SGN2002-00127 CITY OF TIGARD SIGN PERMIT
9 1 DEVELOPMENT SERVICES PERMIT #: SGN2002 -00127
i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/02
EXPIRATION DATE:
BUSINESS NAME: SHELL OIL PRODUCTS US
SIGN LOCATION: 11465 SW PACIFIC HWY PARCEL: 1S136AD 0580
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 1' -7" X 7' -2"
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: 187 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 18 ft.
PROJECTION FROM WALL: 5 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one permanent 12 sq ft 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 all expire 30 days from approval date. A balloon sign shall expire 10
riavc frnm annrnval riata / �
APPROVED BY: --Ce/t/J414:-)
PERMITTEE SIGNATURE:
DATE: 7/29/02
�t,y� SIGN PERMIT APPLICATION
^ITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684-7297
GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site She. \1 9.e,bzand
Address/ Street Address _ Permit No.: jN1 L'. 1 0 (2 7
Location IIL) (p5 SW FAGIi=1G /4-2,0y
— Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #: �� _
— -- — Name t — Approved By: t P
ILd/J n 2 I f)8A Date: 1 / 2_.. --
Property �U � T APR. S-�S LLL
Owner Mailing Address Suite Map /TL #: I S 1 3(a A" -
/06 NE 38�` 91_ /o o _ Zoning: -_
City /State Zip Phone
"24 , WA 19033 181 -3gL1- 02° Electrical Permit Required? [t1Yes ❑ No
Tenant or Name
Business shell c);/ rfed Duc 73 us. Building Permit Required? ❑ Yes L -1 to
Name Rev 30 -Jul -01 i. \curpin \masters \rewsed \sign permit app.doc -
Sign ENE — --
E
Contractor Mailing Address • Suit REQUIRED SUBMITTAL ELEMENTS jl
(Prior to permit Note: applications will not be accepted
issuance, a ��� (011,41W61 A wry. without the required submittal elements)
copy of all l City /State Zip Phone
rises are 3 �u - y23 -aay3
'red if Len/V),14 �A 9 ❑ Completed Application Form
u,pired in the Ore fgon Const. Cont. Board Exp. Date
City of Tigard's License # - � l7 111 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
i size requirement: 8 x 11 ", or 11" x 17"
Proposed e. Permanent ❑ Freestanding ❑ Freeway
Sign ❑ Temporary M 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: 8 x 11 ", to 24" x 36"
❑ New sign? is Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 1 t 1 �`
1 X a ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 1,D Sim•
NOTES:
Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
Sign Data leR 5-t but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): • sign placement.
items in this . Wall signs do not require site/plot plans.
section) N E W NE NW SE SW • Freestanding signs over 6 ft. required a
Height to top of sign (feet): 16'9 building permit.
Projection From Wall (inches): f • If work authorized under a sign permit has not
Copy: 51(-) been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? 1St Yes ❑ No
Type: E. Internal ❑ External
Are there any existing freestanding or wall signs at this Not all jurisd accep credit cards, please call jurisdiction for more information.
❑ Visa ❑ MasterCard
location, including wall signs that overlap a tenant space? 1 1
Credit card number
Yes ❑ No Exp
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) \—
•
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 day of . u:lk.i , 20 O \lcuvum_ci --fiv Signature of Owner gen
9 t
Vanessa / ? as L/ 7 5 8/8- 6930/
Contact Person N Phone No.
•
Receipt #: 27200200000000002782
tea. Date: 07/29/2002
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
MISC Miscellaneous Fees & Charges - 50.0000 @ $1.00 100 - 0000 - 451000 $50.00
SGN2002 -00127 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2002 -00129 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2002 -00130 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check RHL DESIGN GROUP INC KJP 500413 $200.00
TOTAL AMOUNT PAID: $200.00
•