SGN2001-00051 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00051
13125 DATE ISSUED: 03/20/2001
SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
EXPIRATION DATE:
BUSINESS NAME: 7-11 INC. PARCEL: 1S135BC-0020
SIGN LOCATION: 10765 SW GREENBURG RD
APPLICANT/AGENT: 7-11 INC. ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30"X 30"
TOTAL SIGN AREA: 6 sq.ft.
WALL AREA: 1,000 sq.ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 9 ft.
PROJECTION FROM WALL: 6 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of(1)permanent illuminated wall sign for Oregon Lottery.
MATERIALS: ALUM
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 M. will be done in ac ordance with approved plans. A sign permit shall expire 90
days from approval date. A temp rary sign shall expir 3 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
klic
PERMITTEE SIGNATURE:
DATE: 03/20/2001
+ 02/00/2001 12:13 F.0 5036647297 City of Tigard 2002
SIGN PERMIT APPLICATION
CITY OF TIOARD 13133 S11'!!a!!!31 YL. Tigerrl.OR ;73!3(Se)j)j_;9_417J FAX:(503;631-7297
GENERAL INFORMATION
N•rne Or a�rrkpffm•nUProjtrcl
Site 1� FOR ATAFF USE ONLY
Address/ stroetnddn« '—R 1t aahh
Location Permit No.: 5GN UV0 1'
00051
suiWaido 0 cityr tete Zip
Expiration Date:
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Receipt#: f l '
j Property ( vt G Approved By:
1, Owner Mating Acdrers uite Date:
dyistate r,p P • Zoning'
Tenant or Name Electrical Permit Requuep? Yes No
Business
Build'Isg' e� �Permit R' iced? ;Ye's' No
N•me
I a .doe
Rev.12'tl is
InMvsla•kav••d�i n p•mdY
Sign 7E-
7E-ta
Contractor MAIRM Acetosa su to
(prior to p•rrnit _
ropyofa! citylstate Ztp Phone REQUIRED SUBMITTAL ELEMENTS
i Aceneee in
r quimd j- c� Cr`tS'4 Sl (Nato: apptiwtions Will lit be accepted
•xplrad Mme QMgon Cones Cori q.Dae without the required submiftal elements)
city of Tgerd'+ IJoerae* a ,�
i deueaae - ompieted Application Form
Proposed Permanent F+sestanding
FreewayV2 of Site/Plot Plan,Drawn to Scale
Sign Temporary Wa> Electronic (3 cpm.if a building permit it required)
(Check al.thst Other 9itiboarJ ❑ Balloonsi?a requirerrknc 9Vi'x 1 t',or 11"x 17'
New sign? ❑ Alter to existing sign? AN copies of elevations,drawn to scale
Sfgn Dimensrons:. t3 copies,If a building permit is required;
N /30 size reiWAmment: OW x 11%to 24'x 36'
Total Sign Area(sq.R.): S-- $50.00 Fee (Permanent sign,any sixes
Total W211 Area(sq.ft.)
r ❑ 515.00 Fee (Temporary sign,any type)
Sign Data o OD
(Ccmpbte all Direction Wal(Faces(circle one):
Gtmt in this (NOTES:
j sectbn) N 5 E W NE NW SE SW . Wall signs do not need to be drawn to scale.
Hai ht to to of s n fast): ' but must Include__dimensions of well face and
jI Projection From Walt(inches): p sign placement.
CO : • Wall signs do not require site/plot plans.
Materiels: _ ,
Freestanding signs over 6 ft. required a .
Will sign have illuminotion? Yes [3 No wo
No rng permit..
T pe: ' Internal Eztemal • rk authorized under a sign permit has not
bean Completed within ninety (90) days after
Are there any existing frees ndIng or wall signs at this the issuance of the permit,THE PERMIT WILL
i location,including wall signs that overlap a tenant space? BSCOME NULL AND VOID.
� 0Y08 NO
ff"yes",a list or diagram of all sin dimensions and !OVER FOR SIGNATURES)
care fo to a must also be submitted.
02/08/2001 12:14 FAX 3038847287 City of Tigard ZOO
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 pians submitted are
In compliance with the fifty of Tigard.
G
DATED this r27� day of 2D
Signature of OwnertAgent
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Contact Person Name Phone No.
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Oregon Lottery Sign
30 1/2"X 30 1/2"X 6"Sign box
p♦_� O
Drill(4)5/16"mounting holes
O in back plate
O I
Alternate support bracket
(4)ea.Required per sign
Attach to sign w/5/16"
: self tapping screws
Drill(2)5/16"holes
Oregon Lottery Sign Attachment Methods
Sign dimensions
301/2"X 301/2"X 6"
Weight
48 Lbs w/o face or back plates
51 Lbs w/ (2)face plates
52 Lbs w/ (1) face plate (1) back plate
Sign construction
1/8" extruded aluminum, welded corners
with (2)two captive face plate channels.Aluminum
back plate(when required) 30"X 30"X 1/8"
is inserted in place of one face plate
Wall mount
Insert aluminum back plate into the appropriate channel.
Drill (4) four 5/16"holes in the comers of the back plate
Alternate attachment method:Attach (4) Simpson Strong-tie A-21 or equal, angle
brackets to the four comers of the sign with(4)5/16"X1"self tapping screws.
Locate the sign box at the desired wall location and attach with the appropriate
screws listed below.
Surface type
Wood (4) #10X2" Pan head screws W/1/4"X1"fender washers
Concrete or (4) #10X1 112" Pan head screws W/ 1/4"X1"fender washers
Concrete block
Stucco w/ (4) 3"X1/4"toggle bolts W/ 1/4"X1"fender washers
Mesh back
Sheet steel (4) 3"X1/4"toggle bolts w/ 1/4"X1"fender washers
Receipt #: 27200100000000001179
_... Date: 03/20/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00050Sign Permit 100-0000-437000
$50.00
SGN2001-00051Sign Permit 100-0000-437000
$50.00
SGN2001-00052Sign Permit 100-0000-437000
$50.00
SGN2001-00053Sign Permit 100-0000-437000
$50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check DS CARRICK ELECTRIC 0 1344 $200.00
TOTAL AMOUNT PAID: $200.00
c
BANK OF THE WEST 1344
TANASBOURNE BRANCH
DS CARRICK ELECTRIC 2495 NW TOWN CENTER DR.
15832 NW CLEARY COURT BEAVERTON,OR 97006
BEAVERTON,OR 97006 90-78/1211 3/14P01
(503)645-3761
IM
TO THE city of Tigard $ **200.00
ORDER OF
5
Two Hundred and 00/100**************************************************************************************** •
r
city of Tigard
8
MEMO AUTH IZED SIGNATURE
4 signs
1100OL34411' 1: L2LL007821: LSS002926110