SGN2005-00368 F
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00368
DATE ISSUED: 11/30/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 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: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 36"
TOTAL SIGN AREA: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 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 11/30/05 through 12/30/05. Sign
#3.
MATERIALS:
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: (..i41.4 a
PERMITTEE SIGNATURE: /
DATE: 11/30/2005
1
a. ..,,t` SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hal! Blvd., Tigard, OR 97223 (503) 639 -4171 FAX. (503) 6.94-7297
ENERAL INFORMATION
Name of Development/Project i °- -
iite FOR STAFF USE ONLY
o>v KS P
4ddress1 Street Address Permit No.: 56M a oz`s -- 003co8
_ocation 800 c-0 ti,, R p
Suite/Bldg. Zip
Expiration Date: I2 - 3u --
g. City /State Zi
" t 7 t5' ten 1-7 u 4 ` Receipt #:
Name Approved 13y: f{
'rope ty E T Z e VE7'0 If S Date: 1 i 2 v 5
)weer Mailing Address Suite Map/TL #:
nPOs �--7S I Zoning:__ 1 - P
City /State 97 10 Zip Phone S a 3
Tenant or ~ N W eV. /. C.)QC�(o ‹ & 25, 704S !!! Electrical Permit Required? ❑ Yes ❑ No
3usiness C:s�C.H� rlloex -re RA/2, Nt5 H in/6r -S Building Permit Required? [] Yes ❑ No
Name Rev 30 -Ju O1 i tcurptn inastersVevisedtsic{n permit ape doc
iign - Luis. iC. -rc S'S W1S
:ontractor Mailing Address • ' Suite
'rior to permit REQUIRED SUBMITTAL ELEMENTS
issuance, a !EP. iiS4A1 (.CJireK 200 (Note: applications will not be accepted
opy of all City /State Zip Phone 60 without the required submittal elements)
centres are
;paired if /RD 6 7 l2 4 6 .3_a° S 65) Completed Application
xpired in the Oregon Cons!. Cont. Board Exp. Date P aPP t,ation Form
tty of Tigard's License e 4/ atabase) 778 6 3 J ! ❑ 3 2 Copies if f a b permit is regqu to Scale
rtaposed ❑ Permanent ❑ Freestanding size requirement 8V " x 11 ". or 11" x 17'
g g ❑ Freeway
ii
a8 that p Temp orary 0 Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
ppiy) ❑Other ❑ Billboard ❑ Balloon (3 copies, if a building permit le required)
size requirement 8W x 11 ", to 24" x 36"
❑ New sign? ❑ Atter to existing sign?
Sign Dimensions: ❑ $50.00 Fee (Permanent sign, any size)
a30` X 36" $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
'7,5 j2( NOTES:
sign Data Total Wail Area (sq. ft.) A-VoIi • Wall signs do not need to be drawn to scale,
:omplete au Direction Wall Faces (circle one): • but must include dimensions of wall face and
►ms in this
sign piacoment.
3cnon) 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): ,� r�
Projection From Wall (inches): building permit.
inch
( ) Nl3 • 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 )3g No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
re there any existing freestanding or wall signs at this Not el furialictions accept credit cards, please call jurisdiction for more information
tcation, including wall signs that overlap a tenant space? o Vise 0 MasterCard
❑ Yes ❑ No Credit card number _ __________ / i _
Expires
"yes ", a list or diagram of all sign dimensions and Name of cardholder es shown on credit card
guare footage must also be submitted,
Cardholder siQhtrhpe - - s Aunt
(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 . ‘ 5 2 14L. day of • , 20
G•
cum
- i nature of Ow ent !�
g !l�_
3 ( 2 o s(e
Contact Person Name Phone No.
f
HOME FURNISHINGS Lc
3k7 CONSIGNMENT a L�
503- 620..3686
r °111811811
CITY OF TIGARD 11/30/2005
13125 SW Hall Blvd. 9:29:42AM
, �,� Tigard, Oregon 97223
AN '� L (503) 63 9-417 1
Receipt #: 27200500000000006086
Date: 11/30/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 - 00368 [SIGN] Temp Sign Perm 100 0000 - 437000 16.00
SGN2005 -00368 [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
Check CACHET CAC 4784 In Person 18.00
Payment Total: $18.00
cReceipt.rpt Page 1 of 1