SGN2001-00156 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00156
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/2001
EXPIRATION DATE:
BUSINESS NAME: HOMELIFE PARCEL: 1 S136CD-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): W
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 a ulations contained ' the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. II wor will be done in a o ance with approved plans. A sign permit shall expire 90
days from approval date. A emp ra sign shall expir 30/'ay?from approval date. A balloon sign shall expire 10
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APPROVED BY.
PERMITTEE SIGNATURE: \
DATE: 8/23/2001
l
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.: �(J
Location �{ PC'Irl:c— L„
Expiration Date:
Suite/Bldg.#1' City tate Zip
r8 4 -Y� Receipt#:
Name Approved By: icr
Property Date:
Owner Mailing Address Suite Map/TL#:
Zoning:
City/State Zip Phone
Tenant or Name
Electrical Permit Required? ElYes [�Nq
'
Business �(� l Building Permit Required? El Yes o
Name l / Rev.30Jul-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,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 Tiigard's License# �P2 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 �Pem�anent Freestanding ❑ Freeway
Sign ❑ Temporary wall ❑ Electronic ( 2 copies of elevations, drawn to scale
(Check all that (3 copies,if a building permit is required)
apply) ❑ Other ❑ Billboard ❑ Balloon d150.00
ze requirement: 8'/2"x 11",to 24"x 36"
EJ New sign? [JAiter to existing sign? Fee (Permanent sign, any size)
Sign Dimensions: �
p ❑ $15.00 Fee (Temporary sign, any type)
Total Sign ea(sq. ft.): NOTES:
Total Wall (sq.ft. 1 ^� ♦ Wall signs do not need to be drawn to scale,
Sign Data a - �� X(Do but must include dimensions of wall face and
(Complete all Direction Wall Eapes (circle one): sign placement.
items in this
section) N SAMNE NW SE SW Wall signs do not require site/plot plans.
section) N S NE NW SE SW
♦ Freestanding signs over 6 ft. required a
Height t top o sign (feet): building permit.
Projection From Wall inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: /.c ti the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes ❑ No
BECOME NULL AND VOID.
Type: 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, including wall signs that overlap a tenant space? O visa ❑MasterCard
Credit card number
❑ Yes JNo Expires
If"yes",a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. S
Cardholder signature Amount
(OVER FOR SIGNATURES)
I hereby acknowledge that 1 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
e�
ner/Agen
Contact Person Name Phone No.
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X Y
(MTY OF '�t-SAND
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Condi-s.,itkiy Approved.....................................
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OIC COPY
Receipt #: 27200100000000003492
Date: 08123/2001
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
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