SGN2000-00019 r t
C ITY OF TIGARD SIGN PERMIT
01 4, DEVELOPMENT SERVICES PERMIT #: SGN2000 -00019
II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/15/2000
EXPIRATION DATE:
BUSINESS NAME: TEXACO PARCEL: 25101 BB -0030'
SIGN LOCATION: 11834 SW PACIFIC HWY
APPLICANT /AGENT: ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 24" DIAMETER
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: 177 sq. ft.
WALL FACE (DIRECTION): NA
SIGN HEIGHT: 16 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installing a permanent 6.5 sq. ft. sign on a canopy.
MATERIALS: ALUM /PLEX
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
ORIGINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign shall expire 30 days from approval date. A balloon sign shall expire 10
days from annrnval dab?
APPROVED BY: 1---
PERMITTEE SIGNATURE: ri '
DATE: 02/15/2000
• ';T'? Or- TIGARD Sign Permit Application Recd By 4
' H3126 SW HALL BLVD. Permanent or Temporary Date Recd o2- 10-cc)
Permit No. /V / - CZ/D[1
' TIGARD, OR 97223 Commercial or Residential Permit Fee 5 49(7
(503) 639 -4171 Receipt No. 62 . 32I/0SE
Please Print or Type. Called 2- - 1 2 -006
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site �.-<.) location, including wall signs that overlap a tenant space?
Address/ Street Address Ai Yes . ❑ No
� _ i - / If "yes ", a list or diagram of all sign dimensions and
Location //-C34-/ S GU C�
" G`" • square footage must also be submitted.
Suite /Bldg. # City /State Zi p
T� r
Name V NOTE: If work authorized under a sign permit has not
Property j been completed within ninety days after the
Owner Mailing Address Suite issuance of the permit, THE PERMIT WILL
;� BECOME NULL AND VOID.
)183/ 5 � �� 1 -'
City /State Zip Phone I hereby acknowledge that I have read this application, that the
6)-79V----3 information given is correct, that I am the owner or authorized agent of the
Tenant or Nam
ZJ � - }��( owner, and that plans submitted are, in compliance with the City of Tigard.
Business Signature of Owner /Agent Date
Name �1 /� '�08,„ , 7_00
Sign ��� ' Con N e Phone
Contractor Mailing Addre w ife
Prior to permit
issuance, a � � � D3 / /
copy City /State Zip Phone
are of all required licenses if Q� (9i Z %/ 63932e, Required'Submittal Elements
expired in Oregon Const. Cont. Board Exp. Date
C.O.T. License #
database C C��" �1 U ❑Completed ap pli c ation form
Proposed ❑ 2 co of s /plot plan, drawn to scale • • , � Permanent ❑ Freestanding O Freeway (3 Cop a: building pe i s requ
Sign ❑ Temporary or Wall ❑ Electronic
Check all that s requirement: 8-1/2"..X or 11"-x 17"
❑ Other El ❑ Balloon
apply C' Note :Wall?signs don trequire:site /plot plans.
♦ .
•
New ign? 2 copies of.e.levations, drawn to scale •
❑ Alteration to existing sign? (3 copies; if.a building:perriiit is required).
Sign Dimensions: 1 Note: size requiement: 8 -1/2" z 11 ", to:2:4 ".x 36"
.:7) 7j W aII.signs do not need to'be drawn to • Area (sq. ft.): le;:but must include'dimensi
Total Sign Are ons.
Sign 6 S ID 50.00 Fee-:, ( rmanent sign, any size)
. Tem ora sign, any e
Data Total Wall Area (sq. ft.) ❑ ( P rY 9 Y tYP )
Please /7'7 5
complete Direction Wall Faces (circle one):
each item
in this S E W NE NW SE SW FOR OFFICE USE ONLY:
section
Map/TL# Zonin
Height to top of sign (feet): /6' Q____
Notes
Projection From Wall (inches): ) 1
Electrical Permit Required? I KYes (1 No
H `
Copy: 4( �
� � Building Perrnit Required? 111 Yes, No
Materials: , ^ Ap . 4 1
pr. d 13 / Date of Approval:
S J "
Will sign have illumination? fg Yes ❑ No . xpiration Date:
Type: I� Internal ❑ External
'ie s \fon 12/17/98
•
BLAZE SIGNS OF AMERICA, INC.
CITY OF TIGARD
P.O. BOX 23910 Approved nditionally Approved I l
PORTLAND OR 97281 For only the work as described in:
PERMIT NO. ( Z-IXO - an
See Letter to: Follow I 1
Job Ad. //i ". - . C.. ,II_.1 -
B - ice. Date: 2-f4 - -rn'V /1
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