SGN2002-00087 CITY TIGARD SIGN PERMIT
Ml' DEVELOPMENT SERVICES PERMIT #: SGN2002 -00087
=rs "L'"
Mt,
" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/24/2002
EXPIRATION DATE:
BUSINESS NAME: PILLOWS PLUS PARCEL: 2S110DC -0230
SIGN LOCATION: 11525 SW DURHAM RD D -2
APPLICANT /AGENT: PILLOWS PLUS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2' X 14'
TOTAL SIGN AREA: 28 sq. ft.
WALL AREA: 277 sq. ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: 11 ft.
PROJECTION FROM WALL: 10 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: PERMANENT PLACEMENT OF (1) NON - ILLUMINATED WALL SIGN.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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 wo will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temp', rary sign shall expire 30,:. from approval date. A balloon sign shall expire 10
days from annrnval data
dp
APPROVED BY: i e� ` '�
PERMITTEE SIGNATURE: ��i'-
DATE: 5/24/2002
IP
""'., i j r h SIGN PERMIT APPLICATION
CITY 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 �t` \C- \\C-v-- P1 S ��,, 11 rr�� gr�
Address/ Street Address Permit No.:SGk of , ddO 0
Location I' 52 0'l* f6 Expiration Date: NA?
Suite/Bldg. # City /State `` Zip �f /
it , . i Q oo__ (V)2-2-3. Receipt #: c2coc - ! ` (-7
Name Approved By: ddi'
`
Property - f")..�4:: 1`e,S ._ Date: ej_2`//01- t-� s-.�
Owner Mailing Address Suite Map/TL #: 3 I- l W 520 S W (2 , " 4e.. qb Zoning: C
City /State Zip Phone
lA' 012_, ° 72 0 1, � v3 t2. Z 3S. Electrical Permit Required? ❑ Yes ( { No
Tenant or Name
Business P \' \t1,._..5 '9 \0,s . Building Permit Required? 111 Yes tE No
Name ` Rev. 30 -Jul -01 is \curpin \masters \revised \sign permit app.doc
Sign t ' Y \ t . ) Q - P '
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a q ' 00 J ft ' 01s -0� without the required submittal elements)
copy of all City /State Zip Phone 51 _q "0
licenses are - \
-�
required if 1\ t .c ( 512 6�r ° • Completed Application Form
expired in the Ore n Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) `Z-3 O • (3 copies, if a building permit is required)
Proposed Permanent ❑ reestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign ❑ Temporary Wall ❑ Electronic 0 2 copies of elevations, drawn to scale
(Check all that (3 copies, if a building permit is required)
❑ Other ❑ Billboard ❑ Balloon
apply) Sze requirement: 81/2" x 11 ", to 24" x 36"
New sign? ❑ Alter to existing sign? Er $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
• ,X ILA t ❑ $ (Temporary ry g any type)
15.00 Fee Tem ora sign, an e
Total Sign Area (sq. ft.): t =
NOTES:
Si n Data Total Wall Ag�j. ft.) u • Wall signs do not need to be drawn to scale,
9 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle e): sign placement.
items in this �;)
section) S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): /0 ' L building permit.
Projection From Wall (inches): CD 1/ • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes ZNo BECOME NULL AND VOID.
_ Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this (- Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI
location, including wall signs that overlap a tenant space? visa ID MasterCard
Credit card number / /
Yes ❑ No Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. Amount
Cardholder signature
(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 23 day of Vtk � 1 , 20 Cs -1 ---
1 /14._(:) /( S ) <1 ---- k
Signature of Owner /Agent
Contact Person Name ( Phone No.
t 5`
k-t \ A'
oka\-
k
TY OF Tteatoo
/1
aondieevairoy Approve t .7,
Flit Only the work as ,descriirriel eh;
relmn NO. SaA14001e .
See Le to: Follow_ 1
ekotquidst // 4.)
ortaelz
OT: 40/
FILECOPY
t.66 p:k kotos Plu 5
itszs sp
I') 2 7-3.
Receipt #: 27200200000000001919
Date: 05/24/2002
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2002 -00086 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2002 -00087 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check MNO CORPORATION DCP 4260 0 $100.00
TOTAL AMOUNT PAID: $100.00