SGN2002-00186 CITY TIGARD SIGN PERMIT
IA, DEVELOPMENT SERVICES PERMIT #: SGN2002 -00186
� I ! 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: 4' X 28'
TOTAL SIGN AREA: 112 sq. ft.
WALL AREA: 3,080 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one 112 sq ft permanent wall sign.
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
validity date. A balloon sign shall expire 10 ay from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: 6 7 . 7 �� '_`"""
DATE: 10/8/02
3z I.�.(
°;ra SIGN PERMIT APPLICATION
fi;
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX (503) 684 -7297
-, A RAL INFORMATION .
Name of Development/Project
: e I , N �„& p F 3tTut W FOR STAFF USE ONLY
Address/ Street Address / ,
Permit No.: ‘ S 4 - � 0_0(:-.-- '�1,0
t K�
Location / y Z.Ss S ( PAL i P/ Expiration Date:
Suite /Bldg. # City/State on Zip �} , , ,
Tt aMtp. 97 Re ceipt #: �"�' �y_
Name Approved By: -
Property A16 41C fl? eve tz& C CJ Date: _ g ,0_2,
Owner Mailing Address Suite Map/TL #: 9- S II C /k A - 0 Z..c)c�0
�
( PcGgri (KANAG zon ing: (
• City /State Zip 2f Phone
14 -Clina 044 v.1\7 N //) •
Tenant or Name Electrical Permit Required? b. Yes`' • 'No
Business CI VI rEA pu T t,w! �NIn Building Permit Required? ❑ Yes No
Name " Rev. 30- Jul-01 is \curpin \masters\revised \sign permit app.doc
Sign C Pe CA Sbr-+S /VC
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit ,
issuance, a 22 0 4 S LA? FA I est l e A (Note: applications will not be accepted
copy of all City/State Zip Phone cos without the required submittal elements)
required are a V �/ g Po o 6 - I( // 6R'c9v
required if O. '/ ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # S6 s�e� S"' 2 1.-. O3 ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) Mat tub es 1st 8 ° / • en_ (3 copies, if a building g permit is required)
Proposed ❑ Permanent ❑ Freestanding size requirement: 8 x 11 ", or 11" x 17"
g ❑ Freeway
Sign ❑ Temporary {g Wall Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that
apply) ❑ Other ❑ Billboard ❑ Balloon (3 copies, if a building permit is required)
size requirement: 8 x 11 °, to 24" x 36"
.- New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
)( 'Z ig d. - a • r• ❑ $15.00 Fee (Temporary sign, any type)
Total Sian Ares (sq. ft.):
—. _ , w �� // F. r NOTES:
Si n Data Tot�l Area (sq. ft.) o''' • Wall signs do not need to be drawn to scale,
g �� but must include dimensions of wall face and
(Complete all Direc ' t Wall Faces (circle one): sign placement.
items in this g p
section) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after j
Materials:- the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑Yes ThNo BECOME NULL AND VOID.
Type: ❑ Internal ❑ Extern
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? visa ❑Mastercard
❑ Yes El No Credit card number / /
Expires
If "yes ", a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
. square footage must also be submitted. $
\ Cardholder signature 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. c/4__
DATED this - /- day of
Signature of Owner /Agent
C_Lid
Contact Person Name Phone No.
C . � o: o k s /
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"` Graphic Design of Spokane Inc. C
S
?ro *,ected Under Federal Copyright NO
Laws. r f � r ,�
All Rights Reserved. Make ) Ptccc U Ni
Reproductions.
10/8/2002
9:35:23AM
9:35:23AM
F I D E M A R K
COMPUTER SYSTEMS. INC.
Receipt #: 27200200000000003789
Date: 10/08/2002
Line Items:
Case No 'Fran 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