SGN2005-00142 CITY OF TIGARD
SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00142
.J� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/2005
PARCEL: 2S113BA -00200
BUSINESS NAME: CACHET HOME FURNISHINGS ZONE: I -P
SIGN LOCATION: 07800 SW DURHAM RD 400 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 39" X 36"
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 4 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 7.5 sq.ft temporary sign. Sign must be placed on private
property and not in the public right -of -way. Valid 05/19/05 thru 06/19/05. Sign #1
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 d
APPROVED BY: l
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PERMITTEE SIGNATURE: �
DATE: 5/18/2005 ;/
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1 -,
r1!1`t�,� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
iENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site .J Fi - C- 0, e its r.vE -S • S Pi-q-
Address/ Street Address Permit No.:, - 4/.:Zex> ST— - 7 7
Location 7800 dr4,u ° (--e -`., R D Expiration Date:
Suite /Bldg. # City /State Zip
Receipt #:
- 4 OU T2 coo 9 2
Name Approved By: �1.1
Date: e >4� `7:11.)c.
Property Pi T Z G " V E7'U�Li �-5
Owner Mailing Address 1 Suite Map/TL #:
Pd 7S Zoning:
City/State 97/10 Zip Phone S o 3
Z NC_�2LUOCi) U1° & 25 7C) 4S Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name /r/'
Business Gpc�E T d <2 Nt C N /AI ES Building Permit Required? ❑ Yes ❑ No
Name Rev. 30 -Jul -01 is \curpin \mastersVevised\sign permit app.doc
Sign "`L, .(ci --A0 SySI 5
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a `] Ct .4 -) J) ? K/�ih 200
:opy of all City /State Zip Phone 50a, without the required submittal elements)
licenses are
•equired if '7 I' /72-24 63 .). 56560 ,o, Completed Application Form
axpired in the Oregon Const. Cont. Board Exp. Date
3ity of Tigard's License # 77 314 3 % 9 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
iatabase (3 copies, if a building permit is required)
Proposed ❑ permanent ❑ Freestanding ❑ F reeway size requirement 8 x 11 ", or 11" x 17"
Sign
:Check all that Temporary ❑ Wall E] Electronic ❑ 2 copies of elevations, drawn to scale
❑ Other ❑ Billboard El Balloon (3 copies, if a building permit is required)
apply) size requirement: 8 /f x 11', to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: ,� „
%3d X ,9 d X $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
'7 - 0 NOTES:
Si n D ata Total Wall Area (s q. ft N �� • Wall signs do not need to be drawn to scale,
g but must include dimensions of wall face and
Complete all Direction Wall Faces (circle one): - sign placement.
tems in this
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): -4,3 `/ building permit.
Projection From Wall (inches): /0/ A- • 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 Ifg No
BECOME NULL AND VOID.
_ Type: ❑ Internal ❑ Extemal
%re there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
0
ocation, including wall signs that overlap a tenant space? visa ❑ Mastercard
Credit card number 1 /
❑ Yes ❑ No Expires
f "yes ", a list 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)
4
•
s, • 4
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
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Signature of Ow - A gent
_ 03 - ZO- Ov(
Contact Person Name Phone No.
20 4
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1
HOME FURNISHINGS
1o Lt C' CsDPy
36" CONSIGNMENT b R
503- 620 -8686
r pnamment
l
CITY OF TIGARD 5/18/2005 .
13125 SW Ha11 Blvd. 1:15:19PM
Tigard, Oregon 97223
(503) 639 -4171 _
Receipt #: 27200500000000002223
Date: 05/18/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00142 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
Check CACHET MAS 4411 In Person 15.00
Payment Total: $15.00
cReceipt.rpt Page 1 of 1