SGN2010-00070 CITY OF TIGARD SIGN PERMIT
Permit#: SGN2010-00070
COMMUNITY DEVELOPMENT Date Issued: 04/29/2010
13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 Parcel: 2S102AA00600
Jurisdiction: Tigard
Name of Business: 7-Eleven
Business Address: 12045 SW HALL BLVD
Applicant/Agent: Lautz, Cole
Work Description: Relocating freestanding sign 5'7"X 7.25'
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: No
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 5'7"X 7.25'
Total Sign Area: 41
Wall Area:
Wall Face(Direction):
Sign Height: 20 ft.
Projection From Wall: in.
Illumination: Internal
Materials: Pan form faces&cabinet
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: IC
1
Permittee Signature:
IA
SIGN PERMIT APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
T 1 G A R D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site 1 ` El-GU t(A \
Address/ Street Address Permit No.: 5U M/0
Location 5
1 iry C./1,) 7Oi4 S a tale 1-1C0 -R1l Expiration Date:
(I Ol Or (t l 1 zz Receipt #:
Name J _ Approved By ,y 5 _ I 1
Property �K $c k Date: t4 L ! / o
Owner Mar it ng Address Suite Map /TL #: ciZi V sZ 411 M
C t 1 '•` SIAM",U RA Zoning.
City /State Zip Phone
eCJVA C L �di
Cr C gL2 L4 S i • 1i t Electrical Permit Required? Yes ❑ N
Tenant or a me
Business - E t Building Permit Required? ❑ Yes No
Name Rev. 7/1/09
c \curpin\ masters \land use applications \sign permit app.doc
Sign - S4 q ji a t A (.UULI (•tq
Contractor Mailin Address Suite J
issuance, a permit s� % 0.4_ C I st Zc�
issuance, a
copy of all City /State Zip Phone REQUIRED SUBMITTAL ELEMENTS
licenses are � t'- ,- /+�� 4 (Note: applications will Az be accepted
required if ferf 460ei `"Y ql 2(p Jig -V 2 without the required submittal elements)
expired in the Oregon Const Cont. Board License # Exp. Date
City of Tigard's
database) t (0 3 4{O 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 1 " 11", 11"
apply) size requirement: 8 /2 x 11 , or 11 x 17 "
❑ New sign? ,1' Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
S ign Dimensions : (3 copies, if a building permit is required)
Deco Ce\T�' '` 5. 1 „ X �-. 25- TlC.0 size requirement 81/2” x 11 ", to 24" x 36"
- --- Total Sign Area (sq. ft.):
1 -11.3 [$40.00 Fee (Permanent sign, any size)
Sign Total Wall Area (s ft
S j J
ign Da itUA ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one): ,yl
items in this 'Vrl"� 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): it V& must include dimensions of wall face and sign
placement.
Copy: q • EkortA • Wall signs do not require site /plot plans.
Materials: R, 4, Q 610114 • Freestanding signs over 6 ft. required a building
Will sign have illumination? al Yes ❑ No permit.
Type: al 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 s ce? of the permit, THE PERMIT WILL BECOME
❑ Yes o NULL AND VOID.
If `yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
(OVER FOR SIGNATURES)
I
1
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 Z 3 r day of
'C1 , 20 ( (�
S ature o "'owner/.
C 2 2c
ct Person Name Phone No.
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CITY OF TIGARD ES&A SCOPE OF WORK:
Approved [
Conditional i A roved ......._...._ _._ _ [ i INSTALL EXISTING SIGN CABINET ON NEW 8"X72" STEEL REC TUBE POLE, THE NEW POLE WILL BE PAINTED TO MATCH THE EXISTING.
For only the work a described in" REMOVE AND SCRAP EXISTING POLE AND E DEC RATIVE BASE. MATCH EXISTING.
