SGN2004-00093 CITY OF TIGARD SIGN PERMIT
,,, i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00093
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/7/2004
PARCEL: 2S110AA-02000
BUSINESS NAME: FURNITURE OUTLET ZONE: C -G
SIGN LOCATION: 14255 SW PACIFIC HWY JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 300" X 112"
TOTAL SIGN AREA: 216 sq. ft.
WALL AREA: 9,570 sq. ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: 22 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of (1) one permanent 216 sq. ft. wall sign.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 31.00
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 days o validity date.
APPROVED BY: Ar
PERMITTEE SIGNATURE: ,C
DATE: 5/7/2004
4
.L SIGN PERMIT APPLICATION
„AI CITY OF TIOARD 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 _ J � �,,,,��,�
Address/ Street Address
/ yvZ- Permit No.:_�'C7/�J 2--c)0 L! - UV U 9
/
Location ' Sw r 46,19 Expiration Date:
Suite /Bldg. # City /Sta a Zip
Tir jO k 72c/ Receipt #:
Name Approved By:
4.1
CC 4 oisa.u TN ✓. 1 , �
Property p — / 7 Date: ,...C1 0
Owner Mailing Address Suite Map/TL #:
go C161 Cto "p. 7/0 YNI P/ozoL Zoning: c�
City/State Zip Phone
e `a Y , e /. w r 4 ,71, 9 56 3- 6 Electrical P Required? o
Tenant or Name M49/ ca Permit ❑ Yes �'N
Business �� �( / Building Permit Required? El Yes [�
Name p lJ t Rev. 8/7/2003 \curpin \masters \revisedlsign permit app doc jet
Sign V \ PI r I L E• 5 1 9 rJ / AI Sf
V
Contractor Mailing Address Suite '/ REQUIRED SUBMITTAL ELEMENTS
issuance, a (9 (Prior to permit — 15h K j l�p P� NC (Note: applications will not be accepted
copy of all City/State Zip Phone tai without the required submittal elements)
licenses are C t y �/� ) �+ c Q
required if 7C817S/i I itis 012, 1737/ 7s/ 3Eis
Completed Application Form
expired in the Oregon Const. Cont. Board Exp. Date
database)
License # I I �,� (4 2 Copies of Site /Plot Plan, Drawn to Scale
p � (3 copies, if a building permit is required)
Ia
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign ❑ Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard ❑ Balloon 2 copies of elevations, drawn to scale
apply)
(3 copies, if a building permit is required)
I" New sign? ❑ Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
Sign Dimensions: „
1 / 2 X 3 o or/ O x $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
2 / 16 ❑ $15.00 Fee (Temporary sign, any type)
Total Wall Area (sq. ft .)
c
Sign Data
g l - 2 D Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N .) E W NE NW SE SW
Height to top of sign (feet): 2 2— • 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 0 No building permit.
Type: ❑ Internal ❑ External • If work authorized under a sign permit has not
Are there any existing freestanding or wall signs at this been completed within ninety (90) days after
location, including wall signs that overlap a tenant space? the issuance of the permit, THE PERMIT WILL
J® Yes ❑ No
BECOME NULL AND VOID.
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 7/6 day of 4 (_- , 20 ( LI . 7
Signature of Owner /Agent
/ ,- , q3 -.07s9- 9a'
Contact Person Name Phone No.
CITY OF TIGARD 5/7/2004
13 125 SW Hall Blvd. 1:43:33PM
Tigard, Oregon 9 72 23
• ' (503) 63 9-4 17 1
Receipt #: 27200400000000001922
Date: 05/07/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00092 [SIGN] Sign Permit 100- 0000 - 437000 31.00
SGN2004 -00093 [SIGN] Sign Permit 100- 0000 - 437000 31.00
Line Item Total: $62.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash FURNITURE OUTLET KJP In Person 62.00
Payment Total: $62.00
Page 1 of 1 cReceipt.rpt
24'
FURNITURE ourin
The Friendly & Fun Place to Save
1'
99W Front
South End
of Bldg.
CITY OF TIGARD
Approved LX
Conditionally Approved - I
For only the ww.ls.as described in: n
PERMIT NO ."" ( \C"
See letter to: Follow ............. ........... 1
Attach
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2" X 6" FRAME BOLTED TO
WALL EVERY 48" WITH 1/2"
CONRETE ANCHORS
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14 OZ SIGN MATERIAL
SCREWED TO FRAME WITH
3/8 X 1" SCREWS AND WASHERS
EVERY 12"