SGN2005-00328 CITY TIGARD SIGN PERMIT
D EVELOPMENT SERVICES
PERMIT #: SGN2005 -00328
g.� DATE ISSUED: 10/28/2005
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 10/28/05 through 11/28/05. Sign
#2.
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: (/ J eG
PERMITTEE SIGNATURE: A
DATE: 10/28/2005
r A
e..1!: SIGN PERMIT APPLICATION
OF TIGARD
AL INFORMATION 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 AL INFORMATION
1 Name of Development/Project "
FOR STAFF USE ONLY
Site . ` ()NJ (3KS i A.)>~ -SS i
Address/ Street Address S — 0 0 3 "
Permit No .�C?iJ,00 � B I
_ovation
Boa ` U ..I -, e Q Expiration Date:
Suite /Bldg # City/State Zip
00 I �6 - c) 17 2.24
Receipt #: a OOS — 5538
Name Approved By: CAC-1 j
'ropeity E T Z e✓ V E JTU ,e &.S Date: j 0 - ,A S3 - DS
Dwner Mailing Address Suite Map1TL #: S 1 / (j A — OO b 0
PO 8 a Zoning: 1 - P
Cit 97 , 1 0 zip Phone S 0 3 f I
S We v w.uoon D‹ 6025-'7°4-Si Electrical Permit Required?
tenant or Name q El Yes ®ho
3usiness CH+rT T�'O�'-lE FLAb'- /Lit,S i-/ /A)6-S Building Permit Required? ❑Yes (�] No
Name Rev. 30 -Jul -01 i.lcu .Inlmasterstrevisedtsi.n • - rmitappdec
ilgn ,".L- C � /c.r>c) S/S-re'yjr�.5 �y�
;0 ntractor Mailing Address Suite p
p rior 10 permit REQUIRED SUj3MITTAL ELEMENTS
;nuance, a ZDU dN t..e e? Hpy., 20c3 I (Note: applications will not be accepted Y
spy of all City /State Zip Phone 50'3 without the required submittal elements)
cenies are
wired it 1-2-3:e31)--- -7 q2 23�" ( � 5 Cg. Completed Application Form
xpired in the Oregon Cons!. Cont. Board Exp. Date
:ity of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
atabase) 77810 3 .4/04
(3 copies, if a building permit is required)
'roposed ❑ Permanent ❑ Freestandin g ❑ Freeway size requirement: 8W x 11 ", or 11" x 17°
t � �enc ail that ^/ `—' Temporary ❑ Wall ID Electronic ❑ 2 copies of elevations, drawn to scale 1
Iyp ❑ Other ❑ Billboard ❑ Balloon copies, s, If a building permit is required)
size requirement: 81/2" x 1V, to 24" x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
` )C j k l " r $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft):
/, NOTES:
;ign Data Total Wall Area (sq. ft)
"Wei Wall signs do not need to be drawn to scale,
:ompiate all but must include dimensions of wall face and
Direction Wall Faces (circle one):
sms in this sign placement.
:also) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
Height to top of sign (feet): " • Freestanding signs over 6 ft. required a
building permit.
Projection From Wall (inches): A.J/ 4 • 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 '',E1 No BECOME NULL AND VOID.
, Type: D Internal External --
,re there any existing freestanding or wall signs at this Not al jurisdictions accept credit cards, please call junsdicticn tor more information.
sa
)cation, Including wall signs that overlap a tenant space? 0 V 0 MasterCard
❑ Yes ❑ NO Credit card numbe _ / /
Expires
• "yes ", a list or diagram of all sign dimensions and Name ofrardholderas shown on credit card
quart footage must also be submitted. I.
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 cU 5
•
Signature of Ow_ _-
Contact Person Name Phone No. ___
3c
:.
HOME FURNISHINGS ' lit [ >ay
36" CONSIGNMENT -} R L� L.
503 -620 8686
f iR.111°1111at
CITY OF TIGARD 10/28/2005 •
13125 SW Hall Blvd. 9:13:04AM -
d 00, Tigard, Oregon 97223
(503) 63 9-417 1
Receipt #: 27200500000000005538
Date: 10/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00328 [SIGN] Temp Sign Perm 100 - 0000 - 437000 16.00
SGN2005 -00328 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $18.00
Payments:
Method Payer User ID Acct. /Check No.Approval No. How Received Amount Paid
Check CACHET CAC 4708 In Person 18.00
Payment Total: $18.00
•
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