SGN2004-00131 t
C ITY OF TIGARD SIGN PERMIT
Ail DEVELOPMENT SERVICES PERMIT #: SGN2004 -00131
c� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 D ATE ISSUED: 6/9/2004
PARCEL: 2S 102CC -00600
BUSINESS NAME: FAST LANE OIL CHANGE ZONE: C -G
SIGN LOCATION: 13545 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: FAST LANE OIL CHANGE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of temporary banner. Sign #1. (3' x 8') Valid from 6/9/04 through
7/9/04.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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 a.
PERMITTEE SIGNATURE:
DATE: 6/9/2004
1
°,l. SIGN PERMIT APPLICATION il
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
Site , i�5 7' 1 C 0/ L C, J FOR STAFF USE ONLY
Address/ Street Address Permit No.: J(21\J .3004 — col 3 I
Location 13 .�Ys 5 to )Dac c 9 0
c' Expiration Date: `�
Suite /Bldg. # City /Stat Zip
- CAPS) `74P1--Z3 Receipt #: cR00` — .R 1 4 - 5/
Name Approved By: 0 • 0_0-4 4...,
). Property S YV/ Date: Co -- cf -O`f
Owner Mailing Address Suite Map /TL #: o"ZS 10 a C C 00 090
Zoning: C _G
City /State Zip Phone
Tenant or Name Electrical Permit Required? El Yes El No
k Business 45r' ZA 6/L C,MNJ Building Permit Required? ❑ Yes ❑ No
Name Rev. 8/7/2003 is \curpin \masters\revised \siqn permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City/ . e Zip Phone q elements)
licenses are
required if Completed Application Form
expire.. e Oregon Const. Cont. Board Exp. Date
C ofTigard's License# 2 Copies of Site /Plot Plan, Drawn to Scale
database) p
(3 copies, if a building permit is required)
Proposed _.pEtman ❑ Freestanding El 1/2
Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign / Temporary y Wall ❑ Electronic
(Check all that ` Other cid
apply) ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
y Sign Di � i
/ ` g 3 fib' ❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
- ,/ [] $15.00 Fee (Temporary sign any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(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,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy. • Wall signs do not require site /plot plans.
a er ials: ltS71jC c • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes -21 building permit.
Type: ❑ Internal 'External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ❑ No BECOME 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 d ay of , 20 o
/( 1,2..
ignature of Owner /Agent /
keltc,u2 Sa3 777o 3
Contact Person Name Phone No.
---______ ---, J
l op
3
CITY OF TIGARD 6/9/2004
13125 SW Hall Blvd. 3:07:41PM
Tigard, Oregon 97223
(503) 63 9-4 17 1
Receipt #: 27200400000000002457
Date: 06/09/2004
Line Items:
Case No 'Tan Code Description Revenue Account No Amount Paid
SGN2004 -00131 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check DDHK VENTURES LLC CAC 1079 In Person 15.00
Payment Total: $15.00