SGN2001-00187 C ITY OF TIGARD SIGN PERMIT
i� DEVELOPMENT SERVICES PERMIT #: SGN2001 -00187
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/2001
EXPIRATION DATE:
BUSINESS NAME: MATTRESS LIQUIDATORS PARCEL: 1S135DD -0080
SIGN LOCATION: 11847 SW PACIFIC HWY
APPLICANT /AGENT: MATTRESS LIQUIDATORS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 24'
TOTAL SIGN AREA: 72 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of (1) non - illuminated banner sign (framed).
MATERIALS: BANNER
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 rk will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A tem ra sign shall expire 30 • ays from approval date. A balloon sign shall expire 10
days from annrnvaI data
APPROVED BY: l e-" e"
e- Mk-
PERMITTEE SIGNATURE: • '�`
DATE: 10/16/2001
. .
'' il 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 r �
Site Mattress Liquidators
A Sx�ll CD t -Er D /
Address! Street Address Permit No.:
Location 11847 SW Pacific Hwy
r)
Expiration Date:
Suite /Bld # City/State Zip --�� ��hh 14119
Tigard, OR Receipt #: .
� —
Name Approved By: _ '
Property Date: )Q 1 6, 0
Owner Mailing Address Suite Map/TL #: Is 1B DD- Q02'o
Zoning: If
City/State Zip Phone
Electrical Permit Required? ❑ Yes [No
Tenant or Name
Business Building Permit Required? ❑ Yes No
Mattress Liquidators
Name Rev. 30 - Jul -01 i:\curpin\masters\revised\sign permit app.doc
Sign Multi -Light Sign Co.
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a 809 NE Lombard
copy of all City/State Zip Phone without the required submittal elements) .
licenses are Portland, OR 97211 (503)281 -3083
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # 64107 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed size requirement: 8 x 11 ", or 11° x 17"
Pro
p ® P ermanent ❑ F reestanding ❑ F reeway
Sign ❑ Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑Other ID 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? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 3'x 24'
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 72
NOTES:
Total Wall Area q • Wall signs do not need to be drawn to scale,
Sign Data 0 but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items N S E W NE NW SE SW
emi this • Wall signs do not require site /plot plans.
section)
• Freestanding signs over 6 ft. required a
Height to to of sign (feet): building permit.
Projection From Wall (inches): O • 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
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes ® No
Type: ❑ Internal ❑ External
Are there any existing freestanding or wall signs at this I Not all jurisdictions accept credit cards, please call jurisdiction for more information.
CI
location, including wall signs that overlap a tenant space? visa 0 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. S
Cardholder signature Amount
(OVER FOR SIGNATURES)
. .o.i-
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 /a \C-6 ei
day of ( , 20 (Of
. •
' JL
Signature omwner/Agent
- 4 51)3 741-340g3
Contact Person Name Phone No.
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t,; ` ' D ATE 1, ADDRESS /COMP NAME DE S CRIPTION •
' i tIli _ 3'x24 white banner with blue co � Bedmart � L� � � � � � I ` PH. (503) • .281 =3 083 10-11-01 >� copy and a red 2" wooden border
`280 9624 SCALE •
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r i,fn`31 �x, g, .- _ . , . , — FILE E NAME Mattre
"These p are the exclusive property of Multi LI ht Sig n Co, an d. are the. result of the orl Inal work; of its em loyees, Th a re submitted to your c� rti ar for the' purpos of y our consideration of whether to purchase these plans or to
P p p g p p ..
purchase from Multi- Ligght Sign Co. a sign manufacturedaccording to these plans. Distribu or, exhibition of these o anyone other than employees of y our company, or use of these pl ns to construct a sign similar to the on embodied
herein, is expressly forbidders, In file event that such 'exhibition occurs, Multi L -Ight Sign Co, expects to be reimbursed $5dp,00 or more in compensation f t i m e ' a nd effort e ntailed in creating t hese plans. • . : •
i r }P y
Receipt #: 27200100000000004119 � t
Date: 10/16/2001
TIDEMARK
COMPUTER SYSTEMS, INC
Line Items:
Case No Tran Code Description Revenue Account No. - Amount Due
SGN2001 -00185 [SIGN[ Sign Permit 100- 0000 - 437000
$50.00
SGN2001 -00186 [SIGN] Sign Permit 100- 0000 - 437000
$50.00
SGN2001 -00187 [SIGN] Sign Permit 100 - 0000 - 437000
•
- - $50.00 _
Payments: -
Method Payer - Bank No Acct Check No Confirm No. Amount Paid .
Check MULTI -LIGHT SIGN CO. 0 34126 0 .$150.00.
TOTAL AMOUNT PAID:' $150.00
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