SGN2002-00183 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2002 -00183
%tl�l DATE ISSUED: 10/8/02
' - " - `'' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
EXPIRATION DATE:
BUSINESS NAME: UNITED FURNITURE WAREHOUSE PARCEL: 2S110AA 02000
SIGN LOCATION: 14255 SW PACIFIC HWY
APPLICANT /AGENT: ZONE:
BUSINESS TAX NO: JURISDICTION:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 7' X 12'
TOTAL SIGN AREA: 84 sq. ft.
WALL AREA: 11,029 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Installation of (1) one 84 sq ft permanent wall.
MATERIALS: VINYL &FRAME
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 30.00
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
S
validity date. A balloon sign shall expi da from_ validity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 10/8/02
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U) ::,�,� SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97213 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION v
Name of Development/Project ,StTN 2_i-- 0 0 to
Site � � . '�� � . ® ; � °� Z�����f�Y��� '"� �; s , �. °�.
Address/ Street Address ". '* � $ r t ;4 x" Y e x st3 M • f
Location ''' '. A. 4 s , "_x ra, 4-' A':=2 t ,r t om ; a k; u J,
uit 5 P � _ ; o
Suite/Bldg. # City /State Zip 3 ' ` * ''� �. � �+. � -
.� k irati•n. a e - i $ , ��, ; 4
Name � � .a.;< � $ � �rt±< _ � �
' I l' C rove � �, � i ,g, .:
Ow eft i dress Suite I' Date a'' 45r ® sit c t 3 `� z �` ,
Owner `g �DP� 4't (tt� �MC?V�T a p " , : A 5,_ 'y . � � #
ity / � S f� ta at te �� / � �� Zip �( Phon Z ` + ,t s ^ `. ,.. t , f -- e% � q t^rz' •
p,.- ,�,,
Tenant or Name '..
�'� r J Pk ( I�f fk v w'5 E lectn Pcr7nt . t " • r.0•,- '
Business UN � �' * � `- � +_� .���z� � �;ri ,� ; • ' o
.G ' - It =' e• le _�' � r�� � o �
Name ': -s �� 1 s 4> g
i' eV. 112000 10.. • rpin stem ,-%.q • • Ign ' 4pp • 1,, .. i '' j
Sign ae, Se ws : ttL
Contractor Mailing Addres . Suite
(Prior to permit (sL�O 1/4,) leciM,^
issuance, a I�!/lJ F�1�IG�v/
copy of at City /State A l wr• r� Phone 503 REQUIRED SUBMITTAL ELEMENTS
rquires are
required t A1TNll ) 0 / ct!L applications P
quired it -�T / T / bqj OD ( Note: hcations will p� be accepted
expired in the Oregon Const. Cont. Board 5141 Ex . D to without the required submittal elements)
City of Tgard's License # C' G S
P (S/ O 6Z
database) `{ (2 Completed Application Form
Proposed Permanent R Freestanding ❑ Freeway Q 2 Copies of Site /Plot Plan, Drawn- ta.Sca1e
Sign U Temporary ;i Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2"x 11", or 11"x 17"
❑ New sign? (2' Alter to existing sign? ❑- 2 copies of elevations, drawn to scale (A5 54.1.00.m.)
Sign DlmenSf6ftS: (3 copies, if a building permit is required)
9 size requirement: 8'h" x 11 ", to 24" x 36"
Total Sign Area sq. ft.): u g CI ❑ $50.00 Fee (Permanent sign, any size) 7
— Sign Data Total Wall Area (sq. ft.) u ❑ "
► r OA5F
(Complete all Direction Wall Faces (circle one): •
items in this 1,44V -A 0 VS NOTES:
section) N S E W NE NW SE SW • Wall signs do not need to be drawn to scale,
Height to top of sign (feet): but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: Vitt I 1 • Freestanding signs over 6 ft. required a
Will sign have illumination? gip Yes No building permit.
Type: Internal Exte a • If work authorized under a sign permit has not
been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
R Yes ❑ No
ff "yes ", ist or diagram of all sign dimensions and OVER FOR SIGNATURES)
square otage must also be submitted. r •
Ci�C ' r
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.
7 V4--
61t�2
DATED this day of L , 20 0 2 —
Signature of Owner /Agent
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Contact Person Name Phone No.
0 kg3
S t,) - L.1 e
S -_ - o < 1
10/8/2002
9:35:23AM
T I D E M A R K
COMPUTER SYSTEMS. INC.
Receipt #: 27200200000000003789
Date: 10/08/2002
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2002 -00183 [SIGN] Sign Permit 100- 0000 - 437000 30.00
SGN2002 -00184 [SIGN] Sign Permit 100- 0000 - 437000 30.00
SGN2002 -00185 [SIGN] Sign Permit 100 - 0000 - 437000 30.00
SGN2002 -00186 [SIGN] Sign Permit 100- 0000 - 437000 30.00
Line Item Total: $120.00
Payments:
Method Payer Bank No Account No Confirm No How Received Amount Paid
Check CPC & SONS INC KJP 6222 In Person 120.00
Payment Total: $120.00
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