SGN2003-00293 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2003 -00293
a`u I
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/20/03
PARCEL: 2 S 113 BA -00200
BUSINESS NAME: CACHET HOME FURNISHINGS 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: 36" X 30"
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON •
DESCRIPTION OF SIGN: Placement of one (1) temporary sign. (36" x 30 ") Sign #3. Valid from 11/28/03
through 11/29/03.
MATERIALS: METAL
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 v alidity date.
/
APPROVED BY: { '� J
PERMITTEE SIGNATURE: 4 - X •
DATE: 11/20/03
.
_ - (+, . SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
ENERAL INFORMATION . of Development/Project FOR STAFF USE ONLY
3 ite ,., 1- ,o r..1 ,3L(s1 ,0Sss � tC
4ddressl Street Address Permit No.: - GN )co 3 - Do,p g3
,.ocation 7800 i...) h,4 ,s? 4 y h, 4 Q
Expiration Date: i -ol q - u 3
Suite /Bldg. # I City /State Zip •
«XD 1 croefen 972,2-4 `Receipt #: . o? 0b3 - 5 0Co 3
Name Approved By: C : eL
'roPei'tY PI E T Z. Cr- 612. I/ Ytj ._..5 Date: 0 1 o o 3
7wner Mailing Address J Suite MapITL #: a, S 1 13 k3 A -- bo., o0
i dP`oe3 d I Zoning: i - P
City/State 97/40 Zip Phone S 0 3
.g! D‹ Co 25i 7045 Electrical Permit Required? ❑ Yes , ❑ No
renant or Name
3usiness c ''t E <2 /vt S H /Al 5.-.S Building Permit Required? , ❑ Yes ❑ No
Name Rev. 30-Jul -01 i.tcurpintmasterstrevisedisign permit app.doc
ilgn ^ LjS,SiC (C5 J yS is
:ontractor Mailing Address • ' Suite REQUIRED SUBMITTAL ELEMENTS
Prior to permit (Note: applications will not be accepted
opy of all City /State Zip Phone �r� without the required submittal elements)
tenses are
squired if 11674140 x'72 � � . �i 5to p'2 Completed Application Form
spired in the Oregon Const. Cont. Board Exp. Date
ity of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
atabase) 778 < 3 _ 4/0+ (3 copies, if a building permit is required)
'roposed ❑ Permanent ❑ Freestanding ❑ Freeway
size requirement: 81" x 11 ", or 11" x 17"
►ign 0 Temporary ❑ watt ❑ Electronic ❑ 2 copies of elevations, drawn to scale
'tack all that ❑ Other ❑ etilboard ❑ Balloon (3 copies, it a building permit is required)
WY size requirement: 8W x 1V, to 24' x 36"
❑ New sign? 0 Alter to existing sign?
Sign Dimensions:
43 ❑ $50.00 Fee (Permanent sign, any size)
0`' 2 c „3 . k (� ' f. $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): '7,5 0 NOTES:
sign Data Total Watt Area (sq. ft.) /L),/09- • Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
%omplete all Direction Wall Faces (circle one): placement.
'ins In this
action) N S E W NE NW SE SW • Wall sign€ do.not require site /plot plans.
• Freestanding signs over 6 ft. required a
liei9ht to top of sign (feet): 4? `/ building permit.
Projection From Wall (inches): /0/ 4 o If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materiais: the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes 1S1 No BECOME NULL. AND VOID. ,
Type: j21 internal 0 External
,re there any existing freestanding or wall signs at this Not all lurisdiciaons accept credit cards, please cell luitsdicdon tor more information.
)cation, including waf signs that overlap a tenant space? o vise O MasterCard
❑ Yes 0 N Credit card number / Expires ---
"yes ", a list or diagram of all. sign dimensions and Name of cardholder as shown on crept card
guars footage must also be submitted.
Cardholder dgnetur a Amount
(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
Sig ature of Owr --
Contact Person Name Phone No.
t lC7ME FURIVISI 111�IGS D {� {oZ_t C,'�T Ca y
3C1 CONSIGNMENT 15 N
503 620 - 8686;
CITY OF TIGARD H/20/2003
.13125 SW Hall Blvd. 10.21:19AM
Tigard, Oregon 97223
•' = (503) 639 -4171
asa Receipt #: 27200306000000005063
Date: 11/20/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00293 [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 CAC 3288 In Person 15.00
Payment Total: $15.00
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