SGN2010-00059 ,. CITY OF TIGARD SIGN PERMIT
9E Permit #: SGN2010 -00059
.s,: ,,,< COMMUNITY DEVELOPMENT Date Issued: 04/09/2010
iIIGARD 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: Installation of (1) one 15 s.f permanent wall sign.
Sign must be framed.
Permanent: Yes Freestanding: No Freeway: No
Temporary: Wall: Yes Electronic: No
Billboard: No Balloon: No
Banner: No A- Board: No
Sign Dimensions: 3'x5'
Total Sign Area: 15
Wall Area: 240
Wall Face (Direction): North
Sign Height: 4 ft.
Projection From Wall: 1 in.
Illumination: No Illumination
Materials: Vinyl Plastic Framed
Electrical Permit Required: No
Building Permit Required: No
Total Permit Fee: $40.00
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.
Approved By: i -
Permittee Signature: Ow
,
IN SIGN PERMIT APPLICATION
3 City of Tigard Permit Center 13125 SW Hall Blvd, Tigard, OR 97223
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Phone: 503.639.4171 Fax 503.598.1960
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GENERAL INFORMATION
Name of Development /Project
FOR STAFF USE ONLY
Site / v etair. sDrni
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Address/ Street Address QQ Permit No.: S 4" ') O / 0 - 0%1 05?
Location L I g q S v) uo��a'9e� Expiration Date:
Suite /Bldg. # City/State Zip /-
VI
I i t a rr�� oR Q 722 ! Receipt #: 7 Y g ,�
IN Name Approved By: K-S P
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4-_ Property w� 1' 7 S. Date " /
(S Owner Mailing Address Suite Map /TL #: ,2-S I I 0 A C -6 `3 J OD eit
53".S,OlvlairfotaX 1.Ct0 Zoning. R - (2- - PD
I City/State Zip Phone
"C\ p qril) 5039q
Tenant or Name Electrical Permit Required? ❑ Yes No
j Business �mefe� VW.- Building Permit Required? ❑ Yes No
Name Rev. 7/1/09
A)/ is \curpin \ masters \land use applications \sign permit app.doc
Sign
Contractor Mailing Address Suite
(Prior to permit
issuance,a
copy of all City/State Zip Phone REQUIRED SUBMITTAL ELEMENTS
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 of Tigard's
database) ❑ Completed Application Form
Proposed Permanen ❑ Freestanding ❑ Freeway ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
Sign Temporary El Wall ❑ Electronic (3 copies, if a building permit is required)
(Check all that ❑ Other El Billboard ❑ Balloon 1 " 11", 11"
apply) size requirement: 8 /s x 11 , or 11 x 17 "
New sign? ❑ Alter to existing sign? p 2 copies of elevations, drawn to scale
ign Dimensions: 3x t , (3 copies, if a building permit is required)
size requirement: 8' /a" x 11 ", to 24" x 36"
Total Sign Area (sq. ft.): its
❑ $40.00 Fee (Permanent sign, any size)
Sign Data Total Wall Area (sq. ft.)
t gn y ❑ $19.00 Fee (Temporary sign, any type)
(Complete all Direction Wall Faces (circle one):
items in this NOTES:
section) N S E W NE NW SE SW
Height to top of sign (feet): o Wall signs do not need to be drawn to scale, but
Projection From Wall (inches): ,, must include dimensions of wall face and sign
Copy: NOW LE . 5(3 (pZ4 704 4 o Wall all signs do not require site /plot plans.
Materials: V ln u O.S ,
• Freestanding signs over 6 ft. required a building
Will sign have illumination? ❑ Yes No 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 space? of the permit, THE PERMIT WILL BECOME
❑ Yes );KNo 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.
DATED this day of , 20 /0
Signature of Owner /Agent
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Contact Person Name Phone No.
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CITY OF TIGARD
Approved [)
Conditionally Approved.... [
For only the work as described in:
PERMIT NO. � S�n�� 1O - c c '
See Letter to: Follow... ....... ._._ -. [
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` .:•'.. CITY OF TIGARD RECEIPT
IN 5 : - . .. . 13125 SW Hall Blvd., Tigard OR 97223
, =t;::, u 503.639.4171
;TIGARD
i7 s:::s. ° ;rc1
Receipt Number: 177486 - 04/09/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
SGN2010 -00059 Sign Permit 1003100 -43115 $35.00
SGN2010 -00059 Sign Permit - LRP 1003100 -43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash KPEERMAN 04/09/2010 $40.00
Payor: Timberline Apartments
Total Payments: $40.00
Balance Due: $0.00
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