SGN2000-00190 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2000-00190
J` - 13125 SW Hail Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/20/2000
EXPIRATION DATE:
BUSINESS NAME: PACIFIC TAX PARCEL: 2S102BD-01901
SIGN LOCATION: 12950 SW PACIFIC HWY 5-A
APPLICANT/AGENT: ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 16"X 120"
TOTAL SIGN AREA: 14 sq.ft.
WALL AREA: 275 sq.ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 2 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of one (1)permanent illuminated wall tenant sign.
MATERIALS: ALUM/ACRYL
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. Al • k will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. Ate• pora sign shall expire 3 ays from approval date. A balloon sign shall expire 10
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PERMITTEE SIGNATURE: pM
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DATE: 11/20/2000
as I
Y OF TIGARD Sin Permit Application Rec'd By
g Date Rec'd RPM,I
13125 SW HALL BLVD. Permanent or Temporary Permit No. . .I e /IN6
TIGARD, OR 97223 Commercial or Residential Permit Fee • la
(503) 6394171 Receipt No.
Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
Site u,DIV PLR 2_1\ location, including wall signs that ov rlap a tenant space?
Address/ Street Address ❑ Yes a No
Location I Z9 sem/ PAC) -PIC- If"yes", a list or diagram of al sign dimensions and
square footage must also be submitted.
Suite/Bldg.# City/State Zip
.1 '17 bPrgt 0Rq.777
Name NOTE: If work authorized under a sign permit has not
Property mRAND H 1�Si 5r.Div been completed within ninety days after the
Owner Mailing Address suite issuance of the permit,THE PERMIT WILL
BECOME NULL AND VOID.
t2C1 D 3,u PAC16C --
City/State Zip Phone � I hereby acknowledge that I have read this application,that the
yt -`+U(` a Rg.)13 40- :/•-5537'
_—, 2- information given's correct,that,- the owner or authorized agent of the
J tt '- lJ7 owner, :,...1„),p00 ub ..-- are in compliancewith the Cit of Tigard.
Tenant or Name ( --r-� /� — d
Business PSC°1 -CG -Thr)( •nattuur- oof swnerr/•gent f //-77--
Date
Name _ !6 u/i / /o//v1r /// 0�
Sign T:_j16/\//•-/9- R6/77/9• Contact Person Name Phone
Contractor Mailing Address , Suite 672-7e3 /
Prior to permit F7� 1
issuance,a
copy City/State Zip Phone 5C3
of all licenses
are required if r)EA)laZDV
&_5w--zo Required Submittal Elements
expired in Oregon Const.Cont.Board Exp.Date
C.O.T. License# t 9Li Z ❑ Completed application form
database OZyb/
❑ 2 copies of site/plot plan,drawn to scale
Proposed
SiM. Permanent 1:1 ❑ Freeway ( co 3 it isuired
n Pies, if a building permre q
g Tem orary Freestanding ill Electronic size requirement: 8-1/2"x 11", or 11"x 17)
"
Check all that p
apply ❑ Other JA. `Nall ❑ Balloon Note: Wall signs do not require site/plot plans.
i) Billboard Li2 copies of elevations,drawn to scale
(3 copies, if a building permit is required)
New sign? size requirement: 8-1/2"'x 11",to 24"x 36"
Alteration to existing sign? Note: Wall signs do not need to be drawn to
Sign Dimensions:
01 scale,but must include dimensions.
1(0" ��� as $50.00 Fee (Permanent sign, any size)
Total Sign Area(sq. ft.):
Sign I� ❑ $15.00 Fee (Temporary sign, any type)
Data Total Wall Area(sq. ft.) -��
Please
complete Direction Wall Faces (circle one):
each item FOR OFFICE USE ONLY:
in this N S E CW) NE NW SE SW
section P # i as BD_ 0 (4Qc Zoning: C
!�01 Notes C
Height to top of sign (feet): I(� o
Projection From Wall (inches): r� e Electrical Permit Required? Yes ❑ No
Copy: PACI.clic fi:3?c
Materials: A Lt 1 liq UIY` //Kg-K.- Building Permit Required? ❑ Yes [ No
Will sign have illumination? No❑ Yes r,3; �\
rOME,C
j�g y; � Date pf rova�f�
Type: Internal ❑ External . , D C •vtion Date:
i:\dsts\forms\signapp.doc 11/17/99
Receipt #: 27200000000000001325
AN&00"
�. Date: 11/20/2000
TIDCOMPUTER sMreA,R cK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00187 [SIGN]Sign Permit 100-0000-437000 $50.00
SGN2000-00188 [SIGN]Sign Permit 100-0000-437000 $50.00
SGN2000-00189 [SIGN]Sign Permit 100-0000437000 $50.00
SGN2000-00190 [SIGN]Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check HOLMAN ENTERPRISES,LLC 0 2408 0 $200.00
TOTAL AMOUNT PAID: $200.00
PACIFIC TAX SERVICE, INC.
Proposal for illuminated cabinet sign to be mounted on wall
120 "
PACIFIC TAX SERVICE 16"
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*ate Mp Beaverton This original artwork is
SIGN*A*RAMA the property of
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ma t;ic 3899 S. W. Hall Blvd. SIGN A RAMA and is
CLIENT APPROVAL:
Beaverton,OR 97005 protected under Federal LANDLORD APPROVAL:
MIKE HOLMAN Pone: (503)672-7636 Copyright Laws.
Fax (503)574-4741 Make no reproduction of
Date: 1 1 - 1 7-0 0 Email: ssgnsbeavraaac com this design concept
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Cell 1 AA* SIGN *A*RAMA
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3889 S.W. Hall Blvd., Beaverton, OR 97005
503-672-7636 FAX 503-574-4741 E-Mail:signsbeav@aol.com
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