PERMIT NO. C
See letter to: Follow ....._._......_. --_ I I
Job Add s: Attach ..... . l
By: - Date: M
, A , 7018 COMM ESN1 MN CORP
Una 9. Aep saxes. dN. mea Arm lob . tor owed poet NAwttuRr.IP.an. .e....&paor.A REVISIONS: CLIENT APPROVAL DRAWING NUMBER: 101IN.A - PRESENTATION FOR: 89975 PALIUERD. 1
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INCLUDES COLORS, SPELLING. ARTWOAR DATE OF ORIGINAL DRAWING: I,IS.10 7 ELEVEN EUGENE, OR 97400 ;
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•n paw a. M newts .del, to a% eead e me we, .416 le a•'k9 been tl. e.i.1 a >«.r M ad tee PLEASE INIRAL PLEASE DATE. SALES: DESIGN: PAGE NO. TIGARD. OR 511.185.5010
GRAPHIC POESENTAi10N ONLY PLEASE SEE MA REPRESENTATIVE TOR ACTUAL COLON AND MATERIAL SAMPLES. I LL SL I 01 I
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/ \ \ 5'� Pp ■ � 0NEi 700 'QDr SITUATED IN THE NORTHEAST QUARTER OF SECTION 2, TOWNSHIP 2
\ N ¢+j SOUTH, RANGE 1 WEST, WILLAMETTE MERIDIAN, CITY OF TIGARD,
a l . e:, - 0. WASHING COUNTY, OREGON
g \ TAX LOT 200 DATE: JANUARY 27. 2010 SCALE: 1"=20'
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1L E' /0 WASHINGTON COUNTY SURVEY RECORDS.
N Q / 61 2 . THIS MAP AND SURVEY IT IS BASED ON ARE REPRESENTATIVE OF THE
- .3,1, CONDIDONS FOUND ON THE GROUND ON JANUARY 21, 2010, ME LUTE THE
FIELD WORK WAS COMPLETED.
G. = T AX LOT 100 J. ZONING OF THE SUBJECT PROPERTY TS RCOM, RURAL COMMERCIAL
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COMMERCIAL BUILDING DISTRICT.
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O = LIGHT POLE Y' I
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DU - ORIGIN POLE NOWN e L s1��t LAND SURVEYORS
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R2 - SN 19,931 , µ 45 .i E i 1
TAX LOT 490 PROFESSIONAL I 12730 SE SLOT* Street
R/W R - RIGHT OF WAY LINE g LAND SURVEYOR I Plaza 125, Building G
SF = SURVEY NO. Portland, Oregon 9723.3 =SURVEY NO. PER WASHINGTON
COUNTY SURVEY RECORDS.
WHP - WN PACIFIC OREGON Phone (503) 408 -1507
YPC = YELLOW PLASTIC CAP I JULY +T. 1066 l Fax (503) 408 -2370
() - RECORD INFORMATION I ` 2 237 J
I RENDABLE: 12 /3l/Il DATE: JAN 27, 2010 JOWG FILE: A10004.DWG
DRAWN BY.• SPD JOB NO. A10004
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EXISTING SIGN RELOCATE POLE SIGN OUTSIDE OF RIGHT AWAY - EXACT INSTALL LOCATION TBD PRIOR TO INSTALLATION
ES&A SCOPE OF WORK:
INSTALL EXISTING SIGN CABINET ON NEW 8 "X12" STEEL REC TUBE POLE, THE NEW POLE WILL BE PAINTED TO MATCH THE EXISTING.
FORM NEW DECORATIVE CONCRETE BASE FOR NEW POLE AND PAINT TO MATCH EXISTING.
