SGN2005-00375 CITY OF TIGARD SIGN PERMIT
.l DEVELOPMENT SERVICES PERMIT #: SGN2005 -00375
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° DATE ISSUED: 12/9/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136CD-01000
BUSINESS NAME: STUPID PRICES FURNITURE ZONE: C -G
SIGN LOCATION: 11745 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT: STUPID PRICES FURNITURE
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 36" X 18"
TOTAL SIGN AREA: 15 sq. ft.
WALL AREA: 0 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of temporary sign. (Valid from 12/9/05 through 1/9/06). Sign #3.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 18.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A permanent sign must be
placed within 90 days from approval date or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 days from validity date.
APPROVED BY: _ - -
PERMITTEE SIGNATURE:
DATE: 12/9/2005
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, i 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 5 � � Pu ^ ,ties u,/ y1i tc.,,,z� FOR STAFF USE ONLY
' Address/ Street d dress Permit No.: ,O1U -- 6 v 3 -35
\ Location r , / Cal
Suite /Bldg. # City /State Zi Expiration Date: I 1 a (A, e n �/ D e 7z zy Rec eipt #: 0 oc) 5 � 4
Name Z Approved By: a C cu%,ti.
Property Date: Id
2( Owner Mailing Address Suite Map/TL #: I S I SLe CD —0 1 u 0 °
Zoning: C - G
City /State ' Zip Phone
N ame Electrical Permit Required? ❑ Yes 0 N
X Tenant or tt 1
Business - (,�,9 �.`t ( l irZ.-5 U " , A ' N -.� Building Permit Required? ❑ Yes No
Name 0 Rev. 7/1/05 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
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City tabase License# 111 2 Copies of Site /Plot Plan, Drawn to Scale
Proposed (3 copies, if a building permit is required)
❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other 1=I Billboard El Balloon ❑ 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
), Sign Dimensio •
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(e ❑ $38.00 Fee ,(Permanent sign, any size)
Total Sign Area sq. ft.):
X �z c5 111 $18.00 Fee (Temporary sign, any type) Jurisdict ❑ City ❑ Urb
Si n Data Total Wall Area (sq. ft r
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External 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, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes ❑No I
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
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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 � �C . , 20 B 5 CC
Signature of Owner /Agent
Contact Person Name Phone No.
0
A CITY OF TIGARD 12/9/2005
13125 SW Hall Blvd. 2:38:O5PM e
Tigard, Oregon 97223
_ .11.' (503) 63 9-4 171
Receipt #: 27200500000000006254
Date: 12/09/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00375 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00375 [LRPF] LR Planning Surcharge 100- 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID AcctJCheck No. Approval No. How Received Amount Paid
CreditCard SCOTT ALAN RITT CAC 587790 In Person 18.00
Payment Total: $18.00
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