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SGN2002-00129 • CITY OF TIGARD SIGN PERMIT i;�_ DEVELOPMENT SERVICES PERMIT #: SGN2002 -00129 ' 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: 115 sq. ft. WALL FACE (DIRECTION): W 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 shall expire 30 days from approval date. A balloon sign shall expire 10 rlavc frnm annrnval riata APPROVED BY: jf PERMITTEE SIGNATURE: DATE: 7/29/02 Y / SIGN PERMIT APPLICATION x•11! .may . -- ':ITY OF TIGARD - 13125 SW Hall B /wi., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 . GENERAL INFORMATION Name of DevelopmenUProjecl FOR STAFF USE ONLY . Site S\MC \\ tZ2bazand Address! Street Address Permit No.:S4_N - v O k 2- Location II Li to5 St - - PA Pic y — Expiration Date: Suite /Bldg- I City /State Zip Joy _ 2 Z_ �la _ y Receipt #: __- t- Name Approved By: K� __ Property ell)( -v/ EN;eKP2)ses LLC b 81 Date: - VL- 7( d'Z— Owner Mailing Address Suite Map /TL#: 1 S 13 (, A-P - 6 S tir ►Dtoo2 NE 33 Pc Pro — Zoning: CC1 City /State Zip Phone Zi2.K{And ,LAS A 984)33 z8/0O Electrical Permit Required? "Yes [ - to Tenant or Name Business Sh 1 ©, � "f {Zol uc, 5 (,iS Building Permit Required? ❑ Yes �No Name Rev. 30- Jul -01 i:AcurpinAmasters \revised \sign permit app.doc Sign - PN E _--- ___ -_ - Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit 1 08 1 CO/UM hip 8 1 � � (Note: applications will not be accepted issuance, a without the required submittal elements) ! copy of all' City /State Zip Phone uses are 'red if /0n414 , CA)/9 998(.03V 3V 310p 1 / 2 3 - Lis €rte CA)/9 ' ❑ Completed Application Form ,>. ..pired in the Or gon Const. Cont. Board - Exp. Date City of Tigard's License I El Copies of Site /Plot Plan, Drawn to Scale $ database) (3 copies, if a building permit is required) Proposed Pe rmanent ❑ Freestanding ❑ size requirement: 8 x 11 ", or 11" x 17" Freestandin Freeway Sign ❑ Temporary ® Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale (Check all that ❑ Other 111 Billboard ❑ Balloon (3 copies, if a building permit is required) a pply) size requirement: 8 x 11 ", to 24" x 36" ❑ New sign? E" Alter to existing sign? ❑ $50 .00 Fee (Permanent sign, any size) Sign Dimensions: ' ,_,r x T I I, ❑ • $15.00 Fee (Temporary sign, any type) Total Sign Area (sq. ft.): (a 5F: NOTES: Total Wall Area (sq. ft.) . Wall signs do not need to be drawn to scale, Sign Data ,` r i . but must include dimensions of wall face and (Complete all Direction Wall Faces (circle one): , - sign placement. items in this section) N S E CD NE NW SE SW a Wall signs do not require site /plot plans. e Freestanding signs over 6 ft. required a Height to top of sign (feet): 18 / q '' building permit. Projection From Wall (inches): g'" a If work authorized under a sign permit has not Copy: ShL,I 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 N ot all jurisdictions accept credit cards, please call jurisdiction for more information. ❑ Visa ❑ MasterCard location, including wall signs that overlap a tenant space? Credit card number / / A 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) - / 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 1i� Q , 20 02 � aAB. -/ Signature of Owner /A nt \fan ms qP6 =- ern- to 3 o l Contact Person Name Phone No. Receipt #: 27200200000000002782 Date: 07 /29/2002 TIDEMARK 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 • •