SGN2002-00103 C ITY OF TIGARD SIGN PERMIT
Ol DEVELOPMENT SERVICES PERMIT #: SGN2002 -00103
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/28/02
EXPIRATION DATE:
BUSINESS NAME: SHELL OIL PRODUCTS US PARCEL: 2S10166 -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): W
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 sign shall expire 30 days from approval date. A balloon sign shall expire 10
taus from annrnval data
APPROVED BY: / `��
PERMITTEE SIGNATURE:
DATE: 6/28/02
•
/ /.
l` SIGN PERMIT PPLI CATION � .
CITY OF TIGARD 13/25 SW Hall Bltvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 6
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site �'∎L \\ l? C , D iZG'fd .
Address/ Street Address Permit No.:SCIt 6 •
Location x (82 5L >1c,'; S-IC. 0l",, _ Expiration Date:
Suite /Bldg. # City /Slate , Zip
Receipt #: — -
Name J �� Approved By: to -
[-
Property _c kit_C>l1 e'AietZ.PR -f' ca� 'Lc.1 3A Dater b it A-e- f) � `I - yvt zj.
Owner Mailing Address Suite Map /TL #: LC/0 I .5 - Uo 36 / -------
i CAD Oa I‘) v7. ..313 k_ 101 Zoning: C _
City /Stale . Zip Phone
K1,21k1 anCl,La, 9 b3 X3i- € l-4- r✓3o
Electrical Permit Required ?s ❑ No
Tenant or Narne .
Business 5hQt\ Oil k~'i.t`b, . t,.,5. . Building Permit Required ? ❑ Yes No
Nance Rev. 30 -Jul -01 i_ \curptn \masters \revised \sign permit app.doc
Sign T16v - - - -_ --
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
ired it ' ❑ Completed Application Form
e,.pired in the Oregon Consl. Cont. Board • Exp.-Date i
City of Tigard's License # ' ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed I size requirement: 81/2" x 11 ", or 11" x 17"
fo
(� N Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary ® Wall • ❑ Electronic ' ❑ 2 copies of elevations, drawn to scale
(Check all that , Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
® New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: t' • tat∎
1 x lP ❑ $15.00 Fee (Temporary sign, any type) .
Total Sign Area (sq. ft.): 1aS,F
NOTES: -
Total Wall Area (sq. ft.) aal Sit= . Wall signs do not need to be drawn to scale,
Sign Data
but must include dimensions of wall face and
(Complete all • Direction Wall Faces (circle one): • sign placement.
items in this
section) N S E C) NE NW SE SW • Wall signs do not require site /plot plans.
e • Freestanding signs over 6 ft. required a .i
Height to top of sign (feet): It3' -5" building permit. .
Projection From Wall (inches): 5' e If work authorized under a sign permit has not
Copy: • 1ne_A\ . been completed within ninety (90) days . after
Materials: - • . the issuance of the .permit, THE PERMIT WILL
.BECOME NULL AND VOID. •
• Will sign have illumination? C. Yes . ❑ No — - - - -
Type: DiQ Internal ❑ External /
Are there any existing freestanding or wall signs at this / Not all jurisdictions accept credit cards, please call jurisdiction for more information.
' - etion, including wall signs that overlap a tenant space? visa ❑MasterCard
Credit card number / /
• IN 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) \
. d /i
P .
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 q day of JuN8 , 20 ba
Signature of Owner gent
` 8/6 -(1130 !
C1�1� ` <A t� Phone No.
Contact Person Name