SGN2005-00178 CITYOF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2005-00178
'I--• 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 6/15/2005
PARCEL: 2S112 D D-00300
BUSINESS NAME: SHELL GAS ZONE: I-L
SIGN LOCATION: 15900 SW 72ND AVE JURISDICTION: TIG
APPLICANT/AGENT: MEYER SIGN CO. OF OREGON, INC
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC: Y
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 13.66'X 6'
TOTAL SIGN AREA: 82 sq.ft.
WALL AREA: sq.ft.
WALL FACE(DIRECTION):
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Replace existing freestanding sign with new, freestanding sign. Sign is being
relocated 12 feet from the property line to increase square footage.
MATERIALS: ALUM/PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: Y
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 37.00
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: '�'
u
PERMITTEE SIGNATURE: 7
DATE: 6/15/2005
i.
. .
...�,,_,.,., ,... . SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223(503)639-4171 FAX: (503) 684-7297
GENERAL INFORMATION
Name of Development/Project • .
FOR STAFF USE ONLY
Site
Address/ Street Address Permit No.: SG/NI A o05 - 00i 7 f3
Location /fi''90o S1iL, 72,-,A citt- --
Suite/Bldg.# City/State -
Zip Expiration Date:
1- 6-4tah ,og, g7 2 2'3I Receipt#: o?CJU S -
Name , - Approved By: ('., 6c.,..,--,
Property �/1(.1 O1G (1 , . Date: Cp - if cc
Owner Mailing Address Suite - Map/TL#: '
Z137 W &99iNdage Pk-mi Zoning: I - L ,
City/State Zip Phone (s-cc)) I
I rirli- , J(1 . (Mt?? s 52-v7(48 Electrical Permit Required? cg Yes ❑ No
Tenant or Name
Business ' ,>/ 6-•/.1.. Building Permit Required? Yes ❑ No
Name Rev.2/28/2003 i:\curpin\masterslrevised\sign permit aop.doc
Sign VE511612- 5tei v. 4-) L�,r?,.
Contractor Mailing Address Suite'" ' REQUIRED SUBMITTAL ELEMENTS
(Prior to permit
issuance,a /5- 1c-JLCC��v�7
,/ L4 - (Note: applications will not be accepted
copy of all City/State Zip Phone 6��) without the required submittal elements)
licenses are
required if 77662.)1 . (A ,q7221/ 4=240422,0 ❑ Completed Application Form
expired in the Oregon Const.Cont.Board ' Exp.Date
City of Tigard's License# / , f , / El 2 Copies of Site/Plot Plan, Drawn to Scale
database) (�Y � `-f
(3 copies, if a building permit is required)
Proposed ❑ Permanent Freestanding ❑ Freeway size requirement: 81/2" x 11", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other El Billboard ❑ Balloon E) 2 copies of elevations, drawn to scale
apply) (3 copies, if a building permit is required)
I-Errle-w sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36"
Sign Dimensions L '3•u h x. ' w' )
I /- ,(01- x 4,,ee, t.0 I ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
81, (Temporary g yp
q I ❑ $15.00 Feesign, anytype)
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 NW SE (SW2 t •
Height to top of sign (feet): _2_5- • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): I but must include dimensions of wall face and
sign placement.
Copy: �- I • Wall signs do not require site/plot plans.
Materials: Alton. %t', . I • Freestanding signs over 6 ft. required a
Will sign have illumination? Yes ❑ No building permit.
Type: _1;9-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
. • BECOME NULL AND VOID.
❑ Yes eNo . -
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 ..'c'1l-t , 20 os-
,
Signature of Owner/AgeI t
Li - b-i) 4, 21? �S20C
Contact Person Name Ph e No.
,
CITY OF TIGARD IX,
Approved 28
Conditionally Approved t
For only the work � cr bed i Oct 1,7 gA
PERMIT NO.�—A �_____
See Letter to: Follow A SignResource
ZX
Job Address: IS-61 w '5`" ` l X
By:�_ss: ;4., i1• Date=:_..__=_1_ ._--mss-- - -__ V 6135 800.423.4283id • axy323 560.714wood, CA 3
0270
Website: www.signresource.net
TYPICAL lx PANEL TYPICAL 2x PANEL
4;-3
ID Sign
I
Pecten image only, always on top
I i Restaurant
Blank lx panel (Preferred)
May be omitted based on site conditions.
T — Food Mart Open 24 Hours
Food Mart 11-4.54 lx Primary Copy panel(s) as req'd
Regu 000f0 [ Car Wash Easy Pay
0
io Plu - 000i -, " 3-panel Price Sign
N Auto Care Diesel
Pre , OOOi
0
lx Secondary Copy panel(s) as required Service Center
Diesel Oi t,, _ Brushless Wash
— Diesel is separate cabinet/face.
PRIMARY SIGN PANELS Free Air & Water
Pay at Pump
(Custom Copy)
SECONDARY SIGN PANELS
Y
6 FOOT SYSTEM
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SITEGENERAL_ NO 1 tS
PLAN
( SCALE: I" s 20 -0"
I. ALL WORK SHALL CONFORM TO LOCAL AND STATE C
REQUIREMENTS, INCLUDING BUT NOT LIMITED TO THE,
CURRENT EDITIONS OF THE USG, UFC, UPC, NEC, and U
„ ..... .......-- - A... .....• •......••• .m...... ... .. . ................111.... .. •••••.••••111,411•A
Aili '�'' CITY OF TIGARD
13 12 5 SW Hall Blvd.
ti� u i r Tigard,Oregon 97223
= ' (503) 63 9-417 1
Receipt #: 27200500000000002729
Line Items: Date: 06/15/2005
Case No Tran Code
Description
SGN2005-00178 Revenue Account No
SGN2005-00178 [SIGN]Sign Permit Amount Paid
[LRPF]LR Planning Surcharge 100-0000-437000
-0000-438050 32.00
BUP2005-00256 100
[BUPPLN]Pin Rv 5.00
ELC2005-00411 245-0000-433000
ELC2005-00411 [ELPI2MT]ELC Permit 121.75
[TAX]8%State Surcharge 220-0000-431510
100-0000-207020 2
Payments: 21.36.
Line Item Total: $447.11
Method Payer
User ID Acct./Check No.
Check MEYER SIGN CO OF OREGON, CAC Approval No. How Received
Amount Paid
INC 12916
In Person
447.11
Payment Total: $447.11
DATE INVOICE AMOUNT 96-8/1232
MEYER SIGN CO. OF OREGON, INC.
15205 S.W.74TH AVE.
TIGAR
503162 0-200 EGON 97224 I I 12 916
PAY7gi-,...a4,1) 4 .Ly R (�-e,U cL 111 c.� DOL 4RS
0 DATE TO THE ORDER OF/ CHECK NO. GROSS PAYABLE GROSS DIRECT DISCOUNT CHECI�AMOUNT
465 t7 -- J /2-9( 1 I 11 I r Li,t7 iii I I
J
f
olsi i%� inv."' ' ��`'�,J'1
A WEST COAST BANK (-----N,
1-800-895-3345 1 �==-C� _y
McBee C
cReceipt.rpt 00 L 2 9 L 611' is L 2 3 2000881: 0 4 5000 3 4 6 20
SECURITY FEATURES.MICRO PRINT BORDERS-COLORED BRICK PATTERN-WATERMARK&CARBON STRIP ON REVERSE SIDE-MISSING FEATURE INDICATES A COPY ^• ,.....,