SGN2004-00092 CITY OF TIGARD SIGN PERMIT
,, i l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00092
.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/7/2004
PARCEL: 2S110AA -02000
BUSINESS NAME: FURNITURE OUTLET ZONE: C -G
SIGN LOCATION: 14255 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 56" X 320"
TOTAL SIGN AREA: 125 sq. ft.
WALL AREA: 1,625 sq. ft.
WALL FACE (DIRECTION): W
SIGN HEIGHT: 22 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one permanent 125 sq ft wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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 r ign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 da s fro validity date.
APPROVED BY.
PERMITTEE SIGNATURE: >C
DATE: 5/7/2004
..
A
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
// j�j FOR STAFF USE ONLY
Site 7 r. , ,,L�, i 4e e.__ \..A,,- '
Address/ Street Address �° n (? ? Permit No.: 5 9 N .� Y — 0<50 5 o--
Location /y s 7 .5 (rJ !ite,.: iC /c4
v _7�
Suite/Bldg. # City/State Zip Expiration Date:
', c d a ' 7z Receipt #:
Name C 4 ccsrr,u�� ZN Approved By_: ji2
Property l i c' ( ?7 r-- , Date: 6/7 /
Owner , Address Suite Map/TL #:
Co 1:6'1 C ."c'..p , 7 /0 PiJc.' / Zck. Zoning: ( 9
City/State / Zip Phone
Name e /' W r ' � 1 � ) j' 6 Electrical Permit Required? ❑ Yes �lo
Tenant or jet///
Business ran; w� U � J L ... Building Permit Required? ❑ Yes o
Name ll �� .. Rev. 8/7/2003 i:1curpin \ masters \revisedlsign permit app.doc
Sign rk - , 5 i 5 t P�..IU 5/ c;
V r `
Contractor Mailing Address Suite •/ REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ale -C issuance, a 0 159 I f+LC Kj ttop , pd1 Ng (Note: applications will not be accepted
copy of all City/State Zip Phone 5'63 without the required submittal elements)
licenses are
required if 505440 614' 97375 87 . Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date J
City of Tigard's License # I q. 1
database) El Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed ac Permanent ❑ Freestanding ❑ Freeway size requirement: 81/2" x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall
(Check all that El Electronic ❑ Other ❑ Billboard El Balloon 2 copies of elevations, drawn to scale _cl
tg New sign? (3 copies, if a building permit is required)
g ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: n „
560 .3 2.o t? $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
/ 2 S Sy 7 e,.L. ❑ $1 5.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft /C 2S / Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E <✓ NE NW SE SW
Height to top of sign (feet): 2 , - • 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 0.No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this , completed within ninety (90) days after
location, including wall signs that overlap a tenant space the issuance of the permit, THE PERMIT WILL
yl Yes ❑ No
BECOME NULL AND VOID. ,
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 464,./ (__- 20
Signature of Owner /Agent
/2.fe , sue- sW 9C7 9
Contact Persofi Name Phone No.
•
CITY OF TIGARD 5/7/2004
13125 SW Hall Blvd. 1:43:33PM
', tt, Tigard, Oregon 97223
v' � (503) 63 9-4 17 1
Receipt #: 27200400000000001922
Date: 05/07/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00092 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
SGN2004 -00093 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash FURNITURE OUTLET KJP In Person 62.00
Payment Total: $62.00
Page 1 of 1 cReceipt.rpt
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2,49 Si FT.
2" X 6" FRAME BOLTED TO
WALL EVERY 48" WITH 1/2' .
CONRETE ANCHORS
0 0 0
0
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14 OZ SIGN MATERIAL
SCREWED TO FRAME WITH
3/8 X 1" SCREWS AND WASHERS
EVERY 12"