SGN2001-00148 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT#: SGN2001-00148
AMMUM 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/20/2001
EXPIRATION DATE:
BUSINESS NAME: UNITED FURNTURE 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: 4 FT X 24 FT
TOTAL SIGN AREA: 96 sq.ft.
WALL AREA: 869 sq.ft.
WALL FACE (DIRECTION): NE
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of(1)one 96 sq ft permanent wall.
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. All work will b done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary n s all expire 30 days from approval date. A balloon sign shall expire 10
dnvc fmm nnnrnvnl data
APPROVED BY:
PERMITTEE SIGNATURE:
DATE: 8/20/2001
r A. "
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
SitelwAte 11viluilf WAftitto�.
Address/ Street Address Permit NO.: (,)-o
Location Il l rY S. (� �I�Ct l� Xw
Suite/Bldg.# City/State zip Expiration Date:
�� Receipt#: 9vol 3
t 6�Art� pIL�laev
Name Approved By:
Property Iyalilc f Go 1 Date:
Owner ingg Address Suite Map/TL#: ;1-c, 1 /
IllQoPQIIG Mho+ rpeptea Zoning:
City/State Zip Phone
R1 C*oKl 111423M A Electrical Permit Required? Yes El No
Tenantor Name
Business N RIES utsmu" WMILit,lts obe Building Permit Required? ❑ Yes No
Name Rev.30-Jul-01 i:\curpinVnasters\revised\sign permit app.doc
Sign C F L QsSOtit tNJ C
Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance.a I 2 I ith without the required submittal elements)
copy of all City/State Zip Phone S Q.s
licenses are
required if SCAM. biL lt*561 &44 619c1 ❑ Completed Application Form
expired in the Oregon Const.Cont.Board Exp.Date
City of Tiigard's License 651 ��'-2S.- Zy® ❑ 2 Copies of Site/Plot Plan, Drawn to Scale
database (3 copies,if a building permit is required)
Proposed El Permanent ❑O I6Z ❑ size requirement: 81/2"x 11",or 11"x 17"
Freestan ling Freeway
Sign E:] Temporary fA wall ❑ Electronic ❑ 2 copies of elevations, drawn to scale
(Check all that (3 copies,if a building permit is required)
apply) ❑ Other ❑ Billboard ❑ Balloon size requirement: 81/2"x 11",to 24"x 36"
❑ New sign? ❑ Alter to existing sign? ❑ $50.00 Fee (Permanent sign, any size)
Sign Dimensions:
E, El $15.00 Fee (Temporary sign, any type)
Total Sign Area (sq. ft.): 41 6 s•
NOTES:
Sign Data Total Wall Area (sq.ft.) g 69.5/ ♦ Wall signs do not need to be drawn to scale,
but must include dimensions of wall face and
(Complete all Direction Wall Fac �circle one): sign placement.
items in this
section) N S E W NW SE SW • Wall signs do not require site/plot plans.
♦ Freestanding signs over 6 ft. required a
Height to top of sig (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 BECOME NULL AND VOID.
Type: Ehkternal External
Are there any existing freestan ing or wall signs at this Not all jurisdictions accept credit cards,please call jurisdiction for more information.
location, including wall signs t at overlap a tenant space? C visa El MasterCard
Credit card number
S 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)
FAlkn-T>
'' 5F L49
ef
I 1
I
:. �r UNITED **•. t } UNRED
� �,
11
I �h
otc�p EN�1Z�N�
0*!TY
�.: i ...........................
my the we rl: r4escri4ed
-4,'Graphic Design of Spokane Inc.. ,..' RMIT
Protected Under Federal Copyright Laws. Le;,+'r to Fa!low..........
-...................
All Rights Reserved. Make NO :3V•:
, .-
Id. ( tS s� �`G�
7 --- --. !
Reproductions. —"-Y--S r 4 �y
Receipt #: 27200100000000003433
Ad�do � Date: 08/20/2001
T I D 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: $200.00
C.P.C. &SONS INC. 5769
GENERAL CONTRACTING
12200 S.W.FAIRFIELD 644-6900 24-7038/3230 oa
Date 285$
BEAVERTON,OR 97005
Pay to the G l l GAS 1 $zoo e0
Order of
po �
Dollars 6
Bankof America®
185th&Walker 2858
Oregon
For S�G NS
1: 3 2 30 70 3801: 5 7 691" 28 58 79,1 2 L8 7811'
GUARDIANSSAFETY BLUE DEBL
mC'larke Ameican
f TE fOF � GAN' 4
c
This certifies that the person named heX n r• { E
is licensed as provided by law'as a
General Contractor/All
EXEMPT - license
. •,�• -= Number: 56514
Corporation license .
Expires: 05/25/2003
CPC & tSONS INC
12200 SW FAIRFIELD ST
BEAVERTON OR 97005-1436
SIGNATURE OF REGISTRANT
POCKET STATE OF OREGON ' CONSTRUCTION CONT •
HACTORS BO
ARD
CARD Licensed as: No.56514 Bond* 15000
oom�o
'Mew"" 9*JoIXNV
�' r orpt3 Andw r>
U0386,10 �A LM
o A�,
X
J.i
y;
t
UMLMVdMS'OOU
'Okll-Nix
t /
1 Y'
�� � • r• r r � r0. :.t 'fY { ''Y t^�'�w.�.P� °F� y•'�,
SOOLIS 16k .�
yc 0 Q'I3^l�tId MS OAOZZi
g9�'i�' -Z61S'L"l8 •�Ci+ai LST OS) `C��Id '" ����
c y. i ;?i ,i• r,.°}3'ry,
`T ��w.�
L�$ raF 3 rr yk1R��a �riYY VlLS T040 lL7C
�.,;aisQ k�� ,� �T �. T .•Q�'� ���,< Y�' •OOS£�o�!ns ona�► j1.��'OO�'
,[�y. ,�• ,+ }-y�y,,�.3.-'�S!Ys.•Yi'�,•: �+1(.-- �. �+e?: ..v,,r7,�C s ��.;Yh „ .:,Y�.r, J:+�..a ;.
�j asiia�
'I's s
II •,
...: ... ._> :. . � ,..-, ..
, a - -
Contractor's
B•
ui
sn
ess License '
e se
METRO ,h"
600 NORTHEAST GRAND AVEC
PORTLAND OR 97232-2738
503-797-1700 S v
7Z%'I. LICEN$IE NUMBER: '
0:0.003.152 r
C P C'&Sons Inc.General Cot� x
� • �
� Y
FWilleidUP
eWOO +
�i a