SGN2002-00184 CITY TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2002 -00184
c, 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/8/02
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:
DESCRIPTION OF SIGN: Installation of (1) one 84 sq ft permanent wall sign.
MATERIALS: VINYL &FRAME
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED:
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
validity date. A balloon sign shall expire • • -ys from vali ity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 10/8/02
, A cie St-tik. 6 P, ,„
ret
P ...10 ....10 SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Nall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION N ZOO Z — CO l Pi
Name Development/Project
Q� ( /� �! � dd
Site �f , ^.�.r+' 1 :, 1.1 �1'�1 u+,4 L r k,.,
Address/ Street Address c; _ - :'tea 77 r v--" -, � ` ` .1"
Location ( 1 -1' 1i1105r P otA'h lll ° ? 1.-"-.11 L t�" F2; q , . " s
Suite/Bldg # City/State /State Zi a. 4 = `° '` , I i . a r_ `ii r�
g YY �,/►�� Zip .. ( r i s D a e' '` . 't v _ .a. ..� f .
s ,'
I Na ++-e me - jai - ,.: x ;4 s `� - t ` ` ��s - ,az��'" � � �f�s�'�'� f1
k-C OvAnf „ roved, :y: : � .� A ;` Property �l9� S U .» $:
t 1 `lr . ,.. - . 3vp -i t a., S sit,.
Owner Ma iling dress Suite I' a(e - _ � �� x ;w.. °�
Zip Phon -On,) • r '' `,.. -. ai'°`'„...-3 r 7 � . � =. � 4 z
N ame m y r
Tenant or ��` y� �.• � • ��� , t, '� ��� V �� , • ,
,f cu u ��/ iectncalsr�
Business �� \t/V o 1 �`�' � - " � �� ,. . � e� " e =" zte • 3 ' � 6 � -'x � � i`
46 uj(dig • i tz' e • 1 D• "' �' ' , , ,
d
Name Rev=f 172000 ., rpla s vi •n , PP" • ? 3.. ':�" i "�
Sign c ei COP; IN
Contractor Mailing Addres Suite
(Prior to permit (11 9vJ 7
issuance, a !/V F�'�
4 i
copy of all City /State 4 ,1 64(1. Phone 5-D5 ? REQUIRED SUBMITTAL ELEMENTS
licenses are {��,
required it $e' / Olw� 64(1. 6gO0 (Note: applications will nQt be accepted
C
expired in the Oregon onst. C opt. Board Exp. D to without the required submittal elements)
City of Tigard's License # 6 ,
database) G S (S ( 1 5 ( 1 ' ) C e0 62_
[3 Completed Application Form
Proposed Permanent p Freestanding ❑ Freeway
Sign Temporary Wall Electronic � 2 Copies of Site /Plot Plan,
Si
9 p erry 1 ❑ (3 copies, if a building permit is required)
(Check all that ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2" x 11 ", or 11" x 17"
aPPIy)
❑ New sign? lii' Alter to existing sign? ❑' 2 copies of elevations, drawn to scale (A5 5 IJ
Sign DlmensT�rlS: (3 copies, if a building permit is required)
g size requirement: 81/2" x 11", to 24" x 36"
-
Total Sign Area sq. ft.): u 5 c ` [1] $50.00 Fee (Permanent sign, any size) 7
Total Wall Area (sq. ft.) u — ❑
Sign Data I •
OA 51- (Complete all Direction Wall Faces (circle one):
items in this Vetere -t 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: . Freestanding signs over 6 ft. required a
Will sign have illumination? Yes No building permit.
Type: Internal ❑ External • 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.
Yes ❑ No
if "yes " i st or diagram of all sign dimensions and LOVER FOR SIGNATURES)
square otage must also be�submitted.
U
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 c/A__ L (3,,_ ,20 0 2 ---
DATED this day of
Signature of Owner /Agent
61
Contact Person Name Phone No.
( - 7
- O%s \2 S
S C7 tt• f
1
9:35 :23AM
�� 5:23AM
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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Prrotected Under Federal Copyright Laws. C LDS� �G I G Q
All Rights Reserved. Make NO i /
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Reproductions.+" --->. •