REMOVE AND SCRAP EXISTING POLE AND DECORATIVE CONCRETE BASE. CITY OF TIGARD
Approved .......... .... ..... ... ...... _._._ .........--•--•..•..•- ......... j
Conditionally Approved .........._ ~ _ _ [ i
For only the work as describstdd k r 0
PERMIT NO 5a A)? 0
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Date:
CAM ha tisir mat victim wad keen are it iebnd pry d MA Spy rap, a a pt* am ha Wee raen desist4L Pi REVISIONS: CLIENT APPROVAL DRAWING NUMBER: 10819 -A -00 PRESENTATION FOR: T 89975 PRAIRIE RD.
sd stewed M lot inset We deaf al dv dept mnpt id he mp.A dd.eed s patili a of INN r ay at pe.es sr seep wianv die epee also EUGENE, OR 91402
pavilion d BSA Sip 0311 Bp gaping Ia vAr pea fear ape. lot ne demet d the deep vi be opbeed 4 sty as pew r ew dip ode do Egg INCLUDES COLORS. SPELLING. ARTWORK DATE OF ORIGINAL DRAWING: 4.1 5.10 7 ELEVEN
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5 , w.o �� ' ce. SITUATED IN THE NORTHEAST QUARTER OF SECTION 2, TOWNSHIP 2
./'-- / \ ENO 5 NtiR SOUTH, RANGE 1 WEST, WILLAMETTE MERIDIAN, CITY OF TIGARD,
,a% ° \ 63' 0 k4,,,,..6 ' WASHINGTON COUNTY, OREGON
t.1 2 � TAX LOT 200
DATE: JANUARY 27. 2010 SCALE: 1"=20'
/ n FOR: ALPROP, LLC
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G / 6/ 2. THIS MAP AND SURVEY IT IS BASED ON ARE REPRESENTATIVE OF THE
6 s�S�/ o CONDITIONS FOUND ON THE GROUND ON JANUARY 21, 2010, THE DATE THE
S7 K <7 c TAX LOT 100 FIELD WORK WAS COMPLETED.
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PACIFIC IAL j DISTRICT.
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O = SET MAG NAIL % 3 , 36' o o0
• = SET WOOD STAKE N 5 b g0� / PI �
TAX LOT 602 REVISED:
= CENTERLINE ROAD " /''''' 01 ,
x = LIGHT POLE t /
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IR =IRON ROD ,� ■ _ 1 ' � o fi t REPPETO & ASSOCIATES, INC.
OU = ORIGIN UNKNOWN 518 1I ( R ytP;'`�11. 2 `` ' LAND SURVEYORS
R1 = SN 19,976 13 .6 ' , REGISTERED
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R2 = SN 19,931 , pt545 I TAX LOT 490 PROFESSIONAL 12730 SE Stark Street
R/W = RIGHT OF WAY LINE 518 5 5k I LAND SURVEYOR Plaza 125, Building G
SF = SQUARE FEET eV Portland, Oregon 97233
SN = SURVEY NO. PER WASHINGTON
COUNTY SURVEY RECORDS. OREGON Phone (503) 408 -1507
WHP = WH PACIFIC '
YPC = YELLOW PLASTIC CAP JULY 17. Fax (503) 408 -2370
STEVEN P. BUCKLES
O = RECORD INFORMATION I j RENEWABLE: 1 2 /31/11 DATE: JAN 27, 2010 DWG FILE; A10004.DWG
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EXISTING SIGN RELOCATE POLE SIGN OUTSIDE OF RIGHT AWAY - EXACT INSTALL LOCATION TBD PRIOR TO INSTALLATION
CITY OF TIGARD ES&A SCOPE OF WORK:
Approved .. [ j INSTALL EXISTING SIGN CABINET ON NEW 8 "X1 STEEL REC TUBE POLE, THE NEW POLE WILL BE PAINTED TO MATCH THE EXISTING.
Conditionally Approved _._... f I FORM NEW DECORATIVE CONCRETE BASE FOR NEW POLE AND PAINT TO MATCH EXISTING,
For only the work as described in: , AND SCRAP EXISTING POLE AND DECORATIVE CONCRETE BASE.
PERMIT NO. S 2*) - 010 - 0007 .____-
See Letter to: Follow.__....., -. ___._....K..[ I
Attach _- .-- _......._._ .. I
Job Addr .. -.../ r„/ L'
�`j• S. 1-P- Date: / - "' •N` 7018 CONRSGNE FSBA SON CORP.
