SGN2003-00097 _s
CITY TIGARD SIGN PERMIT
i , DEVELOPMENT SERVICES PERMIT #: SGN2003-00097
�� Jil 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/2/03
PARCEL: 2S 102AA -00101
BUSINESS NAME: 99W TIGARD AUTO CENTER ZONE: CBD
SIGN LOCATION: 11900 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary permit for A -frame sign. (Sign #3, last for the year) Valid 5/2/03
through 6/2/03. Sign must be placed on private property outside of city
right -of -way.
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval d e or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 1 s from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: `—'`` _`J ___,
DATE: 5/2/03
•
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SIGN PERMIT APPLICATION
GARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4i 71 FAX f503,i 684 -729
L
I NFORMATION
Name of Development/Project t _
=OR STAFF USE ONLY
S treet Address
less/ P:;:: .: 160- • -- a l
cation / /yob s to ac z t#`C /.!u y
Date:
T r 4"' D G R g9Ze.3 Re ceipt #:_ _� 1 ', e" /1
• Name - - -� '— Approved B : ,A�a�� _ —..�
.,
L_'I
\j / ? Z Z" Date: - --
Property _
l'' Owner Mailing Address I Suite Map /TL #: __ __
/' o S� - C ti es/ — I Zoning: --
° � C tyiState Z.ip 1 Phone
T OR 9 ? 3 I ‘b3" ` e a on - Electrical Permit Required? ❑ Yes ❑ No
Tenant or i Name
Business 4) '71Q RD /;UJb 6 i Building Perrrit Required? ❑ Yes 0 No
Name Rev. 01.JJI -02 i:k.urpin \masters \revisec\s gn permit app.doc
Sign J7 e I . (IF 4.04 C.1
Contractor 1 Mailing A ress Sute F REQUIRED SUBMITTAL ELEMENTS
(Prior to permit i , (No•:e:. applications will not be accepted I
issuance. a /09/20 6 S. k) 6th l: ` S ! - e ' � , �
— - with out the required submittal elements)
copy of all City /State Zip Phone
licenses are
required if ° e,av � 1 o q � S " 6 >6 .. .P1 1 1
. ❑ Completed Application Form
. expired 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 I ❑ Permanent Freestandi Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Nall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Saloon El copies of elevations, drawn to scale
apply) _ _ - (3 copi :is, if a building permit is required)
[' New sign? Alter to existing sign? size requirement: 8 x 11 ", to 24" x 36"
Sign Dimensions: 1. X (.0 'i
❑ $30.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): o s 6b 6 ❑ $15.00 Fee (Temporary si any type)
Sign Data Total Wall Area (sq. ft.)
(Complete all Direction Wall Faces (circle one): NOTES:
items in this
section) N S E. W NE NW SE SW • Wall s'.gns do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): J sign placement.
Copy' :( - t► Bjjce, Sp •col, 6Ie..f • Wall signs do not require site/plot plans.
Materials: I,4_• o _ • Freestanding signs over 6 ft. required
building permit.
Will sign have illumination? ❑ Yes NKNo • If work authorized under a sign permit has no.
Type: ❑ Interne! It External - been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? I BECOME NULL AND VOID.
❑ Yes ❑ No I
if "yes ", a list or diagram of all sign dimensions and
. square footage must also be submitted.
`x � • (OVER FOR SIGNATURES)
a , ;�
• P
CITY OF TIGARD 5/2/2003
13125 SW Hall Blvd. 2:33:46
�. i w p ; 1 , Tigard, Oregon 97223
6 '� (503) 639 -4171 i t
Receipt #: 27200300000000001775
Date: 05/02/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00097 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash SAMMY LEE MET In Person 15.00
Payment Total: $15.00
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