SGN2001-00147 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES
PERMIT#: SGN2001-00147
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/20/2001
EXPIRATION DATE:
BUSINESS NAME: UNITED FURNITURE WAREHOUSE PARCEL: 2S110AA-02001
SIGN LOCATION: 14255 SW PACIFIC HWY
APPLICANT/AGENT: ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: X FREESTANDING: FREEWAY:
TEMPORARY: WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 8 FT X 24 FT
TOTAL SIGN AREA: 192 sq. ft.
WALL AREA: 5,956 sq.ft.
WALL FACE(DIRECTION): E
SIGN HEIGHT: ft.
PROJECTION FROM WALL: 3 in.
ILLUMINATION: INT
DESCRIPTION OF SIGN: Placement of(1)one 192 sq ft permanent wall sign.
MATERIALS: VINYL
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: Y
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 50.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. Allwork will be ne in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign h I expire 30 days from approval date. A balloon sign shall expire 10
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APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 8/20/2001
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 t+lWAVXUO
Address/ Street Address Permit No.: 5c�r3 2"NZ I L4-7
Location HIST SWPACtFIL
Expiration Date:
Suite/Bldg.# City/ ate��,� Zip �O� 1 — 3
T r �/7?
3 3 Receipt#: `�
Name Approved By:
Property GL At E G l to Date:
OwnerAddress P suit`/ Map/TL# : 71 O 414' O L c7 Qy
ngArh 041JE Zoning:_C6
Ctate Zip 2 Pkne
icow-k NA Electrical Permit Required? ❑ Yes ❑ No
Tenant or Name
Business N� � Building Permit Required? El Yes ❑ No
Name Rev.30-Jul-01 iAcu In\masterskevised\si n permit app.doc
Sign C. P c -S ON I N
Contractor Mailing Address • Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permittL00 sw �A(� r �� (Note: applications will not be accepted
issuance,a
copy of all City/State Zip Phone 9103withoutthe required submittal elements)
licenses are
required if V. O
c. Ic 641111 dk&l ❑ Completed Application Form
expired in the Oregon Const.Qont.Board Exp.Date
City of Tigard's License# 6*6 51 If S. 2 f• O.3 ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database go 9 (3 copies,if a building permit is required)
Proposed ❑ Permanent Freestanding❑ ❑ Freeway size requirement: 81/2"x 11",or 11"x 17"
Sign ❑ Temporary ® wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that ❑ Other EJBillboard F1Balloon (3 copies,if a building permit is required)
apply) size requirement: 81/2"x 11",to 24"x 36"
Eq. New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dim nsions: V X ZH , ❑ $15.00 Fee (Temporary sign, any type)
C
To Sign Area(s . ft.):
o NOTES:
Sign Data Tdtal Wall Area(sq.ft.) 9S� ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Faces (circle one): sign placement.
items in this
section) N SCE) W NE NW SE SW ♦ Wall signs do not require site/plot plans.
♦ Freestanding signs over 6 ft. required a
Height to top of sign (feet): building permit.
Projection From Wall (inches): ♦ 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 ❑ No BECOME NULL AND VOID.
Type: _ 0 Internal External
Are there any existing freestanding or wall signs at this Not all jurisdictions accept credit cards,please call jurisdiction for more information.
location, including wall signs that overlap a tenant space? C visa ❑Mastercard
Credit card number
❑ Yes ❑ No Expires
If"yes",a list or diagram of all sign dimensions and Name of cardholder as shown on credit card
square footage must also be submitted. S
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.
DATED this day of s �-; :, I .=:' '
A
01
Signature of Owner/Agent '
..t .1'� 4 :�.ij +�•♦'� ..!.;' gar}'.j�
Contact Person Name , �, kyr �PI�ORl •Ado . t ;,p ;,�t ,i
r 176
it
r
i,, .s .� ,ter� .•.�•a
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Receipt #: 27200100000000003433
'-4k� Date: 08/20/2001
T I 0 E M A R K
COMPUTER SYSTEMS, INC.
Line Items:
Case No Tran Code Description Revenue Account No.
Amount Due
SGN2001-00146Sign Permit 100-0000-437000 $50.00
SGN2001-00147Sign Permit 100-0000-437000 $50.00
SGN2001-00148Sign Permit 100-0000-437000 $50.00
SGN2001-00149Sign Permit 100-0000-437000 $50.00
Payments:
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check CPC&SONS INC 0 5769 $200.00
TOTAL AMOUNT PAID: $200.00
C.P.C. &SONS INC. 5769
GENERAL CONTRACTING
12200 S.W.FAIRFIELD 644-6900 G�.O 2a-7o3si323 85 R
BEAVERTON,OR 97005 Date
Pay to the ` l(�490 $,200 e-
Order of
00 t
w Dollars 8
Bankof America.
185th&Walker 2558
Oregon
ti 1: 3 2 30 ?0 38011: 5 ?6 9111 2 8 S8 ?Be, 2 18 ?8116
GUARDIAN®SAFETY BLUE DEBL
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This certifies that the person named herep'n.
is licensed as provided by law`as a
General Contractor/All License
r EXEMPT Number: 56514
Corporation License
Expires: 05/25/2003
CPC BeSONS INC
12200 SW FAIRFIELD ST
BEAVERTON OR 97005-1436
_ SIGNATURE OF REGISTRANT
—
POCKET STATE OF OREGON i CONSTRUCTIOWCONTAACTORS BOARD
CARD Licensed as: No.56514 Bond* 15000
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Protected Under Federal Copyright Laws
All Rights Reserved. Make NO
Reproductions.