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SGN2004-00324 CITY TIGARD SIGN PERMIT DEVELOPMENT SERVICES PERMIT #: SGN2004 -00324 All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/5/04 PARCEL: 2 S 110 D C -01000 BUSINESS NAME: SUMMERFIELD ZONE: R -25 SIGN LOCATION: 11175 SW MEADOW BROOK DR OFFIC JURISDICTION: TIG APPLICANT /AGENT: BUSINESS TAX NO: SIGN PERMANENT: FREESTANDING: Y FREEWAY: TEMPORARY: X WALL: ELECTRONIC: OTHER: BILLBOARD: BALLOON: SIGN DIMENSIONS: 2'X 4' TOTAL SIGN AREA: sq. ft. WALL AREA: sq. ft. WALL FACE (DIRECTION): SIGN HEIGHT: 4 ft. PROJECTION FROM WALL: in. ILLUMINATION: NON DESCRIPTION OF SIGN: Placement of (1) one temporary A -frame sign. Valid 12 -6 -04 thru 1 -6 -05. Sign# 3 MATERIALS: WOOD 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 fr lidity date. APPROVED BY: / PERMITTEE SIGNATURE: ' / " DATE: 11/5/04 S ... , . . ...: .. . . . . .. I,`` - 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 c- m ( e.. L d - /-0 Address/ Street Address Permit No.: S Z Y -00 3 y- y Location 1 , 1 11:5- S/0 oe ,6 0,,, � e !`�-� -i Expiration Date: /Z - ( --o y' - / - 6 - U 5 Suite / Bldg. # City /State Zip ' q' , Receipt #: . a V — Y ,, .' 3,4, Name Cn Approved By: / S P Y= �1C�(� i_ Date: l/ /5 �� Pro ert Owner Mailing Address ' Suite Map/TL #: - // O , C - C2/ (12 D \ \` I 5t, , O) ,A u - I Zoning: - 2,} City/State -, Zip Phone r c�� ��y 3 lf! - Wi 1 Electrical Permit Required? ❑ Yes �l�o Tenant or Name Business Building Permit Required? ❑ Yes • ©klo- • Name Rev. 7 /1/04 is \curpin \masters\revised \sign permit Sign I Contractor Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS (Prior to permit (Note: • applications will not be accepted issuance, a without the required submittal elements) copy of all City /State Zip Phone licenses are required if ❑ Completed Application Form expired in the Oregon Const. Cont. Board Exp. Date City of Tigard's License # ! I I 2 Copies of Site /Plot Plan, Drawn to Scale database) (3 copies, if a building permit is required) . Proposed ❑ ermanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17" Sign Temporary ❑ Wall ❑ Electronic (Check all that C 2 copies of elevations, drawn to scale Other El Billboard B apply) board (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: i / X Y ❑ $32.00 Fee (Permanent sign, any size) Total Sign Area (sq. ft.): ❑ $15.00 Fee (Temporary sign, any type) Sign Data Total Wall Area (sq. ft.) j Jurisdiction: ❑ City r] Urb (Complete all Direction Wall Faces (circle one): NOTES: items in this section) .. N S E.. W NE NW SE SW e Wall signs do not need to be drawn to scale, Height to top of sign (feet): but must include dimensions of wall face and Projection From Wall (inches): sign placement. Copy: a Wall signs do not require site /plot plans. Materials: (,k) tw,..-e o Freestanding signs over 6 ft. required a Will sign have illumination? ❑ Yes ❑ No building permit. Type: ❑ Internal ❑ External o 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 El Yes BECOME NULL AND VOID. ❑ No If "yes ", a list or diagram of all sign dimensions and , square footage must also be submitted. (OVER FOR SIGNATURES) hereby acknowledge that 1 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 o *wner /Agent Contact Person Name Phone No. CITY OF TIGARD 11/5/2004 1 SW Hall Blvd. 12:57:47PM. Tigard, Oregon 9 72 23 (50 3) 63 9-4 17 1 Receipt #: 27200400000000004836 Date: 11/05/2004 Line Items: Case No Tran Code Description Revenue Account No Amount Paid SGN2004 -00324 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 SGN2004 -00323 [SIGN] Temp Sign Perm 100 - 0000 - 437000 15.00 Line Item Total: $30.00 Payments: Method Payer User ID Acct. /Check Approval No. How Received Amount Paid Cash SUMMERFIELD APARTMENTS KJP In Person 30.00 Payment Total: $30.00 • cReceipt.rpt Page 1 of 1