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SGN2004-00187 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00187 6�'I+ DATE ISSUED: 8/2/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00300 BUSINESS NAME: AMISH FURNITURE GALLERY ZONE: I -P SIGN LOCATION: 15230 SW SEQUOIA PKWY 100 JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: X FREESTANDING: FREEWAY: TEMPORARY: WALL: Y ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 4' -9" X20' TOTAL SIGN AREA: 95 sq. ft. WALL AREA: 1,250 sq. ft. WALL FACE (DIRECTION): W SIGN HEIGHT: 20 ft. PROJECTION FROM WALL: 5 in. ILLUMINATION: INT DESCRIPTION OF SIGN: Installation of (1) one 95 sq ft wall sign. MATERIALS: PLEX /METAL /N EXISTING SIGNS: 1 ELECTRICAL PERMIT REQUIRED: Y BUILDING PERMIT REQUIRED: N ADMINISTRATIVE EXCEPTIONS: TOTAL PERMIT FEES: $ 32.00 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: 4:0 a �� PERMITTEE SIGNATURE: DATE: 8/2/2004 r, , w lip SIGN PERMIT APPLICATION CITY OF TIGARD 13125 SW Ha11 Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297 GENERAL INFORMATION Name of Development/Project I � FOR STAFF USE ONLY Site A Plat, N1 As/it Pl►' e, 1� AI Address/ Street Address �p Permit No.: j � 20- y —0)c0 1 R7 Location 5Z3 0 ..5.1D. S Uoll4 / Expiration Date: Suite /Bldg. # City/State Zip //90 / [0 64 4) Of Receipt #: o b c4 — 3 3 , . Name Approved By: , Property Date: Si-1 Iky Owner Mailing Address Suite Map /TL #: a3s J' 1 — o o3oo Zoning: Jj? City /State Zip Phone Tenant or Nam Electrical Permit Required? EVYes ❑ No Business i 4N. v0ii . 64-gay Building Permit Required? ❑ Yes «No Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc Sign M(1 4 — Lk/I1 14 0/ Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit N SO`j I1 I, j (Note: applications will not be accepted issuance, a rs copy of all City /State Zip Phone without the required submittal elements) lic re quired are -126)11--. ' - n ' ? required if (f �(L `T ��� ;II �3 © expired in the Oregon Const. Cont. Board Exp. Date El Completed Application Form City of Tigard's License # Copies of Site /Plot Plan, Drawn to Scale database) ���Q 7 ❑ 2 (3 copies, if a building Proposed ( p g permit is required) Pro p . Pe rmanent ❑ Freestanding ❑ F reeway size requirement: 8 x 11 ", or 11" x 17" Sign ❑ Temporary Wall ❑ Electronic (Check all that El 2 copies of elevations, d apply) ❑ Other Billboard ❑ Balloon drawn to scale (3 copies, if a building permit is required) X New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11", to 24" x 36" Sign Dimensions: r +■ 9 ❑ $31.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): eiS' ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) i Jurisdiction: ❑ City [1] Urb (Complete all Direction Wall Faces (circle one): items in this NOTES: section) N S E NE NW SE SW Height to top o sign (feet): o2o • 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: �wld6A. 'tfyyt,K C'I�I, , tPM{ • Wall signs do not require site /plot plans. Materials: -F(& .- 4(,� r �N • Freestanding signs over 6 ft. required a Will sign have illumination? 3..Yes ❑ 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 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) L • 1 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. t49 , 20 0 DATED this day of 1 ' / Signature of Owner /Agent ' L03 Z ?/ -3 i?3 Contact Person Name Phone No. CITY OF TIGARD 13125 SW Hall Blvd. M�.,. Tigard, Oregon 97223 AMP' elL (503) 639 -4171 Receipt #: 27200400000000003393 Date: 08/02/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00187 [SIGN] Sign Permit 100 - 0000 - 437000 32.00 ELC2004 -00479 [ELPRMT] ELC Permit 220 - 0000 - 431510 53.40 ELC2004 -00479 [TAX] 8% State Surcharge 100- 0000 - 207020 4.28 Line Item Total: $89.68 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Check MULTI -L1GHT SIGN CO. BB 37442 In Person 89.68 Payment Total: $89.68 Page 1 of 1 cReceipt.rpt c. 50'-0" 5- DEPTH AS x 6 i _ 1-1-1 \ \ 1 TRM� 36 '5- CEM / 22 G0. SHEET METAL DY ''. ' 1,5` 1, 1111::: 7' " LAGS EVERY b` MOD { 7 Tut (p PLEXIGLAS FACE U.I. LISTED T.C. 300 HOUSING . - [ ` . L r� ' l.-lt C ` L ° _� :"tt NEON TDBINO ILLUMINATION ILLUMINATION m K y, T RA TRANSFORMER AS NEEDED G E Rl( S A` A . v . - ' - NEON TUBE GLASS STAND I I '1 , SO 1/1 DRAG NDLE DEPTH S" RACEWAY —�_ i f - SECTION DETAIL pan channel on raceway • a _•d I. 7' -8 1/4" I 1 7-4 1/8" r® M. i L m .— N E - U 1) N ^ .1 _ T , U _ E •e4 ▪ � tttttttft>. � n \ 9 a — ID y !��� . ion 20' -0" DATE 4 -15 -04 ADDRESS !COMPANY NAME DESCRIPTION e I ' ml PH.(503 281 -3083 LAST Amish Furniture Gallery 95.8 SO FT amEampi NOW Utal i Lll ` EDIT 415 04 Tagard,OR Letters - Whdeplex, Black trimcapand returns. �� A Letter box - White plex Mr' Black vinyl background, Black trim -cap FAX (503) 280 -9624 SCALE andretums. " =24" Logo- White plex face with Black vinyl graphic, Black trim -cap and 5p n°9fvB 1" FILE NAME:Amish Furniture returns. 'These plane are the exclusive property of Multi -Light Sign Co. and are the result of the original work of its employees. They are submitted to your company for the sole purpose of your consideration of whether to purchase these plane or to purchase from Multi -Light Sign Co. a sign manufactured according to these plans. Distribution or exhibition of these plans to anyone other than employees of your oompany, or use of these plans to construct a sign similar to the one embodied herein, is expressly forbidden. In the event that such exhibition occurs, Multi -Light Sign Co. expects to be reimbursed $600.00 or more in compensation for time and effort entailed in creating these plans. 1 -5 CITY OF T GA RD Approved C onditional) Approved a 01 y pproved [at , For only the work as described in:< PERMIT NO. �S�i n�'i.JJ�Q - UC l 1 1 '7 ;.:_ See Letter to: Follow [ C / � Attach n Job Adylress: 1 2- S t—) S`e- C„pr w • 6 y : Date:_31 0A CD VI . Itp V/ c osi: z S.W1 Sequoia Pkwy 11 ��