SGN2001-00179 CITY OF TIGARD SIGN PERMIT
* ; ,,r� DEVELOPMENT SERVICES PERMIT #: SGN2001 -00179
X11411' 61".. 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): E
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 t• - re ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. II work will be done in acc• •• ance with approved plans. A sign permit shall expire 90
days from approval date. A empora sign shall expir: 30 say: from approval date. A balloon sign shall expire 10
clays from annrnval data /
APPROVED B\ g j� � �
PERMITTEE SIGNATURE:
DATE: 10/01/2001
1 \
,{tiros SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Developmen Project
tW ! /�' � t L / /, 5 FOR STAFF USE ONLY
Address/ ° �l P OO t _ CO ( G I
Address/ Street Address �" /% , ,,� G /lair Permit No.: SC5 K)
Location . p, phi 1 /�
✓ / G� Expiration Date:
Suite /Bldg. # City/State / — 3Q3`�
1/2,4 7aa -3 Receipt #: ;fi
Name _ �� Approved By: V
�/
Property
//kiA/ j 1,01LI$/f1G Date: tO iI 0
Owner Mailing Address Suite Map/TL #: .. l ill • A a —GO 0 r •
� t9!/i q g li '�� Zoni s
City/State Zip Phone
iiviiiggio 01 Q7d b0 r3/7 `07d 9 Electrical Permit Required? ❑ Yes 11/110
Tenant or Nam /
Business //Nam AV -5>lt/v ��/(1 Building Permit Required? ❑ Yes EVlo
N ame ,I �( Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc
Sign /CGS 1 M S " � ) 9 1t / � � -
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit .„ t,p>e G G (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
requi are ' ��7 % 2 / 6 � P 49/' ❑ P Application Form
required if , ` I Completed A
expired in the O gon Const. Cont. Board Exp. Date
City of Tigard's License #// , Y� 7 /_ ^�� — C99-- 0 2 Copies of Site /Plot Plan, Drawn to Scale
database) // �f (Y (3 copies, if a building permit is required)
Proposed size requirement: 8 x 11 ", or 11" x 17"
Pro
p ennanent ❑ Fr eestanding ❑ Fr
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale.,
(Check all that (3 copies, if a building permit is required)
apply) ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", to 24" x 36"
g New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent - sign, any size)
Sigri Dimensions: f I
p°� )( -301 ❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 3 0 t
NOTES:
Sign Data Total Wall Area (sq. ft.) th v 0 • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N S 0 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): / 9 / / 1 building permit.
Projection From Wall (inches): 1/ • If work authorized under a sign permit has not
Copy:W u OA_ Age been completed within ninety (90) days after
Materials: qm.. )L, e the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes No
BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this 1 - Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant pace? visa 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. $
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
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Signature of il ner /Agent /
Contact Person Name Phone No.
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Receipt #: 27200100000000003939
Date: 10/01/2001
TIDEMARK `.' ra COMPUTER SYSTEMS, INC. Q co
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