SGN2001-00201 •
s
CITY OF TIGARD SIGN PERMIT
i s;i1 DEVELOPMENT SERVICES PERMIT #: SGN2001 -00201
ll� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/25/2001
EXPIRATION DATE:
BUSINESS NAME: FURNITURE LIQUIDATORS
SIGN LOCATION: 14385 SW PACIFIC HWY PARCEL: 2S110AB -00201
APPLICANT /AGENT: FURNITURE LIQUIDATORS ZONE: C -G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS:
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 25 ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
•
DESCRIPTION OF SIGN: Temporary placement of balloon. Valid 10/27/01 to 11/5/01: (Sign Permit#1).
MATERIALS: BALLOONS
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 OR. Specialty Codes
and all other applicable laws. Al • rk will be done i -ccordance with approved plans. A sign permit shall expire 90
days from approval date. A to p. - ry sign shall e • - 30 days from approval date. A balloon sign shall expire 10
riavc from annrnval mate
• . APPROVED BY: 0-fr'W?
PERMITTEE SIGNATURE: •
DATE: 10/25/2001
•
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A .
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r, 1.:V SIGN PERMIT APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/ roject
QV o� �` � � / l ,r �� FOR STAFF USE ONLY
Site V L. `
Address/ Street Addr ss Permit No.:
Location / 7 36« Pax [� 91 • O� / 47o
Suite /Bldg. # City/State Zip Expiration Date: L ' 1 +
Q �1 2--.;‘ Receipt #: �L# #
Name Approved By: �t� 7l
Property
t- fr o /U"P_- Date: a mil
•
Owner Mailing Address Suite Map/TL #: '
Zoning: (,---
City/State Zip Phone • `
) C�V 6 X- C12 Electrical Permit Required? El Yes
Tenant or Na e
Business j, off, riA..1, 1tki.. t 1_, 5_G Building Permit Required? ❑ Yes No
Name Rev. 30 -Jul -01 is \curpin \masters \revised\sign permit app.doc
Sign
Contractor. Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit . . (Note: applications will not be accepted
issuance, a
copy of all City/State Zip Phone without the required submittal elements)
licenses are
required if El Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
City of Tigard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
size requirement: 8 x 11 ", or 11" x 17"
Proposed p Freestanding ❑ Freeway
Sign Temporary Wall a aoR• ❑ 2 copies of elevations, drawn to scale
(Check all that r,yr¢P Billboa 21 Balloon ) (3 copies, if a building permit is required)
apply) ae��^^ size requirement: 81" x 11 °, to 24" x 36"
N New sign? El Alter to exi sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
❑ $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.):
NOTES:
Sign Data Total Wall Area (sq. ft.) • Wall signs do not need to be drawn to scale,
9 but must include dimensions of wall face and
. (Complete all Direction Wall Faces (circle one): sign placement.
items N S E W NE NW SE SW emi this • Wall signs do not require site /plot plans.
section)
• Freestanding signs over 6 ft. required a
Height to top of sign (feet): 5 ` building permit.
Projection From Wall (inches): • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: $ 41/66 - the issuance of the permit, THE PERMIT WILL
BECOME NULL AND VOID.
Will sign have illumination? ❑ Yes -! o
Type: El Internal El Exte
Are there any existing freestanding or wall signs at this N all jurisdictions accept credit cards, please call jurisdiction for more information.
location, including wall igns that overlap a tenant space? Visa MasterCard
Credit card number / /
Yes El No Expires
If "yes ", a list or d agram 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.
DATED this day of v , 20 0/
i i/ea")‘
Signature of Owner /Agent
lGl2►i S 7 7 ,4 4 e) 0 ?/ 8 e
Contac Person Name Phone No.
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t Antailig
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10'H)iI'
1 4385 SW Pacific Hwy gg (503) 431 -2280
Tigard, OR 97224 FoLL( ((877) 9503) 4
1 -2269
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Receipt #: 27200100000000004256
_�.+�� Date: 10/25/2001
T I D E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2001 -00199 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00200 [SIGN] Sign Permit 100 - 0000 - 437000 $50.00
SGN2001 -00201 [SIGN] Temp Sign Perm 100 - 0000 - 437000 $15.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check OREGON FURNITURE LIQUIDATORS 0 1203 0 $115.00
TOTAL AMOUNT PAID: $115.00