SGN2015-00078 n CITY OF TIGARD SIGN PERMIT
11111 t Permit#: SGN2015-00078
COMMUNITY DEVELOPMENT Date Issued: 08/24/2015
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2421 Parcel: 2S103DD01200
Jurisdiction: Tigard
Name of Business: Chevron
Business Address: 13970 SW PACIFIC HWY
Applicant/Agent: Koid,Jian
Work Description: Replace existing freestanding sign cabinet with smaller cabinet. No change to pole.
Permanent: Yes Freestanding: Yes Freeway: No
Temporary: Wall: No Electronic: Yes
Billboard: No Balloon: No
Banner: No A-Board: No
Sign Dimensions: 11'8"x 4'2"
Total Sign Area: 98
Wall Area:
Wall Face(Direction):
Sign Height: 20 ft.
Projection From Wall: in
Illumination: Internal
Materials: plastic/metal
Electrical Permit Required:
Building Permit Required: Yes
Total Permit Fee: $0.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and
all other applicable law. All work will be done in accordance with approved plans. A permanent sign must be placed within
90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity date. A balloon
sign shall expire 10 days from validity date.
Approved By: 11666._1
Permittee Signature \
71 City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
,_,G A lz p Sign Permit Application
, 111111111110
SIGN L01.2.CATION
N REQUIRED SUBMITTAL
Address: S W PG c i arc �..,) Suite #: ELEMENTS
City/state: T i ) ü i (A o R. zip: q - )-7- 1 ❑ 2 copies of elevations on 81/2"x it"
Tenant or business: C ke v r o ,r\ or 11"x 17"pages(Wall sign
elevations must include dimensions
of sign and wall face and show the
Property owner name: location of sign on the wall.
Address: Freestanding sign elevations must
City/state: Zip: be drawn to scale.)
Phone: Email: 0 2 copies of site/plot plan,drawn
(� Q to scale,on 8'/z"x 11"or 11"x 17"
Sign contractor: 0 G P R. l r p d�a( k( pages(not required for wall signs)
Address: 0 I N lnl F l ❑ List or diagram of all existing sign
Po, dimensions and square footage
City/state: C ,c-.. S Po,cs d R. • Zip: CO C G ❑ Application Fee
Phone: ct# 1 4'7L 1 3 Imail: 3 1a- F d c,c1,, rrdvcii cc).-
CCB License #: "4"0 441 Expiration date: `I'tor if 5 NOTES:
Contact person: 7% s k a i • Freestanding signs over 6 ft.in height
and walls signs of which any element
weighs 20 lbs.or more require a
building permit for construction.
SIGN DATA (Complete all items in this section) If any element of a wall sign weighs
70 lbs.or more,plans must be prepared
TYPE (Check all that apply) by a structural engineer.
❑ New sign
Freestanding ❑ Electrical • Building permits require 2 sets of
Alteration to ❑ Freeway ❑ Wall construction drawings and,if sign is
freestanding,2 copies of site/plot plan
existing sign ❑ Roof ❑ Other and 2 sets of engineering must be
Sign#: submitted with building permit
application.
Sign dimensions: f - a (h) x '+ -1 (w) _ C sq.ft. sign area
New sign: L+ •Csq.ft. + Existing sign area sq.ft. _ (-1 Es (Total I cm • \ I I •I { \I.'
Total sign area: sq.ft / building face sq.ft= %of bldg face Case No.: 3Gi\J a 0 lS—00 07 8
66 `v``l Height to top of sign: ft.Projection from wall: in. Related Case No.(s):
�C+' Materials: )1G \1 .c ` w ! {- 1 11617-60
Fee:
no !� Application accepted:
un7 Is the sign under 20 lbs.? ❑ Yes No CAC/ I-CO-15
C'GV� $n By: Date:
(Building Permit required if over 20 lbs)
Application determined complete:
Direction wall faces (circle one): N S E W NE NW SE SW
Will the sign have illumination? Yes ❑ No By. Date: l5
If yes,what type: Internal ❑ External \CURPLN\M•rte,s\und Use Applications Rev.03/03/2015
...... .,..,.,
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
APPLICANTS
NOTE: Person specified as"Applicant"shall be designated"Permittee"and shall provide financial assurance for work.
*When the owner and the applicant are different people,the applicant must be the purchaser of record or a lessee in possession with written
authorization from the owner or an agent of the owner. The owner(s)must sign this application in the space provided on the back of this
form or submit a written authorization with this application.
THE APPLICANT(S) SHALL CERTIFY THAT:
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
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.
SIG 'URES of each o' •r of the subject property required.
/ 0 /K 44.1i
.p c:nt's signature Print name Date
bv,41v /1- 6/AA- 2
C wner's signature Print name Date
Owner's signature Print name Date
SIGN PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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SCALE: 1" = 20'-0" Jot Address: 1-5570 S' "► ?°. (414).2 OF
oJa\‘ty construct,.
Double R Products Phone (541) 476-1387
DOUBLE 01 PRODUCTS 901 NW "E" Street (800) 452-8255
_NI 10W____ Grants Pass, OR 97526 Fax (541) 474-2528
CCB#40432
Wednesday, July 01, 2015
Sign Layout
5'7" 4'-2"
Chevron 6r 411 Chevron
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ITECHRZON I 1'-2"
Gasoline Self Serve Gasoline s.ir Serve
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Existing Sign Proposed Sign
70.7 sq ft 49 sqft
Existing canopy signs include
(2) Chevron @ 9'-3"x21" = 16 sqft l
(1) Logo @ 22"x24" = 3.6 sqft
Total canopy sq footage = 35.6sqft
*The max allowable sq footage for this PID sign is 70 sq ft. We would have to reduce
size of the sign as shown to add a diesel cabinet
Customer Name: Cain
Site Address: 13907 SW Pacific Hwy. Tigard OR
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1 Double R Products Phone (541) 476-1387
DOUHLE PRODUCTS 901 NW "E" Street (800) 452-8255
_NILO" Grants Pass, OR 97526 Fax (541) 474-2528
CCB#40432
Wednesday, July 01, 2015
Sign Layout
5'-7" 4'-2"
Chevron 6-4" Chevron
1%0 4'-8"
I TECHRON 1'-2"
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Gasoline Self Serve Gasoline Self Serve
6'-4" 2'3 .
22 3 ,o 9
Regular
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4�569
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Supreme 7 8,9 ,o
Existing Sign Proposed Sign
70.7 sq ft 49 sqft
Existing canopy signs include
(2) Chevron @ 9'-3"x21" = 16 sqft
(1) Logo @ 22"x24" = 3.6 sqft
Total canopy sq footage = 35.6sqft
"The max allowable sq footage for this PID sign is 70 sq ft. We would have to reduce
size of the sign as shown to add a diesel cabinet
Customer Name: Cain
Site Address: 13907 SW Pacific Hwy.Tigard OR