SGN2001-00097 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00097
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/23/2001
EXPIRATION DATE:
BUSINESS NAME: STANDARD TV&APPLIANCE PARCEL: 1S136CD-0160
SIGN LOCATION: 11674 SW PACIFIC HWY
APPLICANT/AGENT: STANDARD TV&APPLIANCE ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 6'X 6'
TOTAL SIGN AREA: 36 sq.ft.
WALL AREA: 1,428 sq.ft.
WALL FACE (DIRECTION): N
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 0 in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1)non-illuminated banner wall sign.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
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This permit is issued subjectto th gulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. vuor will be done in ac rdance with approved plans. A sign permit shall expire 90
days from approval date. A t pora sign shall expir da s from approval date. A balloon sign shall expire 10
clam;fmm annmval dMA
APPROVED B
PERMITTEE SIGNATURE: 44
DATE: 5/23/200
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 04 60 4t. gwk�-
Suite/Bldg.# City/State zip
Name
Property
Owner Mailing Address Suite
City/State Zip Phone
Tenantor Name
Business 6;
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 without the required submittal elements)
City of Tigard's License#
database) ❑ Completed Application Form
Proposedermanent ❑ Freestanding ❑ Freeway ❑ 2 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: 8'h"x 11",or 11"x 17"
a
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
I n Dimensio (3 copes,if a building permit is required)
I. g ' t/ size requirement: 81h"x 11",to 24"x 36"
Total Sig a(sq.ft.): ❑ $50.00 Fee (Permanent sign,any size)
Sign Data
Total Wall Area( ,,ft.) E] $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wali Paces (circle one):
Items in this NOTES:
motion) N S E W 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 Wail(inches): sign placement.
Copy: • Wall signs do not require site/plot plans.
Materials: ♦ Freestanding signs over 6 ft. required a
Will sign have illumin tion? ❑ Yes §(a No building permit.
External If work authorized under a sign permit has not
T Internal
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this
the issuance of the permit, THE PERMIT WILL
location, inducing wall signs that overlap a tenant space?
BECOME NULL AND VOID.
❑ Yes ❑ No
If"yes",a list or diagram of all sign dimensions and (OVER FOR SIGNATURES)
s uare footage must also be submitted.
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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.
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Receipt #: 27200100000000002146
Date: 05/23/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SON2001-00097Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check STANDARD TV&APPLIANCE 0 53818 0 $50.00
TOTAL AMOUNT PAID: $50.00
5240 SE 82nd Ave. Dank® 'No. 53818
Portland, Oregon 97266-4804 24-Hour Banking
(503) 777-3377 1.800-673-3555 24-22
APPLIANCE, INC. 7230 093
DATE CHECK NO.
AMOUNT
PA4*
e's C7—7
T //� VOID IF NOT CASHED
WITHIN BO DAYS
TO THE
ORDER !OS(
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