SGN2004-00140 CITY OF TIGARD
SIGN PERMIT
,, l DEVELOPMENT SERVICES PERMIT #: SGN2004 -00140
- - w ill. ' .1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/23/2004
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: 12' X7'
TOTAL SIGN AREA: 84 sq. ft.
WALL AREA: 9,570 sq. ft.
WALL FACE (DIRECTION): E
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Installation of (1) one permanent 12'x7' wall sign.
MATERIALS: PLASTIC COMP
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 :lidity date.
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 6/23/2004
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"1,�, , , SIGN PERMIT APPLICATION
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CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
GENERAL INFORMATION
Name of Development/Pro'ect
V FOR STAFF USE ONLY
Site k 1 s,K. �a D -
y' Address/ Street Address Permit No.: $ c A) Z -ani -k —O / '
r Location ( L 4 . 5 SV PaCI f jC. 6Nlk)
1 Expiration Date:
Suite /Bldg. # City/State Zip
Ti
T oi_ q-uaLf. Receipt #:
Name PAUD Approved By Property Q e P&1 o/ VATU?21.5 Date: f gZ3 1 y
Owner Mailing Address Suite Map /TL #:
- O 60( 10 - Zoning:___C4
City/State Zip Pone 1 (/
140061-rec
It g Aiu - -q (Ja q• Electrical Permit Required? ❑ Yes n No
Tenant or Na a `�'
N., Business '1LYnI Building Permit Required? ❑ Yes p. No
Name ���✓✓✓ Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc
Sign W\G,K_, 115 I P L I (u (,*'I 6n
Contractor ailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a submittal elements)
the required copy of all City/State Zip Phone Q )
licenses 1l/ uir are
required AU1� (V► n Pi �� q/
re uirea if i El Completed Application Form
expired in the Oregon Const. ont. Board .xp. Date
City of Tigard's License # "14 6 .+ 2 Copies of Site /Plot Plan, Drawn to Scale
database) � � � 1:1
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway . - - • e . c 1 ent: 8 x 11", or 11" x 17"
Sign ❑ Temporary Wall ❑ Electronic
(Check all that ❑ Other El Billboard El Balloon t 2 copies of : - ations, drawn to scale
apply)
-- • -- - , a building permit is required)
0 New sign? El Alter to existing sign? size requirement: 8 x 11", to 24" x 36"
X Sign Dimensions: i
- 6X 2T) ❑ $31.00 Fee (Permanent sign, any size)
A Total S.•n ' a (sq. ft.):
t 0 X - I - ❑ $15.00 Fee (Temporary sign, any type)
Total Wa .
__ 57C �$ F ' Jurisdiction: El City ❑ Urb
(Complete all Direction Wall Fab!‘ (circle one):
items in this NOTES:
section) N S 1111PW NE NW SE SW
Height to top of sign (feet): 20 / • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): t/4. /i but must include dimensions of wall face and
Copy: AyiniRtcA1S - €$ sign n do nt.
• Wall signs do not require site /plot plans.
Materials: 1/2_ V111,41( nrvla, 6ClbnrtvGl • Freestanding signs over 6 ft. required a
--\-- Will sign have illumination? ❑ Yes x 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
❑ Yes No BECOME NULL AND VOID.
If "yes ", a list or diagram of all si 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.
2 3 `�� `
DATED this day of U-Y.st..._ , 20 0 T
= Siglture a °° er /Agent
Contact Person Name Phone No.
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Approved .................................................................. . I N
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Conditionally Approved ..................................... f 1
For only the work as describ in:
P ERMIT ?-ed
See Letter to: Follow ................ -----------\
Attach .. . ,_
Job A dress. / z-S -. .--‘ PA 4. < 7 ; ....
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- Date:.... •
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23/ 004
6/23/
CITY OF TIGARD 6 / 004
13125 SW Hall Blvd.
,, , � � � Tigard, Oregon 97223
• A' 7 , (503) 639 -4171
Receipt #: 27200400000000
Date: 06/23/2004
Line Items: Revenue Account No
Amount Paid
Case No Tran Code Description 31.00
100 - 0000 - 437
31.00
SGN2004-00139 [SIGN] Sign Permit 100-0000-437000
SGN2004 00140 [SIGN] Sign Permit $62.00
Line Item'Total:
Payments: Acct /Check Approval No. How Received
Amount Paid
User ID
Method Payer Y In Person 62.00
KJP 1066
Check DON VICTOR PITTMAN Payment Total: $62.00
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Appx. 64 sq. ft per sign . (2) signs
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Existing signage on wall: 400sq. ft.
Proposed signs : 64 sq. ft. each (2) 128' total
Tom q . �� oF wAu- e 2 ' x . .� ' E1
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Existing signage on wall: 400sq. ft.
Proposed signs : 64 sq. ft. each (2) 128' total
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1 4 Sherwood 99 W Portland