SGN2001-00154 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00154
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/2001
EXPIRATION DATE:
BUSINESS NAME: HOMELIFE PARCEL: 1S136CD-0100
SIGN LOCATION: 11745 SW PACIFIC HWY
APPLICANT/AGENT: HOMELIFE ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4'X 30'
TOTAL SIGN AREA: 120 sq.ft.
WALL AREA: 4,200 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Permanent placement of(1)non-illuminated wall sign.
MATERIALS: BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
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. All vprkwill be done,n acco ance with approved plans. A sign permit shall expire 90
days from approval date. A tem orary sign shall expire ys from approval date. A balloon sign shall expire 10
dw-,from nnnmval date
(60
APPROVED BY: 4V
PERMITTEE SIGNATURE:
DATE: 8/23/2001
C�)
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
FOR STAFF USE ONLY
Site �
Address/ Street Address Permit No.: - M
Location I ID si 5P01C,1*-'- �(u�
Expiration Date:
Suite/Bldg.# Cl y/State Zip
1 Receipt#:
Name Approved By:
Property Date:
Owner Mailing Address Suite Map/TL#: I `J - C
Zoning:
City/State Zip Phone
Electrical Permit Required? ❑ Yes YNo
Tenant or Name Am[
Business (�- - ( \� Building Permit Required? ❑ Yes No
Name Rev.30-Jul-01 i:\curp1n\masters\revised\sign pennit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance,a without the required submittal elements)
copy of all City/State Zip Phone
licenses are
required if Completed Application Form
expired in the Oregon Const.Cont.Board Exp.Date
City of Tgard's License# 2 Copies of Site/Plot Plan, Drawn to Scale
database) (3 copies,if a building permit is required)
Proposed size requirement: 8'/2"x 11",or 11"x 17"
p Permanent ❑ Freestanding ❑ Freeway
Sign Temporary ® wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other ❑ Billboard ❑ Balloon copies,if a building permit is required)
apply) Aze requirement: 81h"x 11",to 24"x 36"
New sign? ❑ Alter to existing sign? $50.00 Fee (Permanent sign, any size)
Sign Dimen 'dns: t
❑ $15.00 Fee (Temporary sign, any type)
Total Sign A f q( ft.):
I NOTES:
Total Wa I Areats- ft ♦ Wall signs do not need to be drawn to scale,
Sign Data ot,I — but must include dimensions of wall face and
(Complete all Directi Wall Faces(circl one): sign placement.
items in this ♦ Wall signs do not require site/plot plans.
section) N S W NE NW SE SW
♦ Freestanding signs over 6 ft. required a
Height to of sign (feet): building permit.
Projection From Wall (inches): ♦ If work authorized under a sign permit has not
Copy: C _ been completed within ninety (90) days after
Materials: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? E] Yes U-No BECOME NULL AND VOID.
Type: 0 Internal External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards,please call jurisdiction for more information.
❑Visa Ell MasterCard
locati including wall sl that ov a tenant space?
Credit card number 1
'�3.��• � Yes O Expires
If"yes, a I t or diagram of all sign dimensions and Name of cardholder as shown on credit card
square foota a must also be submitted. $
Cardholder signature Amount
(OVER FOR SIGNATURES)
r
L
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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1-tITY OF 131KIIII,
AppXON41 ................................................................. V')
Gondi-d.,--mkly Approved...................................
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Receipt #: 27200100000000003492
_..,. Date: 08/23/2001
T 1 0 E M A R K .
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001-00154Sign Permit 100-0000-437000 $50.00
SGN2001-00155Sign Permit 100-0000-437000 $50.00
SGN2001-00156Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
CreditCard DUKE DEROSE 0 0 293150 $150.00
TOTAL AMOUNT PAID: $150.00