SGN2001-00100 CITYOF TIGARD SIGN PERMIT
' DEVELOPMENT SERVICES PERMIT#: SGN2001-00100
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 5/24/2001
EXPIRATION DATE:
BUSINESS NAME: HOLLYWOOD VIDEO PARCEL: 2S103DD-0040
SIGN LOCATION: 13727 SW PACIFIC HWY
APPLICANT/AGENT: HOLLYWOOD VIDEO ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 2'X 12'
TOTAL SIGN AREA: 24 sq.ft.
WALL AREA: sq.ft.
WALL FACE (DIRECTION): SE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of(1)temporary banner sign. Not to be placed in visual clearance area
or public right-of-way. Valid 5/25/01 to 6/25/01. Sign permit#1
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to t ulations contained int a Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. I work 'll be done in accord
nce with approved plans. A sign permit shall expire 90
days from approval date. A t mporary ign shall expire ys om approval date. A balloon sign shall expire 10
clave frnm annmval rlatP /}-
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 5/24/2001
05/21/2001 14:54 FAX 5036847297 City of Tigard 121002
1 �•
SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Xall Blvd., TTgard, OR 97223(503)639-4171 FAX- (503) 684-7297
GENERAL INFORMATION
Name of Development/Project
Site FOR STAFF USE ONLY
Address/ street Add ss
Location 'f a-7 5W q Permit No.: 66
Suite/Bldg.# City/state V Zip /_
46dO a3 Expiration (Date: �2
Name V Receipt#:
Property w � G�LGI 4tit Approved By:
ftl —
Owner Wiling A cess `' supe Date: 105
- 1-300,5w 611, Pv-e— -26W Map/TL#: g is �
City/State 7ir Phone
Zoning:
Tenant or Nartie
Business �� Electrical Permit Required? EJ Yes No
Narne 0 Building Permit Required? ❑ Yes No
Sign Rev.12/1/2000 t\curpimmastermroviseftlan permit a p.doc
Contractor Mailing Address Suits
(Prior to permit
issuance,a
copy of all City/State. Zip Phone
licenses are REQUIRED SUBMITTAL ELEMENTS
required if (Note: applicatlons will not be accepted
expired In the Oregon Const.Cont,Hoard Exp.Date
City ofTigard-s License# without the required submittal elements)
database
Proposed ❑ PermanentER Freestanding ❑ Freeway
❑ Completed Application Form
Sign ry
Tem ora wawall El Etectmic ❑ 2 Copies of Site/Plot flan, Drawn to Scale
(Check all that p Other El Billboard Balloon (3 copies,If a building permit Is required)
a stze requirement Bah'x 11",or 11"x 17"
New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations,drawn to scale
Sign Dimensions' / / (3 copies,if a building permit is required)
size requirement SY2"x 11",to 24"x 36'
Total Sign Area(sq.ft.): 1 $50,00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.) $15.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces(circle one):
Items in this
mon) N S E W NE NW (i—g) SW NOTES:
Height to top of sign (feet): 411 4 Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
Projection From Wall (inches): sign placement,
Copy: • Wall signs do not require site/plot plans.
Materials: 4 Freestanding signs over 6 ft. required a
Will sign have illumination? E] Yes �No building permit.
Type; ❑ Internal EKlExtemal • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑
BECOME NULL AND VOID.
Yes ❑ No
If"yes",a list or diagram of all sign dimensions and DOVER FOR SIGNATURES)
s uare footage must also be submitted.
I,�
05/21!2001 14:55 FAX 5036847297 City of Tigard IM 003
s 'y
I hereby acknowledge that I have read this application, that the information given is
correct, that 1 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 bf Owner/Agent
-5 76- 18 �
Contact Pe on Name Phone No.
I
Receipt #: 27200100000000002168
f Date: 05/24/2001
TIDEMARK
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00100Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer
Bank No Acct Check No Confirm No. Amount Paid
Check HOLLYWOOD ENTERTAINMENT 0 528455 0 $15.00
TOTAL AMOUNT PAID: $15.00
HOLLYWOOD ENTERTAINMENT CORPORATIONNationsBank No• 5 2 8 4 5 5
HOLLYWOOD MANAGEMENT CO. 55.79e
9275 SW PEYTON LANE NationsBank,N.A. 531
WILSONVILLE, OR 97070 Asheville,North Carolina
CHECK DATE CHECK NUMBER CHECK AMOUNT
23-MAY-
01 529455 *###*#**#15.0
PAY Fifteen Dollars And 00 Cents##***********##******VOID AFTER 90 DAYS
**##*############
TO TH E
ORDER OF
TIGARD (OR) CITY OF
13125 SW HALL BLVD
TIGARD, OR 97223
SECOND SIGNATURE REQUIRED IF OVER$100,000
Ila 5 284 5 511' 1:0 5 3 LO 7 9891: 000'480 Z'OG b 3"911'
i
-Aa
'o
A 29-04.4"
Sly IVA
fr
0 M-W 0
CL
%n
CL LL. •A. - c Z-
< /*
o6
�5
rr
P"
.� ' ; . .. - 11 � ��_,�, ' r� n �
Iv
w SET
Ce
0)
C)
Mob
be v,
C7
3n-,
Nil AFMAS
9,q-CA 111*16 so pf
A
P—G PALDM� tunfor,
Srrf'
tftw—to" RdMM 14 M.
PLAN
ftv.A-po 40"a'V"cp MAUo'soft-w9w 4s.wwv
k A6 tLl oo
1�op KM DMO 10
NOT FOR CONSTRUCTION
Al
Fav - SGN-0903 G 6UN-UyU;i is OUIV-UyU3 H
■NAY����Y7�r
. }t S l}•- vii` _ ) 'T.A �r �T
btu.
k yyr
t
--------------------
DAYS -
Coupon SGN-0830
Terminal Talker SGN-0829 Front and Back Poster SC
THANK YOU
STOREWIDE wAwfn.b.r�tlns.t.o:..uaa«.. ' '
CLEARANCEPOR YOUR PATRONAGP
---------- — ., —
wtrre ,
We Atti0t111SR. {
D
100
MA$1'E .CAS
h1!
�,;,
�rt sanll�twasMN�Nt�auc�rslMeW ars. f �.. ...:
Banner SGN-0828 c, ' � .'
t
Mon�.IIc
401
i 1 f+,{{J^•�J1i ti � ill l- �_».—-L.—- � , '` Q w-wM e y y d
s. ` to i (� ' /• � '. ��\ � .!•)'„•� tD
lt'A.
... »., r K
I I) ~ v
�' � N 3 ! � 1 • � •I I- ,� '' .._... _ �1�fes, ��� - NS
'° �
a o � ► � � ► � � _ : �`��• w:^”' `• `��__ '`�-.1��/� — _ _ it
Q -sitCL
r Z 1- it
tit,a�., ..I .>♦.t ) w" ^_ �'-•1•
., _ r
94*
-� --
F,_ /�•-
,:��:: _ o
�w Dom•
lbsba
5ffi_ PLAN .,.e.,
1 , - - r,O.f.M..t.�,..ut► [10
i ,[.V[,M. IIY1Y ld A. '
I
M ••.t!K_yM..
,• • W.
SHEET
• ,. ,•
M/LLIIbon.YN U•.»I Al.•[\[.�/.p!p•OHS
-61"10
H01 fOR CONSTRUCTIONIvo 1\op,.f,l..,p YMo ""j m
1 k