SGN2005-00157 •
CITY TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2005 -00157
'` II- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/27/2005
PARCEL: 2S 102AB -04800
BUSINESS NAME: FURNITURE & MORE - RENTALS ZONE: CBD
SIGN LOCATION: 12460 SW MAIN ST JURISDICTION: TIG
APPLICANT /AGENT: ANNA HARLAN
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 12' X 2'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of a temporary banner. (12' x 2')
MATERIALS: VINYL
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 validity date.
APPROVED BY: �L1)- — a
PERMITTEE SIGNATURE: 4 9 ' 61M4/("
DATE: 5/27/2005
ls` 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 /Project
FOR STAFF USE ONLY
Site '
A Address/ Street Address Permit No.:
Location ! ' IO. &/Fl5I //407 sf Expiration Date:
Suite /Bldg. # City /State Zip
_779 id 97GP • Receipt #:
Name Approved By:
Property Date:
Owner Mailing Address Suite Map/TL #:
Zoning:
City /State Zip Phone
Electrical Permit Required? El Yes ❑ No
Tenant or tz r4 ri.vhi if( vC I.il.ofe; A, » - >' `
X �. Business ,1xd n j � /a /r4ler.� Building Permit Required? El Yes ❑ No
Name Rev. 1/3/05 i:\curpin\masters\revised\sign permit app.doc
Sign f� j �:„' .: /J ' , i f '4" —
Contractor ' ailingAddress Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit I (Note: applications will not be accepted
issuance, a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if
expired in Oregon Const. Cont. Board Exp. Date ❑ Completed Application Form
C' igard's License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway 1 size requirement: 8 x 11", or 11" x 17"
Sign RI Temporary ❑ Wall ❑ Electronic
(Check all that ❑ 2 copies of elevations, d
apply) ❑ Other Ill Billboard ❑ Balloon raven to scale
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
x
Sign Dimensions:
/g/< / ❑ $37.00 Fee (Permanent sign, any size)
Total Sign ��Area (sq. ft.):
❑ $17.00 Fee (Temporary sign, any type)
Si n Data Total Wall Area (sq. ft.) Jurisdiction: ❑ City ❑ Urb
g
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E (7NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: • Wall signs do not require site /plot plans.
Materials: • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes ❑ building permit.
No • If work authorized under a sign permit has not
Type: 111 Internal ❑ External 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.
E] Yes El No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(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 3 7 ,aSday of , 20
Signature of Owner /Agent
Contact Person Name Phone No.
F u h) /,ij?E MOPE
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CITY OF TIGARD 5/27/2005
13125 SW Ha11 Blvd. 9:49:16AM
/ , Tigard, Oregon 97223
I l i_ (503) 639 -4171
Receipt #: 27200500000000002399
Date: 05/27/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2005 -00157 [SIGN] Temp Sign Perm 100- 0000 - 437000 15.00
SGN2005 -00157 [LRPF] LR Planning Surcharge 100 - 0000 - 438050 2.00
Line Item Total: $17.00
Payments:
Method Payer User ID Acct. /Check No. Approval No. How Received Amount Paid
CreditCard ANNA M HARLAN CAC 051790 In Person 17.00
Payment Total: $17.00
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