SGN2006-00218 •
CITY OF TIGARD
SIGN PERMIT
'' ° DEVELOPMENT SERVICES PERMIT #: SGN2006 - 00218
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/4/2006
PARCEL: 2S103DD -01201
BUSINESS NAME: NELSEN'S AUTO CARE ZONE: C -G
SIGN LOCATION: 13880 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: NELSEN'S AUTO CARE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary 12 sq.ft. A -frame sign. Sign must be placed on
private property and not in the public right -of -way or visual clearance area. Valid
12/5/06- 1/5/07. Sign #1
MATERIALS: WOOD /VINYL
EXISTING SIGNS: 1
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. Atemporary sign shall expire 30 days from validity date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: 7, -"- ' (-1-4
PERMITTEE SIGNATURE:
DATE: 12/4/2006
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blul, Tigard OR 97223
Phone. 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site /I.IEL - - 4 J LJ Te3 C%i"
Address/ Street Address �Q/� / / Permit No.: ).6 2..A ! -� z-1
Location ` g7J S ,( - /�C A cJ fr ' J 'if 1'
Suite /Bldg. # Cit /State Zip Expiration Date: I �'I Ili to
/ /CP ret 77 Receipt # : 2 '� - 57 01.–
Name / )_ Approved By: i'7(
Property 6e /LL 7; / C esLLIA.S Date: 1 Z / p
Owner p Mailing Address Suite Map /"IL# :
/ Y & 3 S al 44zr Zoning: C C,
G State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes EP
Business Building Permit Required? ❑ Yes E-
Name Rev. 7/5/06
is \curpin \masters \land use applications \sign permit app.doc
Sign 6( J Aic -
Contractor Mailing Address Suite
(Prior to permit
issuance, a
copy of all Gty/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board License # Exp. Date
Gty of Tigard's
database) ❑ Completed Application Form
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign H , Tempora ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that Other Billboard Balloon i " 11", 11"
apply)
❑ ❑ s ize requirement: 8 /z x 11 , or 11 x 17 "
❑ New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
Sign Dimensions: 3 6 <Y/ (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
/o4 s'<? / / ❑ $39.00 Fee (Permanent sign, any size)
Si Sign Data Total Wall Area (sq. ft.)
g ❑ $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
placement.
C°Py. ♦ Wall signs do not require site /plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes ❑ No 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 ❑ 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.
DATED this day of , 20
4111 4111.
Signature of Owner /Age t
eZ9(54-0S g 6 3 - l -
Contact Person Name Phone No.
CITY OF TIGARD 12/4/2006
711 V
13125 SW Hall Blvd. 3:44:50PM
Tigard, OR 97223 503.639.4171
TI,GARD•
Receipt #: 27200600000000005702
Date: 12/04/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00218 [SIGN] Temp Sign Perm 100- 0000 - 437000 17.00
SGN2006 -00218 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
SGN2006 -00219 [SIGN] Temp Sign Perm 100 - 0000 - 437000 17.00
SGN2006 -00219 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $38.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check NELSEN'S TIRE & KJP 22068 In Person 38.00
AUTOMOTIVE
Payment Total: $38.00
cReceipt.rpt Page 1 of 1
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