SGN2001-00223 d • ,
C ITY OF TIGARD SIGN PERMIT
PERMIT #: SGN2001 -00223
A DEVELOPMENT SERVICES DATE ISSUED: 11/28/01
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: PARK PLACE PLAZA PARCEL: 2S102CC -0070
SIGN LOCATION: 13599 SW PACIFIC HWY
APPLICANT /AGENT: DENNIS MORTON ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3' X 2'
TOTAL SIGN AREA: 6 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary placement of (1) A -Board sign. Not to be placed in visual clearance
area or public right -of -way. Valid (3/3/02- 4/3/02) Sign #3
MATERIALS: PLYWOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the re ulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All rk 11 be done in accord e with approved plans. A sign permit shall expire 90
days from approval date. A tern orary ign shall expire 30 y fr m approval date. A balloon sign shall expire 10
days fmm annmval data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 11/28/01
11/20/2001 14:53 FAX 5035981960 CITY OF TIGARD iO02
r .
A ! . . SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Nall 81vd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
612_0o ( - qda.33
GENERAL INFORMATION • 3 r,lciD 14 k 1 oa-
'Name of DevatoprnentlProject
/� /f I r , �`' � � P
Site P0. Z r{ G 1 C.e 4 A !1 i }cL f `L �f l � l iJ�(l i i ^ � e n l
l r ' ' '
Address! Street Address 01''.i..", � _ '
Location 3 5 9q S ,� • i'ac . �•c. t HJ , r- ii ,, t i I ,, i _' ' o / `I
[ J / q
5 „ City/State Bp wVo11r r lsl rIC} r _ _ ' j
r 1 tar D i� a -F„ - - `J
Name
,. r)`A -
Property 0 e r% s irk 1--\o r 1 o r` _
Cie ! };r `_
Owns
Haling Address su
City /State Phone ' 4 - _' •0 . -
zip _
h) l; r... 0 r e l�� ca - ?` -1 a'
Name !i
Tenant or I. r - � 1
Business _ 'J,.±1 l •j° i ∎-r' _ _
Name
Sign -
Contractor Msaire Address .
(Prior to permit
Issuance, a
copy of all City/State MP Prone RN?' ORIEL) SUBMI1T
required (Note: app lkadons wWl net be accepted
expired In 11no Oregon Const
rou M Cont Board to
. without the required submittal elements)
City of Tigard's License p
deteesse) J ❑ Completed Application Form •
Proposed 0 Permanent Freestanding Freeway 0 2 Copies of Site/Plot Plan. Drawn to Scale
Sign Tw eery U i wan ❑ Eled1O"10 (3 copies. de building ne m* le required)
(Check all mat Other ❑ Billboard ❑ Balloon steno requirement Ow x 11', or 11" x 1r
aooNl a 2 copies of elevations, dt awn to scale
® New sign? ❑ Alter to existing sign? ❑ (8 car If a building permit Is required)
Sign Dimensions: 3 ., r situ) requirement 8Va" x 11', to 24' x 36"
, K
Total Sign Area (sq. ft.): ❑ $50.00 Fee (Permanent sign, any size)
3 Total Wall Area (sq. ft.) 3 s ❑ $15.00 Fee (Temporary sign, any type)
Sig n Data fi
(Complete all Direction Wall Faces (circle one):
Items in this '
section) N S ID NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign f : but must Include dimensions of wall face and
Projection From Well (inches): sign placement.
C . Wall signs do not require site/plot plans.
Materials: P 1, w o • Freestanding signs over 6 ft. required a
building
Will sign have Illumination? ❑ Yes ® No • If work authorized under a sign permit hes not
Type: • Internal • External been completed within ninety (SO) days after
Are there any existing - - -ta . ing or wall signs at this the issuance of the permit, THE PERMIT WILL
Nation, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
. ❑ Yes 5 No
If "yes", a list or diagram of all sign dimensions and
(OVER FOR SIGNATURES)
ua foe a must also be submitted.
a_Q_. f(Divuo c[ •
3(C(- ocaao
11/20/2001 14:54 FAX CITY OF TIGARD 2003
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 ? �
, y► day of c ?Jg w, e 20 c
Signature of Owner /Agent
wor
Contact. Person Name Phone No.
•
DEN TEK 4 ,
Colonial Business Center (503) 655-4149
10802 S.E. Hwy. 212, Clackamas, OR 97015
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Colonial Business Center (503) 65544149
10802 S.E. Hwy. 212, Clackamas, OR 97015
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Receipt #: 27200100000000004643
T I D MARK Date: 11/28/2001 c 1
COMPUTER SYSTEMS, INC.
Line Items: ®®
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00220 [SIGN] Temp Sign Perm 100 - 0000 - 437000
$15.00
SGN2001 -00221 [SIGN] Temp Sign Perm 100- 0000 - 437000
$15.00
SGN2001 -00222 [SIGN] Temp Sign Perm 100 - 0000 - 437000
$15.00
SGN2001 -00223 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check ELISABETH /DENNIS HORTON 0 1285 0 $60.00
TOTAL AMOUNT PAID: $60.00
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