SGN2003-00227 CITY OF TIGARD SIGN PERMIT
, DEVELOPMENT SERVICES PERMIT #: SGN2003 -00227
, 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/18/03
PARCEL: 2S 110AB -00200
BUSINESS NAME: FURNITURE & BEDS OF OREGON ZONE: C -G
SIGN LOCATION: 14385 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 18' X 40'
TOTAL SIGN AREA: 60 sq. ft.
WALL AREA: 900 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of wall sign. Twelve signs grouped together to form one (1) wall sign.
MATERIALS: PLASTIC
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES:
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:
PERMITTEE SIGNATURE:
DATE: 9/18/03
p / A
4 Ali 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
ea-II/P-1 j FOR STAFF USE ONLY
Site befrvy 57 0- ->'e-
Address/ Street Address _ Permit No.: SAN au03 r 00 c 7
Location /z S J" -u1 P�, / / 4 //g/ Expiration Date:
Suite /Bldg. # City /State Zip
//- Qpel OP 97zz / Receipt #: a 0 — 4 /6. T
Name Approved By: �. ea.,c„vii,
Property G' e Il; /y6 Date: 9 — /8 - 03
Owner Mailing Address (' Suite Map/TL #: a S/ 1 0 4 6- 049.0c)
1� ; q i &Giii< 14-1/ Zoning: C
City /State Zip Pho
. 1; frd 97. 1 5-p -o-42D S Electrical Permit Required? 111 Yes [X No
Tenant or Na e
Business J Building Permit Required? ❑ Yes [ No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Co . ctor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to pe m jt (Note: applications will not be accepted
issuance, a w ithout the required submittal elements)
of all City /State Zip Phone q )
licenses are
required if y 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 lg. Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary R. Wall ❑ Electronic
(Check all that ❑ Other Billboard 1=1 Balloon 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
a. New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: „ /
a A( ../D V1 $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): /
(P D !; , � $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 0 W NE NW SE SW
Height to top of sign (feet): a 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: o Wall signs do not require site /plot plans.
Materials: Pict /r • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes El No building permit.
Type: ❑ Internal 'g] 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 day of , 20
ignature of Owner /Agent
Contact Person Name Phone No.
i1:=7 t ` ! 1 r ,
� C. , i C C X77 ! `t , 97 6 a N �. —, ��,
1
CITY OF TIGARD 9/18/2003
13125 SW Hall Blvd. 8:53:52AM
, Tigard, Oregon 97223
:�. (503) 639 -4171
Receipt #: 27200360000000004164
Date: 09/18/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00227 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check BUYER'S MARKET INC DBA CAC 5008 In Person 31.00
Payment Total: $31.00
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