SGN2006-00102 ., CITY OF TIGARD SIGN PERMIT
11/ DEVELOPMENT SERVICES PERMIT #: SGN2006 -00102
DATE ISSUED: 6/20/2006
TftGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 102 B D - 02000
BUSINESS NAME: TEXACO ZONE: C -
SIGN LOCATION: 12885 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: TEXACO
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 50'
TOTAL SIGN AREA: 150 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1) permanent wall sign 3' X 50'
MATERIALS: FIBERGLASS
EXISTING SIGNS:
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 38.00
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 B' ' #4
PERMITTEE SIGNATURE: -
D ATE: 6/20/2006
•
SIGN PERMIT APPLICATI tICEBVEJ
,..r,., C. Mil
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297 0 2006
GENERAL INFORMATION CITY OF TIGARD
Name of Developmenh/Proje t FOR STAFF BANN2gNGINEERING
Site ✓a-c--n As- /1- S6/-9 aep 0"Djo
Address/ Street Address / Permit No.:
Location /Z ffPC s4, 4 FIf �l Expiration Date:
Suite /Bldg. # . City /St to Zip
/ / Receipt #: ^ �^
/ `� AP/ Ofri;
7/ Approved By: - ( -62
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� 0,(�
Property 1 ' c/,? �°.Gf' Date: fa- e�f oh
� �s( 0 �
Owner Mailing Address Suite Map/TL #. •
( 'A __ 771 5 Zoning:
_" /State Zip 9 / Phone
1 4 , 7 2 0" P `7i2 -z- go 7‘ f 5 Electr
Tenant or Name / cal Permit Required? �es ❑ o
Building Permit Required? ❑ Yes No
Business
Rev. 2/28/2003 i:\curpin \masters \revised\sign permit app.doc
Name
Sign ///e 67t hi 6. 4z/21ff-
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit /c-065,-- T (Note: applications will not be accepted
issuance. a � without the required submittal elements)
copy of all � City /State ip Phone G D
licenses are /4/ 0 ZO 6 2O
required if l [ Completed Application Form
expired in the Oregon Con t. Cont. Board Exp. Date
City of Tigard's License # 9 0 / 9 / _ 0---7 $ 2 Copies of Site /Plot Plan, Drawn to Scale
database) [ (3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ITt Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply) } (3 copies, if a building permit is required)
❑ New sign? V Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: SO / ® $30.00_ Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): rsa s ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data Jurisdiction: 111 City ❑ Urb
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E d NE NW SE SW
to • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): i r8T Z but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes ID building permit. No not
Type: VI Internal ❑ External • If work authorized under a sign permit has not
been completed within ninety (90) days after .,
Are there any existing freestanding or wall signs at this the issuance of the ermit, THE PERMIT WILL I i I ' I
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes XNo
- • If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
•
;.
" 3
1 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 _(7 _ day of JO t..1 6 , 20 0
NMI* . rN
/ •
Apo nature of Owner / ° gent
alkir0 A lL 0 5-()3 7Col CZ7 C7
Contact Pers n Name Phone No.
CITY OF 'TIGARD V / LAP LVVV
1 ' 1 13125 SW Ha11 Blvd. 3:16:25PM
Tigard, Oregon 97223
TIGARD (503) 639 -4171
Receipt #: 27200600000000003040
Date: 06/20/2006
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2006 -00099 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2006 -00099 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00100 [SIGN] Sign Permit 100 - 0000 - 437000 33.00
SGN2006 -00100 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
SGN2006 -00101 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00101 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 5.00
SGN2006 -00102 [SIGN] Sign Permit 100- 0000 - 437000 33.00
SGN2006 -00102 [LRPF] LR Planning Surcharge 100- 0000 - 438050 5.00
ELC2006 -00343 [ELPRMT] ELC Permit 220- 0000 - 431510 213.60
ELC2006 -00343 [TAX] 8% State Surcharge 100- 0000 - 207020 17.08
Line Item Total: $382.68
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check MEYER SIGN CO. OF OREGON, ST 15359 In Person 382.68
INC
Payment Total: $382.68
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