SGN2004-00076 C ITY OF TIGARD SIGN PERMIT
1l�'i" DEVELOPMENT SERVICES DATE ISSUED: MII # 4/23/2004 SGN2004-00076
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AA -01000
BUSINESS NAME: RIPLEY'S FURNITURE ZONE: C -G
SIGN LOCATION: 14170 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X4'
TOTAL SIGN AREA: 12 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of (1) one 12 sq ft temporary sign. Sign must be placed on private
property and not in the public right -of -way or visual clearance area. Valid
4/23/04 - 5/23/04. Sign #2
MATERIALS: WOOD
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
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 si• n permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 da from .lie date.
'
APPROVED BY: 1 coos
PERMITTEE SIGNATURE: /k 4W4 4W4
DATE: 4/23/2004
■
N A M' 4N4
A.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
I� ipky Ftvn1 FOR STAFF USE ONLY
Address/ Street Address Permit No.: CC It/Z (./ - 06a 7,--6 Location i 4 17D $.W • PaCy r tC, ty Expiration Date:
Suite /Bldg. # City /State Zip q72.24
Ti r e OR Receipt #: t'3 - 1 ( ?9
Name I Approved By: / A 701; Property Date: 47 .1...3
Owner Mailing Address Suite Map /TL #:
Zoning: C C7
City /State Zip Phone
Tenant or Name , Electrical Permit Required? I=1 Yes El
Business ' I `--7 S Building Permit Required? ❑ Yes E - No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
-
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit I (Note: applications will not be accepted
issuance, a 1
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 of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign 16 Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Billboard El Balloon 111 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 Dimensions: 4'W X 3' H
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
1 2. ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(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 l< 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 been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
❑ Yes ID 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.
Y‘
DATED this 2 d ay of 'r� t , 20 t 4
Signature o caner /Ag t
:poky ► � R t pt .563 -,631 —4 I(
Contact Person Name Phone No.
CITY OF TIGARD 4/23/2004
13125 SW Hall Blvd. 1:45:23PM
i�, aw t Tigard, Oregon 97223
lln. - , (503) 639 -4171
Receipt #: 27200400000000001699 .
Date: 04/23/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00076 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2004 -00077 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $46.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check RIPLEY'S FURNITURE KJP 4505 In Person 46.00
Payment Total: $46.00