SGN2003-00181 CITY TIGARD SIGN PERMIT
Aek DEVELOPMENT SERVICES PERMIT #: SGN2003 -00181
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/03
PARCEL: 2S 110DC -01000
BUSINESS NAME: SUMMERFIELD APARTMENTS 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: 8 sq. ft.
WALL AREA: sq. ft.
WALL FACE (DIRECTION):
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION: NON
DESCRIPTION OF SIGN: Temporary A -frame sign. (2' x 4') Valid from 8/15/03 through9 /15/03. 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 from validity date.
APPROVED BY:
PERMITTEE SIGNATURE: fir' °�
DATE: 8/6/03
'r
A ' . ,k.irz , 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
�1 � _ FOR STAFF USE ONLY
Site SWrnr� 0� 1 V� 00 18 I
Address/ Str et Address ,�� M,ginJ) Permit No.: SG Ni , .�� �, • 0 O 1 I
Location r I i 75 SW I ��t(J/c Expiration Date: 7 3" 0 c y1 S10 3
Suite /Bldg. # City/State Zip 003 O / Receipt #: 3y
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Name Approved By: _ ecc, -i-�
4.A
Property r _I7 U
Date: S (o - 03
Owner Mailing Address Suite Map /TL #: aS HO O DC- — () 1° O 0
iD pi- t_ P /O � a5
0 Zoning: -
Ci ty /State Zip Phone
.-PO4 0 593 5-w 1 Electrical Permit Required? ❑ Yes )ill No
Tenant or Name
Business Building Permit Required? ❑ Yes y No
Name Rev. 01- Jul -02 i:\curpin\masters\revised\sign permit app.doc
Sign
Contractor Mailing Address S ' - REQUIRED SUBMITTAL ELEMENTS
(Prior to permit (Note: applications will not be accepted
issuance, a
copy of all City /State Phone without the required submittal elements)
licenses are I
required if • ❑ Completed Application Form
expired in the Oregon = st. Cont. Board Exp. Date
City of Tigard's Lice. e # ❑ 2 Copies of Site /Plot Plan, Drawn to Scale
database) (3 copies, if a building permit is required)
Proposed ❑ P manent ❑ /-� - - 1,% Freestanding ❑ Freeway size requirement: .8 x 11 ", or 11" x 17"
Sign Temporary ❑ Wall ❑ Electronic
(Ch ck all that ❑ Other ❑ Billboard ❑ Balloon El copies of elevations, drawn to scale
(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:
a . X L i I j ❑ $ 0.00 Fee (Permanent sign, any size)
Total Sign Area (sq. ft.): 13 $15.00 Fee (Temporary sign, any type)
Sign Data Total Wall Area (sq. ft.) _
(Complete all Direction Wall Faces (circle one): 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): but must include dimensions of wall face and
Projection From Wall (inches): . sign placement.
Copy: • • Wall signs do not require site /plot plans.
Materials: WOO D • - Freestanding signs over 6 ft. required a
building permit.
Will sign have illumination? ❑ Yes X No • 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 0 No
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
Signature of Owner /Agent
Contact Person Name Phone No.
CITY OF TIGARD 8/6/2003
13125 SW Hall Blvd. 2:55:48PM
kA i Tigard, Oregon 97223
6 1 (503) 639 -4171
Receipt #: 27200300000000003476
Date: 08/06/2003
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
SGN2003 -00181 [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
Cash SUMMERFIELD APARTMENTS CAC In Person 15.00
Payment Total: $15.00
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