SGN2003-00067 CITY OF TIGARD SIGN PERMIT
4 1- DEVELOPMENT SERVICES PERMIT #: SGN2003 -00067
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/27/03
PARCEL: 2S 102AA -00101
BUSINESS NAME: 99W TIGARD AUTO CENTER ZONE: CBD
SIGN LOCATION: 11900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary permit for A -frame sign. (Sign #2) Valid 3/28/03 through 4/28/03. Sign
must be placed on private property outside of city right -of -way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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: r 1 e' e eld
•
PERMITTEE SIGNATURE: - - r te
DATE: 3/27/03
.. . .1.. •
.': SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639 -4/71 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site _ -
Address! Street Address �' Permit No.:_ SC-, IJ 0200 3 000(Q -7
Location // 9 D D (f tJ J /i ° C /-"',)Y Expiration Dale: 1
Suite /Bldg. # City/State Zip
it
i./;RO a,Q c?",-K3 Receipt #:_ oZ003 - )
Name Approved By: C , Ci. o t
n
• Property � ��M y ..G E� Date: _a 7 0 3 v
Owner Mailing Address Suite Map /TL #:
//9IAQ, s. w `'P' #4y Zoning: C. B D
City /State Zip Phone �p
7,'E O,Q7� �3 670 � 66 Electrical Permit Required? ❑ Yes No
Tenant or Name
o Building Permit Required? ❑ Yes No
Business es - 7 6-,9RD 9u� ''�
Name Rev. 01-Jul-02 i:k:ur•In\ masters \revised\si.n.ermita••.eoc
Sign S' !'►1 •eV ;tvl Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (0/C 5 UtH ert&c /e (Note: applications will not be accepted
issuance, a i without the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ?4=0 i 0 17 .2'1 -6- . ! )4 Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ttl 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
proposed V He rmanent freestanding Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign . • Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, drawn to scale
apply) ❑ O / ther ❑ Billboard ❑ Ba lloon
(3 copies, if a building permit is required)
[t(New sign? ❑ Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: n " .F, � / !� ❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): lc* 66 b r Ga $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E- W NE NW SE SW
o Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: ()CI C 6 a rkte g rellka. "c o Wall signs do not require site /plot plans.
Materials: t.t 2 c' C d . ' o Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? • Yes K.No o If work authorized under a sign permit has not
Type: ❑ Internal / External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes El No
If "yes ", a list or diagram of all sign dimensions and I
square footage must also be submitted.
(OVER FOR SIGNATURES)
C
/3/e4/4-Pe - ,Ta /3 .
CITY OF TIGARD 3/27/2001
13125 SW Hall Blvd. 12:07:15PM
�i�� Tigard, Oregon 97223
a:_..; (503) 63 9-4 17 1
Receipt #: 27200300000000001191
Date: 03/27/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00067 [SIGN] Sign Permit 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash SAMMY LEE CAC - In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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