # Exp. Date without the required submittal elements)
City of Tigard's
database) S ����i 0 ❑ Completed Application Form
Proposed [ Permanent Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign ❑ Temporary 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"
appl)� q
.. New sign? ❑ Alter to existing sign? El 2 copies of elevations, drawn to scale
Sign Dimensions: / 8 'I g f (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): 'a 4)1
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) sjt�.. ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) 6) S E W NE NW SE SW
511' f puowo Height to top of sign (feet): he ' • Wall signs do not need to be drawn to scale, but
$lt Projection From Wall (inches): C'4 must include dimensions of wall face and sign
placement.
Copy 11 065.5 .'� ani x44 ,
Materials: igtabg4 Y i•Q � • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a building
Will sign have illumination? (X Yes ❑ No permit.
Type: g. 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 No NULL AND VOID.
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.
DAl LD this S day of , 20 2 ‘?
Sig e of %' er /Agent
9/0-11X /lifeilhAA1 503 -- 4100'""
Contact Person Name Phone No.
. •
O WALL SIGN NORTH ELEVATION 6-0"
3/8".T
kg TIRES & WHEELS
CITY OF TIGARD
Approved
Condrtionally Approved. r
For only the wprIc as described in:
PERMIT NO. A) z- -(00 C23
See Letter to: Follow. [
Attach
J ob Apple":
/(-1
WALL SIGN EAST ELEVATION
3/18V
10-0
SAVE ON TIRES & WHEELS
lentems
FILE NAME:
SAVE ON TIRES
( 10 )
HIGHLIGHT SIGN CORPORATION
18270 SW BELTON RD SHERWOOD OR 97140 & WHEELS.CDR
Cell 503 519 1629 ph (503) 620-8205
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FILE NAME:
5O 3- s0 82EIB SAVE ON T,RES
HIGHLIGHT SIGN CORPORATION r WHEEL ON T IRES u`
&: CDR. °
18270 SW BELTON RD. SHERWOOD OR 97140 Ti7�„}�� 3R —
WHEELS.
Cell: 503 -519 -1629 ph. (503) 620 -8205
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CITY OF TIGARD RECEIPT
1 13125 SW Hall Blvd., Tigard OR 97223
R 503.639.4171
n GAD.
Receipt Number: 174043 - 06/18/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2009 -00093 Sign Permit 100 - 0000 - 437000 $35.00
SGN2009 -00093 Sign Permit - LRP 100- 0000 - 438050 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7060 KPEERMAN 06/18/2009 $40.00
Payor: Highlight Sign Corp
Total Payments: $40.00
Balance Due: $0.00
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