SGN2004-00138 , �
C ITY OF TIGARD SIGN PERMIT
A D EVELOPMENT SERVICES PERMIT #: SGN2004 -00138
Ali 13125 SW Hall Blv Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/22/2004
PARCEL: 1 S135BB -00500
BUSINESS NAME: WICKES FURNITURE ZONE: C -G
SIGN LOCATION: 10487 SW CASCADE AVE JURISDICTION: TIG
APPLICANT /AGENT: WICKES FURNITURE
BUSINESS TAX NO:
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: NON
DESCRIPTION OF SIGN: Placement of one, temporary balloon. Sign #1. Valid from June 25th through July
4th, 2004.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
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.
4.7 -
APPROVED BY: �' �� e,
PERMITTEE SIGNATURE:
DATE: ./224
0i;V11/2004 15:34 FAX 5035981960 CITY OF TIGARD IZ1002
•
a:1'iL SIGN PERMIT APPLICATION •
CITY OF TIGARID 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PAX; (503)..684 -7297 •
GENERAL INFORMATION
Name of Development/Project FOR STAFF USE ONLY
$ite / � f ( E S red /4 /th 7 2 e
Address/ SneetAddress Permit No.: _ (,N a0b 4- — oc) i3 8
Location /O S' 7 j .GtJ 6gse /0 C -
Suite/Bldg. # City/State Zip Expiration Date: •
e/eU d 9 7,,,,7,z5 Receipt #:.. _
Name Approved By:
Property 4_t / o f i ss o e / 4 TS Date:
Owner Mailing Address Suite Map /TL #: .
X -- (D Sct) P/Aj E- s-r o o zoning:
City /State Zip Phone •
/ __ q '5 elie 77d04 ac? / - 67 / Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
x Business (,J/ C K-CS c i � N/ ;z ac Building Permit Required? 0 Yes ❑ Na
Name Rev. 8/7/2003 i;■curpinlmaaterelrevlsedlaign permit app.doc
Sign
Contractor " . • Address • alts REQUIRED SUBMITTAL, ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a w ithout the required submittal elements
copy of all Cit)r /Slat - • Phone Q elements)
licenses are
required if ❑ Completed Application Form
expired! Oregon Geist Cont Board Exp.
cl Igard's Ligense # ..... � ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
base)
(3 copies, if a building permit is required)
Proposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign 0 Temporary ❑ Wall ❑ Electronic
(Check all that ❑ r oth d
ly) ❑ Billboard � Balloon 2 co pies of elevations, drawn to scale
app
(3 copies, if a building permit is required)
❑ New sign? ❑ Alter to existing sign? size requirement: 8 x 11" to 24" x 36"
Sign Dimensions:
❑ $31.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.):
❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq ft)
9 Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
Items in this NOTES:
section) E NW SE SW
(F 1_2ight to top of sign (feet): S F Ec T - s Wall signs do not need to be drawn to scale,
Projection rom 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 i► t No building permit.
J 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 sign dimensions and
square foota,ge must also be submitted.
•
(OVER FOR SIGNATURES)
061.11/2004 15:35 FAX 5035981960 CITY OF TIGARD 0]003
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 _, 20
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 6/22/2004
13125 SW Hall Blvd. 3:18:50PM ''
p , . 1 H Tigard, Oregon 9 72 23
•
61 i (503) 63 9-4 17 1
Receipt #: 27200400000000002692
Date: 06/22/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00138 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
Line Item Total: $15.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash WICKES FURNITURE CAC In Person 20.00
Change CITY OF TIGARD CAC In Person (5.00)
Payment Total: $15.00
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