SGN2010-00013 w
�, r ��.N° , 1II J ,1 ^ CITY OF TIGARD SIGN PERMIT
, .f ! 1 • R1 Permit #: SGN2010 -00013
, ,, ' � Till'; COMMUNITY DEVELOPMENT Date Issued: 02/05/2010
li l�,,, ; l l i ° i R" 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110AC00400
Jurisdiction: Tigard
Name of Business: Timberline Apartments
Business Address: 14799 SW 109TH AVE OFF
Applicant/Agent: Timberline Apartments,
Work Description: Placement of one (1) temporary sign (Banner) 3' X 5' Valid 2/5/10 - 3/5/10 Sign #1
Must be placed on private property, not in public right of way. Must meet visual
clearance area requirements
Permanent: No Freestanding: No Freeway: No
Temporary: 1 Wall: No Electronic: No
Billboard: No Balloon: No
Banner: Yes A- Board: No
Sign Dimensions: 3' X 5'
Total Sign Area: 15
Wall Area:
Wall Face (Direction): North
Sign Height: 6 ft.
Projection From Wall: in.
Illumination: No Illumination
Materials: Vinyl
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $19.00
Conditions:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and
all other applicable law. 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.
I
Approved By: s ' I / 1 j'L.tL
Permittee Signature: /' /� /A%Ar _
Z : ,
F u ® e .
SIGN PERMIT APPLICATION
,' City of Tigard Permit Center 13125 SW Had Blvd, Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
•
Name of Development /Project
......--' FOR STAFF USE ONLY
Site /1 n i 6 O a f We, c/4 i c 'r&
Address/ street ddress Permit No.: D� I D "r, 0 O I
Location W 79 sw / -< p
Suite /Bldg. # City/State Zip Expiration Date: , r ,,
/ %1 ar-C�-7QV l Q 470 Receipt #: / 7 Log' �A
Name Approved By: S- � � (' \ i
Property WTL 11 ec1 Date: (3-f 5")/V ��}�
Owner Mailing Address ^ Suite Map /TL #: e9— i I 0 1LC' �m( 5.33.a.1/4) ✓ .
fl ctocus Pe /9. Zoning: 1 f {f
City/State Zip Phone
Tenant or Name Electrical Permit Required? ❑ Yes „ta
Business f p LjNc r Building Permit Required? ❑ Yes to
Name Rev. 7/1/09
ii \ curpin \ masters \ land use applications \ sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance, a
oof REQUIRED SUBMITTAL ELEMENTS
copyoEall City/State Zip Phone
licenses are (Note: applications will not be accepted
required if without the required submittal elements)
expired in the Oregon Const. Cont. Board license # Exp. Date
City ofTigard's
database) ❑ Completed Application Form ii
Proposed , : - Permanent ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign 1 Temporary ❑ Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that . Other ❑ Billboard ❑ Balloon t " " 11"
apply) size requirement: 8 /z x 11 , or 11 x 17 "
X . New sign? ❑ Alter to existing sign? ❑ 2 copies of elevations, drawn to scale
ign Dimensions:2 , (3 copies, if a building permit is required)
size requirement: 81/2" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.):
1 ofpr. r . ❑ $4 .00 Fee (Permanent sign, any size)
Si Data Total Wall Area (sq. ft.) 19.00 Fee (Temporary sign, any e
Sign � �' � $ � P rY g Y �'P )
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) ® S E W NE NW SE SW
Height to top of sign (feet): ep F. ♦ Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): iiigi �ti, f must include dimensions of wall face and sign
Copy: 'Now L4Slr>g 5036a 4 '7 placement.
Materials: v�� ♦ Wall signs do not require site /plot plans.
y ♦ Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes .4Sr permit.
Type: ❑ Internal ❑ External ♦ If work authorized under a sign permit has not been
Are there any existing freestanding or wall signs at this location, completed within ninety (90) days after the issuance
including wall signs that overlap a tenant s ace? of the permit, THE PERMIT WILL BECOME
❑ Yes = No
NULL AND VOID.
If "yes ", a list or diagram of all sign dimensions and square
footage must also be submitted.
—
(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.
DA'Z'ED this day of feig , 20J6
Signature of Owner /Agent
(, ..1, 503- �Z7o��
Contact Person Name Phone No.
CITY OF TIGARD RECEIPT
g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
•1` 1QA:RD
Receipt Number: 176826 - 02/05/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00013 Temp Sign Perm 1003100 -43115 $17.00
SGN2010 -00013 Temp Sign Perm - LRP 1003100 -43117 $2.00
Total: $19.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash STREAT 02/05/2010 $19.00
Payor: Timberline Apartments Theresa Anderson
Total Payments: $19.00
Balance Due: $0.00
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