SGN2003-00263 CITY TIGARD SIGN PERMIT
I DEVELOPMENT SERVICES PERMIT #: SGN2003 -00263
AA Ail
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/20/03
PARCEL: 2S 113BA -00200
BUSINESS NAME: CACHET HOME FURNISHINGS ZONE: I -P
SIGN LOCATION: 07800 SW DURHAM RD 400 JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: X FREESTANDING: Y FREEWAY:
TEMPORARY: WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 30" X 36"
TOTAL SIGN AREA: 7 sq. ft.
WALL AREA: 0 sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 3 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one (1) temporary sign. 30" x 36" Sign must be placed outside of
City right of way. Valid from 10/25/03 through 11/25/03.
MATERIALS:
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:
•
PERMITTEE SIGNATURE: ! 7A
DATE: 10/20/03
44 -tl SIGN PERMIT APPLICATION
•
�1
CITY Of TtGAtiD 13125 SW Hall Blvd., Tig OR 97223 (503) 639 -4171 FAX: (503) 684 -7297
tENERAL INFORMATION
Name of Development/Project
FOR STAFF USE ONLY
Site J/9CW_coF.3 13 Its /.JESS PJ= IC
Address( Street Address Permit No.: 5Gm Apo 3— oaata 3
Location 7800 j .A- ,i°C -( y R . D
Suite/Bldg. # City/State Zip
Date: l 1/ as/ b3
-40C) - 1 - 1 o n 9 - 7 22. 4 - `Receipt #: 0 03 - 4(0-2 9
Name Approved By: C - e-0-
3ropertY /ETZG -t✓Q- Veru Lte� -S Date: / — Q0 —0-3
-
Dwner Mailing Address Suite Map/TL #: o? S 1 1 3 R P - (70A D 0
I PO6 .-'7S _ I Zoning: i / — P
City /State c17/� Zip Phone 5 03
':5 K 4--�W 00, lD r' 2S'70 4S Electrical Permit Required?
tenant or Name q ❑ Yes No
3usiness � ifeH • -- //OBE ,z Nts H /A/Crs Building Permit Required? ❑Yes No
Name • Rev. 30 -Jul -01 i:lcurplMmasterslrevisedlsign permit app.doc
Sign ,", sic �lc - i-) SX T W 3 -�
(
:ontractor Mailing Address • Suite
Prior to permit REQUIRED SUBMITTAL ELEMENTS
;suance, a 7ts1A) b WO-044h 200 (Note: applications will not be accepted
opy of all City /State Zip Phone 503 without the required submittal elements)
censes are !-
squired if 116 ? 2- ° /� 63,- S eSfo I% Completed Application Form
xpired in the Oregon Const. Cont. Board Exp. Date
:ity of Tigard's License #
atabase) 7 3 .../o4 ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
'roposed ❑ Permanent ❑ Freestanding ❑ Freeway size requirement 81/2" 11 ", or 11" x 17"
iig do all that Temporary p Wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
p ❑ Other El Billboard ❑ Balloon (3 copies, if a building permit is required) • size requirement 8 x 11 ", to 24" x 36°
❑ New sign? ❑ Alter to existing sign?
❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions: 030
x_ ,36 X $15.00 Fee (Temporary sign, any type) .
Total Sign Area (sq. ft.): '7,5 ) 21' .
NOTES:
iign Data Total Wall Area (sq. ft. N l • Wall signs do not need to be drawn to scale,
:omptete all but must include dimensions of wall face and
ems in this Direction Wall Faces (circle one): • sign placement.
sction) N S E W NE NW SE SW • Wall signs do not require site /plot plans.
• Freestanding signs over 6 ft. required a
�i
Height to top of sign (feet): 4 . building permit.
Projection From Wall (inches): /L) /4 • If work authorized under a sign permit has not
Copy: been completed within ninety (90) days after
Materials: - the issuance of the permit, THE PERMIT WILL
Will sign have illumination? ❑ Yes `,B No BECOME NULL AND VOID.
Type: ❑ Internal ❑ External
ire there any existing freestanding or . wall signs at this Not all jurisdictions accept credit cards, please call jurisdiction for more information.
cation, including wall signs that overlap a tenant space? 0 Visa 0 MasterCard
❑ Yes ❑ [\(p Credit card numbe / /
Expires
"yes ", a list or diagram of all sign dimensions and ' Name of cardholder as shown on cream card
quare 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.
11
DATED this 10 day of eA , 20-03
ignat e of Ow - gent
S! 3 - 60
Contact Person Name Phone No.
cf
Dui9L( Cfppy
HOME FURNISHINGS
CONSIGNMENT 61-
503-620-8686
_ , ,„
CITY OF TIGARD 1 0/20/20( 3
13125 SW Ha11 Blvd. 12:26:33PM
1 A CITY
Tigard, Oregon 97223 3
(503) 63 9-4 17 1
Receipt #: 27200300000000004629
Date: 10/20/2003
Line Items:
• Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00263 [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
• Check CACHET CAC 3226 In Person 15.00
Payment Total: $15.00