SGN2004-00077 CITY TIGARD SIGN PERMIT
;ilt DEVELOPMENT H P Tigard, ) 639 -4171 DATEISSUED: I 4/23/2004 00077
13125 PARCEL: 2S 110AA -01000
BUSINESS NAME: RIPLEY'S FURNITURE ZONE: C -G
SIGN LOCATION: 14170 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X8'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: 264 sq. ft.
WALL FACE (DIRECTION): SW
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one 24 sq.ft. permanent 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 or sign permit shall expire. A temporary sign shall expire 30 days from validity
date. A balloon sign shall expire 10 day j .R va 'd ty da -.
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APPROVED BY: � �
PERMITTEE SIGNATURE: •• ' ■wwww■--
DATE: 4/23/2004
_.u.�.�ll'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 R, Q[ey s FuNen i4 -q •r e FOR STAFF USE ONLY
Address/ Street Address Permit No.: 5c4 L3a.( — Ot)0 7 7
Location 1 417 0 & ‘ f acS1 C t
Expiration Date:
Suite /Bldg. # City /State Zip
1 CV1.61 , OK 97224 Receipt #: 2-0Vao 7C2
Name V Approved By:
Property Date: 0-3 /o
Owner Mailing Address Suite Map /TL #:
Zoning: ( "/
City/State Zip Phone
Tenant or Name Electrical Permit Required? El Yes glNo
Business F ,,,,,,,,T44.,.. Building Permit Required? ❑ Yes 121'4O
Name Rev. 8/7/2003 1: \curpin \masters \revised \siqn permit app.doc
Sign
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all City/State Zip Phone q 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 ❑ Temporary ❑ Wall
❑ Electronic
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon III 2 copies of elevations, drawn to scale ,
(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: 3 / ) 8 /
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 241
❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft.)
Sign Data 2_64 Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE 110
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 ErNo 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 ❑ 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 rd day of /f✓` 1 , 20 D 4
Signature of O��gen
I So 3- .431-4 )((
Contact Person Name Phone No.
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CITY OF TIGARD 4/23/2004
13125 SW Hall Blvd. 1:45:23PM
/u�yt�P11I�I�� Tigard, Oregon 97223
� k 6._,.=,, (503) 63 9-4 17 1
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
•