GMI019 M Ate ..6A a,. "N... ®.i a... a *Mal Mewl NM iv s.P.r a plea Am A. Am EN. G'.e. oAe.A 1 REVISIONS: CLIENT APPROVAL DRAWING NUMBER: 10819-A-00 PRESENTATION TOR: 8997S PRAIRIE RD. sm m,.e s. naN11.11A..N he Amp awe AA m Awl foists ponied
N U • M•~ �' INCLUDES COI DES, SPELLING, ARTWORK DATE Of ORIGINAL DMWING: 4.15.10 7 E LEVEN EUGENE, OA 914
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',Amp 10.0 ...Wel 6y !algid m aw A a....+.* At main pe A+ t. ma& • w.., W114.. PLEASE INITIAL PLEASE DATE. SALES: DESIGN: PAGE N0: SIAM. OA 541 485.5811
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\ 5 x L 6LL I `� SITUATED IN THE NORTHEAST QUARTER OF SECTION 2, TOWNSHIP 2
\ \ s �✓ t NfW SOUTH, RANGE 1 WEST, WILLAMETTE MERIDIAN, CITY OF TIGARD,
� T� • . �T WASHINGTON COUNTY, OREGON
g \ a TAX f or 200 DATE: JANUARY 27. 2010 SCALE: 1'
\ ...• / FOR: ALPROP, LLC
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d WASHINGTON COUNTY SURVEY RECORDS.
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V d7 h CONDITIONS FOUND ON THE GROUND ON JANUARY 21. 2010, THE DATE THE
4.
TAX LOT 100 FIELD WORK WAS COMPLETED.
G� 3. ZONING OF THE SUBJECT PROPERTY IS RCOM, RURAL COMMERCIAL
4 ,C QP PACIFIC PLAZA DISTRICT.
... s......... \
1 COMMERCLAL BUILDING
�4, 11940 SW PACIFIC HIGHWAY
BG10sit MILL ON
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AREA PRIOR TO R/W
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AREA TO REVISED 2
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LEGEND
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c. - CENTERLINE ROAD 10\ M� TAX LOT 602 REVISED:
O = LIGHT POLE
IR IRON ROD ,�0 � HI
OP - - - - - - .
LP = LIGHT POLE P M" (M 1p ��yy a REPPETO ASSOCIATES, INC.
OU e ORIGIN UNKNOWN SI° Si. 0 LAND SURVEYORS
RI a SN 19.976 REGISTERED
R2 .. SN 19,931 0 T M { E 1 TAX LOT 490
RAY = RIGHT Cr WAY LINE 9!� Se I PROFESSIONAL 12730 SE Stark Street
SF = SQUIRE FEET S LAND SURVEYOR 1 Plaza 125, ITLd/d1L1y C
SN .• SURVEY NO. PER WASHINGTON 0
COUNTY SURVEY RECORDS. Portland, Oregon 97233
WHP a PH PACIFIC OREGON Phone (503) 408 -1507
vPC - )TLLOW PLASTIC CAP I JULY 11. wee I Fax (503) 408 -2370
() - RECORD INFORMATION 1 l " 1 "� J
I REMWBIE: 12 /3t /I1 DATE: JAN 27, 2010 IDWG FILE.: A10004.DWG
DRAWN BY: SPD JOB NO. A10004
``, -. CITY OF TIGARD RECEIPT
L — - il
13125 SW Hall Blvd., Tigard OR 97223
444.4.
503.639.4171
. 1 G ARD
Receipt Number: 177741 - 04/29/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00070 Sign Permit 1003100 -43115 $35.00
SGN2010 -00070 Sign Permit - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 430594 STREAT 04/29/2010 $40.00
Payor: Cole Lautz
Total Payments: $40.00
Balance Due: $0.00
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