SGN2004-00058 CITY OF TIGARD SIGN PERMIT
DEVELOPMENT SERVICES PERMIT #: SGN2004 -00058
.c�lll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/5/04
PARCEL: 2S 115AA -00100
BUSINESS NAME: DURHAM PARK APTS ZONE: R -25
SIGN LOCATION: 16100 SW 108TH AVE JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: ELECTRONIC:
OTHER: BILLBOARD: BALLOON: Y
SIGN DIMENSIONS: 5' X 20'H
TOTAL SIGN AREA: sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: 20 ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary sign #1 (balloon). Valid from 4/16/2004 through 4/26/2004.
MATERIALS:
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED: N
BUILDING PERMIT REQUIRED: N
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
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 from validity date.
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APPROVED BY: N � - /L_
PERMITTEE SIGNATUR - • (
DATE: 4/5/04
f
10/29/2003 14:13 FAX 5035981960 CITY OF TIGARD Z002
E ^ - (_. , ,,_____
�sb. { Ih, SIGN PER 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/ProJect
FOR STAFF USE ONLY
Site , _ .___ f,. �;
Address/ street Address Permit No.: iGN .?(= 0 ' 1 — 000 6
Location i 6 ) 0 0 s c,O 1 OS Avt Expiration Date: 4 -,..,?(p 0 `f
Suite/Bldg. # City /State Zip
); �A �_ ci�z Receipt #: 3 00 ' 13 i33 Name 5 Approved By: C ,(241-1---k-1_
Property e - : r - Date: 4 - 5 - 0 (I- •
Owner Mailing Address - Suite Map/TL #: S i/5/4 A — 0 J/ O o'
f idOt, S t� /zYt zoning: & --RE
City /State Zip Phone
Tt �� on 1 -''F g e6- ire-4SP° Electrical Permit Required? ❑ Yes rgi No
Tenant or Nellie
Business $) wwia -•.. . Clek Building Permit Required? ❑ Yes [ No
Name Rev. 014uI -02 i:lcurpinlmasters\revlsednsign permit app.dac
Sign �_ .�
Contractor Willing Address Suite REQUI SUBMITTAL EL EMENTS_
(Prior to permit (Note: applications will not be accepted
Issuance. a
copy of all City /State Zip Phone without the required submittal elements)
licenses are
required if ❑ Completed Application Form
expired in the Oregon Const. Cont. Board Exp, Date
City of Tigard's • License # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database
• (3 copies, if a building permit is required)
Proposed E] Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that Other ❑ Bi llboard ❑ Balloon ❑ 2 copies of elevations, drawn to scale
apply) — (3 copies, if a building permit is required)
pi New sign? ❑ Alter to existing sign? size requirement: 81/2" x 11 ", to 24" x 36"
Sign Dimensions:
Sw x alp x 7 E 1 4 ❑ $ & O Fee (Permanent sign, any size)
3l. --''
Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft)
all Wall Faces circle
(Complete pirectlon Wa I { ) NOTES:
items in this
section) N S E W NE NW SE SW
• Wall signs do not need to be drawn to scale,
Height to top of sign (feet): 2 � but must include dimensions of wall face and
Projection From Wall (inches): sign placement.
Copy: • Wall signs do not require sitelplot plans.
Materials: • Freestanding signs over 6 ft. required a
❑ Y es No building permit.
Will sign have illumination? • If work authorized under a sign permit has not
Type: ❑ Internal ❑ External been completed within ninety (90) days after
Are there any existing freestanding or wall signs at this the issuance of the permit, THE PERMIT WILL
location, including wall signs that overlap a tenant space? BECOME NULL AND VOID.
❑ Yes —R No
If "yes ", a list or diagram of all sign dimensions and
square footage must also be submitted.
(OVER FOR SIGNATURES)
10/29/2003 14:13 FAX 5035981960 CITY OF TI.GARD Z003
t `
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 0 4
Si. ..ture of Owner /Agent
C,ZA t iY - 'Z'&30
Contact Person Name Phone No.
i.,
„..,,.......„
_ !
CM/ Of TIGARD
-------- - .............
Approved. ....................................
Conditionally Approved ................... . ..... I
For only the worl cle a s ,)0‘r
See Letter to: FolloW ................................... _
At t a c h .......................... .i.:, ........... 1
. .
CITY OF TIGARD 4/5/2004 -
13 12 5 SW Hall Blvd. 2:06:52PM
p Tigard, Oregon 9 72 23
11 (503) 639 -4171
Receipt #: 27200400000000001388
Date: 04/05/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00058 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00
SGN2004 -00059 [SIGN] Sign Permit 100 - 0000 - 437000 31.00
•
Line Item Total: $46.00
Payments:
Method Payer User ID Acct. /Check Approval No. How Received Amount Paid
Cash DURHAM OAK APARTMENTS CAC In Person 50.00
Change CITY OF TIGARD CAC In Person (4.00)
Payment Total: $46.00
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