SGN2002-00102 C ITY OF TIGARD SIGN PERMIT
, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00102
� �' ! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/28/02
EXPIRATION DATE:
BUSINESS NAME: SHELL OIL PRODUCTS US
PARCEL: 2S101 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: 1' -6" X 7' -2"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 221 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 1' -6" x 7' -2" permanent wall sign
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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 si n s II expire 30 days from approval date. A balloon sign shall expire 10
claw from annrnval riata
APPROVED BY: • ,
PERMITTEE SIGNATURE: 0"k_ `�
DATE: 6/28/02
., SIGN PERMIT APPLICATION . c J
CITY OF TIGARD 13125 SW 11011 Blvd., Tigard, OR ' 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION • ___..
Name of Development /Project • . •
FOR STAFF USE ONLY
'Site S\l Q. \\ E.,b 0-6 c.1
Address/ Street Address Permit No.: S C7,J _._ LooL 00102 -. ..
Location i (sue 3L,�2 -ti'AGtPfc_ i k,1 Expiration Date: __
Suite /Bldg. # City /Slate Zip
Receipt #:— — _...
_ 4__y e i__ . . . .._... . .•
. Name Approved By:
t v'TeRP2.i.5., ~5 L LC MA Date: ! f •
Property �- Ca.�I;i `��i� E f%r - P�-� aDn. ..t.. � - --
Owner Mailing Address Suite Map /TL #: '2.- _) / o / 30 -v O - 3o i
io is (DOD E ,3S PL.. i01 Zoning: C 1 6 _
C /State . Zip Phone
Klr2t‹.1an 9t'iD33 1- 671-44- C:3a7
Yes ❑ No
Tenant or Name
Business `J'ne. \\ (:Uil o..et>i...,c7 .s lA.rs. Building Permit Required? ❑ Yes 1<lo
Name Rev. 30- Jul-01 c \curpin \masters \revised \sign permit app.doc
Sign li
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit _ (Note: applications will not be accepted
issuance, a •oy of all City/State Zip Phone without the required.submittal elements)
- Ises are I •
ired if ❑ Completed Application Form .
c.,pired in the - Oregon Const. Cont. Board . Exp. Dale
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) .(3 copies, if a building permit is required)
Proposed P ermanent ❑ g ❑ size requirement: 8Y " x 11 ", or 11" x 17"
Freestanding Freeway
Sign ❑ Temporary ►L4 Wall Electronic El 2 copies of elevations, drawn to scale
(Check all that ❑ Other 111 Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
j New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 1 t(.0u X t a��
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 1 le
NOTES:
Sign Data Total Wall Area (sq. ft �� 1 5 F e Wall signs do not need to be drawn to scale,
but must include dimensions. of wall face and
(Complete all ' Direction Wall Faces (circle one): • sign placement.
items in this
section) N S 0 W NE NW SE SW • Wall signs do not require site /plot plans.
e Freestanding signs over 6 ft. required a
Height to top of sign . (feet): . kej -S" building.permit.
Projection From Wall (inches): C e ' If work authorized under a sign permit has not
Copy: She, \\ • been completed within ninety (90) days after
Materials: • • . • the ISsuance of the .permit, THE PERMIT WILL •
. .BECOME NULL AND VOID.
- Will sign have illumination? ® Yes . ❑ No
Type: ® Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.,
0
' 'ation, including wall signs that overlap a tenant space? visa 0 MasterCard
Credit card number / /
. Ig] Yes ❑ No Expires
I. yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
'a °S35 /i
ip
,
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 `7 day of , 20 . O-
4 CtivuAto-a-
Signature of Owner/ gent
Va ie.Sr)a C.Pc, LI a5-- f3 /E3 tP30 1
Contact Person Name Phone No.