SGN2004-00052 C ITY OF TIGARD SIGN PERMIT
i DEVELOPMENT SERVICES PERMIT #: SGN2004 -00052
c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/18/04
PARCEL: 1 S 135DA -00700
BUSINESS NAME: GATEHOUSE APARTMENTS ZONE: R -12
SIGN LOCATION: 08585 SW PFAFFLE ST JURISDICTION: TIG
APPLICANT /AGENT:
BUSINESS TAX NO:
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 4' X 6'
TOTAL SIGN AREA: 24 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Placement of one banner (4' x 6'). Sign #1. Valid from 3/18/04 through 4/18/04.
MATERIALS: VINYL
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: ( ' 1 L
PERMITTEE SIGNATURE: 1,I
DATE: 3/18/04
lj�' 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 A
Address/ Street Address Permit No.: &N a° - G005d
Location 0 5 FS 3/A) ( /4 0 Expiration Date: `f - 18 -o�
Suite /Bldg. # City /State G QZip�
j ' Aria— 0 q 72.23 Receipt #: 00 £4 - 1 O (P (
Name / Approved By: C . Ca- wLe.a.)
Property A1 // - i,lrnd RstJ l � -, Date: 3 - 1 3 - `F
Owner Mailing Address , uite Map /TL #: ) ) 35/D (1 - 00'7 DC
00 y/ S Zoning: R - la
City /State Zip Phone _c —
(1 970 & 3? -e'b e7 Electrical Permit Required? ❑ Yes No
Tenant or Name
Business Building Permit Required? El Yes No
Name Rev. 8/7/2003 is \curpin \masters \revised \sign permit app.doc i
Sig
Contras Mailing Address Suite REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /S • Zip Phone without the required submittal elements)
licenses are
required if ' ❑ Completed Application Form
expireJattse Oregon Const. Cont. Boar Exp. Date
Ci of Tigard's License #
d tabase) 2 Copies of Site /Plot Plan, Drawn to Scale
(3 copies, if a building permit is required)
Proposed Permanent ❑ Freestanding ❑ Freeway size requirement: 8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Check all that ❑ Other ❑ Billboard El Balloon ❑ 2 copies of elevations, drawn to scal
apply) (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: ilt ) C� ❑ $31.00 Fee (Permanent sign, any size)
y Total Sign Area (sq. ft.):
0 2 ❑ $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft Jurisdiction: ❑ City ❑ Urb
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N a E W NE NW SE SW
Height to top of sign (feet): • Wall signs do not need to be drawn to scale,
Projection From Wall (inches): but must include dimensions of wall face and
sign placement.
Copy: Vi/y1.4 • Wall signs do not require site /plot plans.
Materials: �J�, • Freestanding signs over 6 ft. required a
Will sign have illumination? ❑ Yes p No building permit.
Type: El Internal El Exter al • 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
BECOME NULL AND VOID.
❑ Yes J No
If "yes ", a list or diagram of all sign dimensions and a
square footage must also be submitted.
(OVER FOR SIGNATURES)
I
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 /cf`7i day of fl -4.41.> , 20 C
Signature of Owner /Agent
—4144-71,(2 Cutt 5 3 — 6 39 - Pa 7
Contact Person Name Phone No.
CITY OF TIGARD 3/18/2004
13125 SW Hall Blvd. 12:33:03PM
' „ . e Tigard, Oregon 9 72 23
'.ii (503) 63 9-4 17 1
Receipt #: 27200400000000001061
Date: 03/18/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2004 -00052 [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 GATEHOUSE APARTMENTS CAC 5372 In Person 15.00
Payment Total: $15.00