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SGN2002-00104 CITY OF TIGARD SIGN PERMIT .�� DEVELOPMENT SERVIC PERMIT #: SGN2002 -00104 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/28/02 EXPIRATION DATE: BUSINESS NAME: SHELL OIL PRODUCTS US PARCEL: 2S1016B -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: 10" X 5' -3" TOTAL SIGN AREA: 4 sq. ft. WALL AREA: 742 sq. ft. WALL FACE (DIRECTION): N SIGN HEIGHT: 10 ft. PROJECTION FROM WALL: 0 in. ILLUMINATION: NON DESCRIPTION OF SIGN: Installation of (1) one 10" x 5' -3" permanent wall sign. MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: N 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 flays from annrnval riati APPROVED BY: PERMITTEE SIGNATURE: DATE: 6/28/02 1 _ SIGN PERMIT APPLICATION CITY OF TIGARD 1312.5 Slip Hall Bli,d., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297 GENERAL INFORMATION Name of Development/Project �. FOR STAFF USE ONLY � Site _,1r�� 11 P•E.,0P.0nd Address/ Street Address Permit No.: _67 !✓ `� d�_� Location )(g SW G1�IG Expiration Date: _ Suite/Bldg.t1 Cily/State Zip Ti' aR6 0� 3-b'y10 Receipt -- Name -- -- -- --- a��-- Approved B --- [-_C>;Llit Cts Enl7P��215e�5 uC T ,8A Date: la oZ - gt cQcQ'� h Property `� - Owner Mailing Address Suite Map/TL#: Z S /O �_�(� - yo 3 - - iU(ao,Q IvE 36':L- Pt_. lot Zoning: City/State Zip Phone ��lzkland,ujA 96633 x6j- Electrical Permit Required? ❑ Yes No Tenant or Name Business 5hQ-k\ 011 Pt2cp�;G;�, 11 5 Building Permit Required? ❑ Yes [ No Name Rev 30-Jul-01 i\cur In\masters\revis(!d\sic n )ermil a>>doc Sign --- Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance•a ,ny of all City/State Zip Phone without the required submittal elements) roses are iced it ❑ Completed Application Form u,pired in the Oregon Const.Cont. Board Exp. Date City of Tigard's License# ❑ 2 Copies of Site/Plot Plan, Drawn to Scale database (3 copies,if a building permit is required) Proposed ® Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2."x 11",or 11"x 17" Sign ❑ Temporary N Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other r-1Billboard ❑ 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: ,' Its x 5'5' ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): 45,�7. NOTES: Sign Data Total Wall Area (sq. ft.) f; . 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) 0S E W NE NW SE SW • Wall signs do not require site/plot plans. Freestanding signs over 6 ft. required a Height to top of sign (feet): 10,81, building permit. Projection From Wall (inches): - . If work authorized under a sign permit has not Copy: Tt>0-Z)My,,9 been completed within ninety (90) days after Materials: Ithe issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes [S No BECOME NULL AND VOID. 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 -ation, including wall signs that overlap a tenant space? Cl Visa C3 MasterCard Credit card number 1 � Yes ❑ No Expires t. -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) rau535�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 y day of 3LUX nP 20 0;1 Signature of Owner/ gent Contact Person ame Phone No.