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SGN2001-00096
1 CITY OF TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT#: SGN2001-00096 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/23/2001 EXPIRATION DATE: i BUSINESS NAME: STANDARD TV&APPLIANCE PARCEL: 1 S136CD-0160 SIGN LOCATION: 11674 SW PACIFIC HWY APPLICANT/AGENT: STANDARD TV&APPLIANCE ZONE: C-G BUSINESS TAX NO: JURISDICTION: TIG SIGN PERMANENT: X FREESTANDING: Y FREEWAY: TEMPORARY: WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: TX 5' TOTAL SIGN AREA: 15 sq.ft. WALL AREA: sq.ft. WALL FACE(DIRECTION): E SIGN HEIGHT: 18 ft. PROJECTION FROM WALL: in. ILLUMINATION: DESCRIPTION OF SIGN: Alteration to existing freestanding sign. Addition of Tx 5' banner sign to be enclosed in frame but allowing for change of banner. MATERIALS: EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: BUILDING PERMIT REQUIRED: ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 50.00 • FW D" This permit is issued subject to the r ;Iafions contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All rk l be done in accord c with approved plans. A sign permit shall expire 90 days from approval date. A tem nary si n shall expire 30 y from approval date. A balloon sign shall expire 10 rlavc frnm annrnval data APPROVED BY: PERMITTEE SIGNATURE: DATE: 05/23/2001 r r 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 Site Address/ Street Address :, Location Suite/Bldg.# City/State Zip Name Property Owner Mailing Address Suite City/State Zip Phone Tenants Name �/ ��hv Business Name Sign Contractor Mailing Address Suite (Prior to permit issuance,a copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS licenses are required if (Note: applications will not be accepted expired in the Oregon Const.Cont.Board Exp.Date i without the required submittal elements) City of Tigard's License# database) ompleted Application Form Proposed ermanent ❑ Freestanding ❑ Freeway V2 Copies of Site/Plot Plan, Drawn to Scale Sign ❑ Temporary ❑ Wall ❑ Electronic (3 copies,if a building permit is required) (Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81h"x 11",or 11"x 1T apply) ❑ New sign? Alter to existing sign? ❑ 2 copies of elevations,drawn to scale Sign Di ensions: + (3 copes.H a building permit is required) ,;ize requirement 814"x 11",to 24'x 36" Total Sign Are (s ): 50.00 Fee (Permanent sign, any size) Sign Data Total Wall Ar��(sq.ft.) ❑ $15.00 Fee (Temporary sign, any type) (Complete all Direction W it Faces (circle one): Items in this NOTES: section) N SE NE NW SE SW ♦ Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): 111 IT sign placement. Copy: ♦ Wall signs do not require site/plot plans. Materials: ♦ Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes 0 No building permit. ♦ If work authorized under a sign permit has not Te: El Internal External been completed within ninety (90) days after Are there any existing freestanding or wall si ns at this the issuance of the permit, THE PERMIT WILL location, including wall signs that overlap a tenant space? BECOME NULL AND VOID. ❑ Yes I No „ I i jOVER FOR SIGNATURES) If"Yes ,a list or diagram of all sign dimensions and "Y square footage must also be submitted. I hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of the owner, and that plans submitted are in compliance with the City of Tigard. DATED this day of 20 Signature of Owner/Agent Contact Person Name Phone No. � r 3 � 6 VOKL 1!�iOf "$ 'rte ApF rr�aAl.............TY....... ........ ............... ._._ Gondijily Approved..__............ For _ Ythe �d ,h HHWIT NO.��I — 110 Soe le*w to: Follow._.._....._...... ( ] m iEb vi Receipt #: 27200100000000002140 _,.► Date: 05/23/2001 T 1 D E M A R K COMPUTER SYSTEMS, INC. Line Items: Case No Tran Code Description Revenue Account No. Amount Due SGN2001-00096Sign Permit 100-0000-437000 $50.0 Payments: Method Payer Bank No Acct Check No Confirm No. Amount Paid Check STANDARD TV&APPLIANCE 0 53819 0 $50.00 TOTAL AMOUNT PAID: $50.00 5240 SE 82nd Ave. bank® No. 53819 Portland, Oregon 97266-4804 24-Hour Banking (503) 777-3377 1-800-673-3555 24-22FS p93 APPLIANCE, INC. 1230 DAT)�E t CHECK NO. +y'©( 538/ - 1 AMOUNT PAY !- 70z)�'s 0() VOID IF NOT CASHED WITHIN 60 DAYS TO THE ` OF II11405381911' t: L23000220I: 15360334129SII'