SGN2001-00178 CITY OF TIGARD SIGN PERMIT
r� DEVELOPMENT SERVICES PERMIT #: SGN2001 -00178
'1' � - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/01/2001
EXPIRATION DATE:
BUSINESS NAME: HOME CASTLE SPAS PARCEL: 2S102AA -0060:
SIGN LOCATION: 11960 SW PACIFIC HWY
APPLICANT /AGENT: HOME CASTLE SPAS ZONE: CBD
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 12" X 30'
TOTAL SIGN AREA: 30 sq. ft.
WALL AREA: 1,680 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 13 ft.
PROJECTION FROM WALL: 1 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated wall sign.
MATERIALS: PLASTIC
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 s. 11 be done in accor ance with approved plans. A sign permit shall expire 90
days from approval date. A tern orary ign shall expire 0 ays from approval date. A balloon sign shall expire 10
thug fmm annrnval date
APPROVED BY:
PERMITTEE SIGNATURE: 12 'r g / ��
DATE: 10/01/2001
11/11, •
��-rr, �,l� 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 7401 aAS�L�s S C� �J a-Ob ( -00 1 R
Address/ Street Address Permit No.:
Location J/ o c" 0 c,4G V44 6 (k
Expiration Date:
Suite /Bldg. # City/State Zip �J o?A 2, �j
--/-e id A q /�V Receipt �O , JgJ7
Name Approved By: ' -
Property , �/� / / � -G Date: 1 I D
Owner Mailing Address Suite Map/TL #: a �� Oa Co (00
.D,,L /M89 Zoning: Gg p
City/State Zip Phone
Woopm4 an 'my. Ff7— °W Electrical Permit Required? ❑ Yes []
Tenant or Name
Business %r`m/ G -6,, Building Permit Required? ❑ Yes [g/No
N ame �1 /1 Rev. 30 -Jul -01 is \curpin\masters \revised\siqn permit app.doc
/�
Sign 407Plid � 1,N 8/�► ,
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit f (Note: applications will not be accepted
copy of all City/State Zip Phone
issuance, a ��X ��� without the required submittal elements)
Zip
lice
req uired are 9A/ an fty / � 9 '3 /
required if �/ l (� / Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # //6 w9. -30 -OA- t=1 2 Copies of Site /Plot Plan, Drawn to Scale
database) / (3 copies, if a building permit is required)
Proposed ermanent Freestanding I=1 Freeway
size requirement: 8 x 11 ", or 11" x 17"
Pro
p ❑ Fr eestandin
Sign ❑ Temporary wall ❑ Electronic [r2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
apply) size requirement: 81/2" x 11 ", to 24" x 36"
`New sign? ❑ Alter to existing sign? if $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 1 /i ic 3 b r ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 39 V
NOTES:
Total Wall Area (sq. ft.) t !r �/ �-® ♦ Wall signs do not need to be drawn to scale,
Sign Data but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items N S E emi in this W NE NW SE SW • Wall signs do not require site /plot plans.
section)
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): fa. ex, 6 •
building permit.
Projection From Wall (inches): �a 4 • If work authorized under a sign permit has not
Copy:4l y , N 0,, been completed within ninety (90) days after
Materials: 41µ4 Qj the issuance of the permit, THE PERMIT WILL
Will sign have illumination? El Yes al No BECOME NULL AND VOID. ,
Type: ❑ Internal ❑ Exter
Are there any existing freestanding or wall signs at this N ot all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? 0 Visa ❑Mastercard
Yes ❑ No 146 611,1 6,9 Credit card number
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. $
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 day of , 20
‘1' ./ I IldrArd 4 Al
• r ,
.n Ture of fdotr ' %e/
Contact Person Name Phone No.
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•
+` , :L �11 ` T L LOCATION: SALES PERSON: DATE:
lPht'f ms's �` / j •- 1�
0.7 '. ?.. r S!g /i r .r t �'t �,i DESIGN:
a4 f
ELECTRIC - SIGN :AIDVER'T.ISING REVISION:
Receipt #: 27200100000000003939
Date: 10/01/2001
TIDEMARK
COMPUTER S Y S T E M S , INC
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00177 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
SGN2001 -00178 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00179 [SIGN] Sign Permit 100- 0000 - 437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check LUMINATE SIGN CRAFT INC. 0 7415 0 $150.00
TOTAL AMOUNT PAID: $150.00