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SGN2001-00155
w CITYOF T SIGN PERMIT DEVELOPMENT SERVICES PERMIT#: SGN2001-00155 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: 2,400 sq.ft. WALL FACE (DIRECTION): E 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 will be done in acc rdance with approved plans. A sign permit shall expire 90 days from approval date. A tem?Ira sign shall expire 0 days from approval date. A balloon sign shall expire 10 rinvc fmm annmval rintP APPROVED BY: PERMITTEE SIGNATURE: DATE: 8/23/2001 w 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 aml Address/ Street Address Permit No.: Location � 1-t _J3 J(�AL Expiration Date: Suia/Bldg.# Ci /State Zip Receipt#: 0 42 Name Approved By: Property U Date: Owner M fling Address Suite Map/TL Zoning: — City/State Zip Phone Electrical Permit Required? ❑ Yes ENo Tenant or Name 1/. 1G Business 1/ 1C 1�"L Building Permit Required? ❑ Yes No Name Rev.30-Jul-01 i:\curpin\masters\revised\sign permit app.doc Sign Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: applications will not be accepted issuance,awithout 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 Tigard's License# 412 Copies of Site/Plot Plan, Drawn to Scale database) (3 copies,if a building permit is required) Proposed size requirement: 81/2"x 11",or 11"x 17" p �Pennanent � Freestanding ❑ Freeway Sign ❑ Temporary wall ❑ Electronic 14D-�I 2 copies of elevations, drawn to scale (Check all that ❑ Other Billboard ❑ Balloon (3 copies,if a building permit is required) apply) ❑ ize requirement: 81/2"x 11",to 24"x 36" ❑ New sign? ❑ Alter to existing sign? Uri 50.00 Fee (Permanent sign, any size) Sign Dim n ion f ❑ $15.00 Fee (Temporary sign, any type) Total Sign Area (sq.ft.): I © NOTES: Total Wall ren 'on ft 1 - ♦ Wall signs do not need to be drawn to scale, Sign Data p� O� but must include dimensions of wall face and (Complete all Direction �IFaces(csign placement. items ENE SE SW this section) N ♦ Wall signs do not require site/plot plans. S ♦ Freestanding signs over 6 ft. required a Height to top of sign (f building permit. Projection From Wall (inches): ♦ If work authorized under a sign permit has not Copy: been completed within ninety (90) days after Materials: the issuance of the permit, THE PERMIT WILL Will sign have illumination? ❑ Yes ❑ No BECOME NULL AND VOID. Type: El Internal External Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards,please call jurisdiction for more information. location, i(cludinlq wall igns that overlap a tenant space? visa ❑MasterCard 4 Credit card number 1 1 �O�t�lrn.�-0 Yes Expires If'yes",a li or diagram of all sign dimensions and Name of cardholder as shown on credit card square footage must also be submitted. $ Cardholder signature Amount (OVER FOR SIGNATURES) 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 \ I na ure of Owner/Agent Contact Person Name Phone No. Iz -------------------------------------------------------- L4 e as vrc WR 156 C I (%.ITY OF XAPp I-CIVOI ................................................................ Condi i Approved................................... For c,,;nly the wo k a scrOtat in, f ,,-RMlTNO.=I � – L-0 Let�;r tc- Follow....................................... . ..... ..... ...... .. ......... Flu COPY Receipt #: 27200100000000003492 'AA _..� 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