SGN2003-00234 CITY OF TIGARD SIGN PERMIT
1 1 1 & DEVELOPMENT SERVICES PERMIT #: SGN2003 -00234
c - I 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/23/03
PARCEL: 2S113BA -00200
BUSINESS NAME: CACHET HOME FURNISHING ZONE: I -P
SIGN LOCATION: 07800 SW DURHAM RD 400 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: Y FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 36"
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in. '
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one temporary sign. Sign must be placed on private property and
not in the visual clearance area. Valid 9/24/03 thru 10/24/03. Sign #1
• MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
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 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: X 61‘6 .
DATE: 9/23/03
„,t.. SIGN PERMIT APPLICATION
CITY Of TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
•ENERAL INFORMATION - --.
Name of Development/Project FOR STAFF USE ONLY
Site - or.) L ms 1 JESS Pl °JC
6 ddressl Street Addr Permit No.: ,5 7 /V j 3 -(� .. 3�
Location 903 � , u J ' j , . t . � • � ? ! - ( �. Expiration Date: 99 J ` f I ° 3 - i'l z' (o3
Suite /Bldg. # City /State Zip
00 C f ID 2,2. ` - `Receipt #: c1 - i& 3-8 --
Name Approved By: ) .
3 ropegty E T Z, 0 Yi ) i l- E.-S
Date: ?k-3/0 -''
Owner Mailing Address Suite MapiTL #:
, pc a--7„S Zoning:_, ---
City /State 9/40 Zip Phone SOS
,5l- /,L- "P2i.4.306D I' Co .2-5.70 45 , Electrical Permit Required? ❑ Yes ❑ No
fenant or Name
3uslness C; c - 1 - M R Nt C 1 ..- f rA J e-.5 1 Building Permit Required? ❑ Yes 0 No
Name Rev. 30"Ju) O1 i :lcurpinlmasterstrevisedtsign permit app.aoc
31gn ' 5 Sy 5"7 /VS �� ��,
'.ontractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
prior to permit (Note: applications will not be accepted
opy of all !State Zip Phone 5,03 asuanoe, a � N ��d - without the required submittal elements)
tenses
aquired are if ?!b �'-7? � GI. 5 5 ;_� Completed Application Form
spired in the Oregon Cont. Cont. Board Exp. Date
:dry of Tigard's License # 7 7� 4 / + ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
/ (3 copies, if a building permit is required)
size requirement 8 x 11 ", or 11' x 17"
iign '
3 rOpO>sed � ❑ Permanent ❑Freestanding ❑Freeway Temporary ❑ Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale • heck all that [3 other 0 Billboard ❑ Balloon (3 copies, If a building permit is required)
ppiy) size requirement: 81/2” x 1 to 24 x 36°
❑ New sign? ❑ Alter to existing sign? ❑ $S0.40 Fee (Permanent sign, any size)
Sign Dimensions: 1 . 6" )4 $15.00 Fee (Temporary sign, any type) •
Total Sign Area (sq. ft.): r1. 5 IS , NOTES:
Total Wall Area (sq. ft.) ` • Wall signs do not need to be drawn to scale,
sign Data /v /01 but must include dimensions of wall face and
%omplete all Direction Wall Faces (circle one): • sign placement.
ems in this
motion) N S E W NE NW SE SW • Wall signs do not require site/plot plans.
• Freestanding signs over 6 ft. squired a
Hei ght to t building permit.
Projection From Wail fiche L/ 4 o If work authorized under a sign permit has not
copy: been completed within ninety (90) days after
Materials: - the issuance of the permit, THE PERMIT WILL
--"- BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes IN No
Type: ❑ internal 1:1 External
,re there any existing freestanding or wall signs at this Not all - 0 mss, please call Jurisdiction for more Information.
0 Visa nation, including wall signs that overlap a tenant space?
❑ Yes ❑ No Credit card number _ p�r®s -
"'yesr " a hst or diagram of all sign dimensions and Name or cardholder as shown on credit wrd
guars footage must also be submitted. S
cardholder stoat= Amami
(OVER FOR SIGNATURES) .
rw 4 w
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 c - , , day of S . , 20 0.
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S of Ow - _gent / •
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. Contact Person Name Phone No:
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36 • •
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HOME FURNISHINGS' •D �PL - t C-74147----- � I /
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36N CONSIGIUMEN • - 6./-.J le L7I/ t� S-6
• 503 - 620 -8686 . •
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CITY OF TIGARD 9/23/2003
13125 SW Ha11 Blvd. 11:24:34AM
ii�,;Nr Tigard, Oregon 97223
(503) 639 -4171
Receipt #: 27200300000000004238
Date: 09/23/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00234 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Check CACHET KJP 3179 In Person 15.00
Payment Total: $15.00
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